STROKE COORDINATOR - OUTCOME REGISTRIES

Summary

EAMC MISSION

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.

POSITION SUMMARY

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.

POSITION QUALIFICATIONS

Minimum Education Graduate of an accredited School of Professional Nursing Minimum Experience Experience in stroke program coordination, quality improvement, neuroscience, or acute stroke care Experience with stroke data abstraction and performance improvement initiatives (e.g., Get With The Guidelines-Stroke) Required Registration/License/Certification Clinical stroke experience Registered Nursing License Preferred Education N/A Preferred Experience Performance improvement experience preferred Preferred Registration/License/Certification N/A Other Requirements Strong analytical, organizational, communication, and leadership skills