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Duke Heart is redefining the way we manage registries, PI/QI, and research…”Domain Data", by pairing a developer with a clinical expert to form a domain team. The clinical expert should have deep domain experience and be capable of managing assigned registries with their relevant clinical outcomes, while also learning to use data management technology (e.g. SQL, SSRS). Our goal is for the team to be responsible for the domain including assigned registries while evolving and improving the way the registry work is performed and how data for the domain are managed. We need a hard working creative person who has significantly more than a basic interest in informatics and is capable of performing the manual abstraction work while at the same time improving their work methods and procedures through the use of technology.

Heart Center domains are generally aligned with our clinical programs which include Aortic Disease, Arrhythmia, Cardiothoracic Surgery, Coronary Artery and Vascular Disease, Heart Failure, and Structural Heart.   

Job Description
Contribute to the achievement of the DUHS Heart Center mission by:

  • Developing a deep expertise related to clinical activities and related available data in support of your assigned clinical domain. 
  • Directly providing data from existing data sources including SQL Queries or partnering with a “partner" developer to establish new sources of credible data. 
  • Managing domain related registries, which may include manual chart abstraction, and all relevant registry contract management and billing activities.
  • Developing leadership reports, tracking outcomes, and making recommendations for improvement.
  • Support Performance and Quality improvement initiatives
  • Partnering with your developer counterpart, take every opportunity to improve the quality and workload associated with the collection and management of data in support of registries, PI/QI activities and research through the application of technology and automation.    
  • Work Performed

  • Maintain comprehensive knowledge of 1) relevant national registry elements and related documentation, 2) other data available to support research, operational, and/or quality improvement initiatives, and serve as a subject matter expert and clinical coach to partner developer for assigned domain (e.g. CT Surgery).
  • Collect or manage the collection and quality of data related to complex national registry metrics becoming an expert on measure data definitions and responsible for all associated public reporting.
  • Maintain dictionary of domain specific data elements and be aware of and at times vet requests for domain specific data.
  • Alert and drive action around at risk metrics.
  • Manage assigned registries by ensuring contracting (new staff), public reporting paperwork, and billing are up to date. 
  • Seek, working with an assigned developer, new electronic sources of data to reduce registry workload and or improve accuracy of data.
  • Working with paired developer verify all registry management reports are accurate.
  • Review internal and external data quality reports and manage the resolution of any identified issues.
  • Conduct quality audits of assigned registries.
  • Work with stakeholders (e.g. perfusion, APPs, Surgeons, Invasive Lab Techs) to improve workflows around registry data collection that is interleaved within the clinical documentation system. 
  • Provide feedback to the design of data collection screens. At times may drive design.
  • Identify opportunities for improved performance. Analyze data to identify adverse trends and/or undesirable performance.
  • Collaborate with stakeholders in planning activities aimed at improving the hospital's performance in operations or clinical quality.
  • Produce reports and presentations on quality and performance improvement.
  • Develops, maintains and enhances knowledge through orientation, self-evaluation and professional development.
  • Perform other related duties incidental to the work described herein.  
  • Knowledge,Skills and Abilities

  • Effective written and verbal communication skills
  • Ability to communicate with customers/staff with diverse educational backgrounds
  • Analysis of data and processes for opportunities for improvement
  • Ability to manage numerous diverse projects simultaneously through effective priority setting, efficient use of time, organization
  • Attention to detail and accuracy
  • High computer literacy, including competency with MS Excel and willingness to learn SQL.
  • Exposure to PI/QI in the clinical setting

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    Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex,sexual orientation, or veteran status.

    Duke aspires to create a community built on collaboration, innovation,creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

    Essential Physical Job Functions:
    Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

    Bachelors degree in a business or health-related field is required. RN preferred. Degree in Nursing Informatics preferred.

    Significant clinical expertise in Cardiothoracic surgery.

    Minimum of 5 years work experience in the cardiothoracic/adult cardiac surgery, including 3 years of experience in either a leadership role, working with PI/QI, or working with technology in a clinical setting. 
    Degrees, Licensures, Certifications
    RN preferred

    Nursing Specialty: Cardiothoracic/Cardiology




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    Job No:
    Posted: 5/29/2019
    Application Due: 7/28/2019
    Work Type: