Let Me Throw This Question Back Out To All Of You. . .

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Ginger Franks

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Mar 2, 2011, 3:36:09 PM3/2/11

to state-trauma-registr...@googlegroups.com

Hi Everyone.

Curious if all of you are planning to report all of the procedures being
recommended by NTDB. We have decided that at the state-level in Idaho,
we will not be collecting additional procedures. (We are currently
collecting all initial diagnostic radiology and any invasive procedure -
not including IVs, Foley's etc.) Because we abstract for most Idaho
hospitals, the increased workload to comply with NTDB would be
overwhelming.

Thanks for letting me know how your state-level registries are handling
the new recommendations for collecting procedures.

GFF

Ginger Floerchinger-Franks, Dr.P.H.
Idaho Trauma Registry
615 North Seventh Street
P.O. Box 1278
Boise, ID 83702
Phone: (208) 489-1391
Fax: (208) 344-0180
www.idahotrauma.org

-----Original Message-----
From: Ginger Franks
Sent: Monday, February 28, 2011 11:40 AM
To: 'state-trauma-registr...@googlegroups.com'
Subject: FW: [ntdbUserGroup] New Registrar Orientation & Training

Thanks for letting me know how your state-level registries are handling
the new recommendations for collecting procedures.

GFF

Ginger Floerchinger-Franks, Dr.P.H.
Idaho Trauma Registry
615 North Seventh Street
P.O. Box 1278
Boise, ID 83702
Phone: (208) 489-1391
Fax: (208) 344-0180
www.idahotrauma.org

-----Original Message-----
From: ntdbus...@googlegroups.com
[mailto:ntdbus...@googlegroups.com] On Behalf Of Bowlus, Ambrosia D
(HSS)
Sent: Monday, February 28, 2011 10:23 AM
To: ntdbus...@googlegroups.com
Subject: RE: [ntdbUserGroup] New Registrar Orientation & Training

Tammy can you please share your manual when you complete it???

Thanks
A

-----Original Message-----
From: ntdbus...@googlegroups.com
[mailto:ntdbus...@googlegroups.com] On Behalf Of Tammi Meeks
Sent: Monday, February 28, 2011 7:24 AM
To: ntdbus...@googlegroups.com
Subject: Re: [ntdbUserGroup] New Registrar Orientation & Training

Hi Debbie,

I'm interested in obtaining a copy of your orientation sheet and the
training outline. Training new hires has always fallen to me - however
I'm trying to create a 'How To' manual for when I retire (next year!!!)
I've never actually written the process out; I'm sure your info will be
most helpful!

Thank you!
Tammi M. Meeks, CSTR
Riverside County Regional Medical Center - Trauma Services
26520 Cactus Avenue, Moreno Valley, CA., 92555 951-486-4566; fax
951-486-4440

>>> debbie hutton <txbu...@yahoo.com> 02/26/2011 08:05 >>>
Hi Erika,
In our facility and I would guess just about everywhere, we can let a
new person go with out it reflecting bad on the new person or on us
within 90 days. After 90 days we have to go through the termination
process with documentation and everything so we use 90 days as the
period of time that a registrar has to able to pull their own weight.
This doesn't mean that they know everything and training stops; just
that for most cases they can do the job without constant supervisor. I
don't really have an accuracy rate set but I must see improvement as
time passes. I don't pull the usual data validation on their records
because I work closely with them during this time and monitor their work
daily. I expect them to be at 98% within 6 months after the 90 day
training. I don't sort their patients by type or systems becasue at the
end of the 90 day training, the new registrar is placed into the
rotation of picking up patients with the other registrars so I need to
know that they can abstract the data and code what ever comes up on
their own. I have found that by giving them all types of cases from the
beginning makes it eaiser for them to make the transition from training
to working on their own. It usually takes several week before I let them
put a patient into the registry. For the first month the new person will
take 3 to 5 new patients and 3 to 5 patients that are in the registry
but need closing a day from the other registrars and we will use them
for training. This allows me to show them all the aspects of a chart
from abstracting to locating missing data on established patients.
You can usually tell within a month if the person is going to work out
as a registrar. Some of them just can't handle the information overload
or may not have critical thinking skills. The fact that trauma coding
rules are different that the ones that was taught in school throws some
of them off and they just can't make the transition. And some people
develope faster so your training has to be flexiable.

I guess I shoud say that I have three trauma registrars and one ICU
registrar. We put every element in the the regisrty by hand. We are a
level one facility with over 3000 patients a year entered in the
registry. We collect about 200 elements without the diagnosis and
procedure coding. I developed a orientation sheet and a training outline
so that we cover everything and so I won't forget anything. It's a
simple form but with all the information that a new person has to
process and all the variables, it helps alot.

--- On Wed, 2/23/11, Oneal, Erika <Erika....@uchealth.com> wrote:

From: Oneal, Erika <Erika....@uchealth.com>
Subject: [ntdbUserGroup] New Registrar Orientation & Training
To: "'ntdbus...@googlegroups.com'"
<ntdbus...@googlegroups.com>
Date: Wednesday, February 23, 2011, 2:10 PM

Dear Fellow Trauma Registrars,

This question is for registries with 2 or more registrars:

When you hire a new registrar with minimal coding experience (i.e. a new
college graduate):
* How long do you give them to be a fully functional registrar
and pull their own weight? (For example, they can abstract all data
elements and code all injury types.)
* Do you have accuracy rate goals they must reach by 30 days,
60 days, etc?
* Do you start the new hire out on the easy cases first
(single-system injuries) and slowly introduce them to the harder cases,
such as head, spinal, and multi-system injuries..... or is the new hire
expected to be able to code all injury types from day one?

I'm in the process of re-assessing our training process in the registry
and I was wondering how other registries are doing it.

Thanks for your help and have a great day, Erika

Erika O'Neal, RHIT, CSTR
Trauma Information Coordinator
UC Health University Hospital
234 Goodman Street
Cincinnati, OH 45219-2316
513-584-8118

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