STROKE COORDINATOR - OUTCOME REGISTRIES
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At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control.
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POSITION SUMMARY
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Stroke Program Coordination & Oversight
- Coordinate initiatives to achieve and maintain Primary Stroke Center certification.
- Support implementation, maintenance, and revision of stroke policies, procedures, and protocols.
- Maintain confidential and accurate minutes for the Stroke Committee and related meetings.
- Track and ensure follow-up of all outstanding agenda items until resolution and closure.
- Escalate identified issues to the appropriate individual or department in a timely manner.
Data Management, Audits & Performance Improvement
- Oversee stroke data abstraction, submission, and validation (e.g., Get With The Guidelines–Stroke).
- Maintain passing averages and inter-rater reliability for stroke audits and abstractions.
- Prepare performance improvement (PI) reports, power points, dashboards, and regulatory documentation.
- Review stroke data on a regular basis to:
- Determine compliance
- Identify performance gaps
- Develop and monitor corrective action plans
- Ensure compliance with TJC Comprehensive Stroke standards.
- Review selected stroke-related mortalities to ensure adherence to standards of care.
- Provide follow-up and documentation for all PI initiatives until closure.
Clinical Quality & Regulatory Compliance
- Monitor adherence to evidence-based stroke guidelines for ischemic stroke, ICH, SAH, TIAs.
- Support survey readiness activities including tracers, mock surveys, and regulatory audits.
- Collaborate with clinical teams to address opportunities related to patient safety, quality, and outcomes.
- Ensure documentation reflects compliance with regulatory, accreditation, and organizational standards.
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POSITION QUALIFICATIONS

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