How to become a HEDIS nurse abstractor?

Dear Nurse Beth Advice Column - The following letter submitted anonymously in search for answers. Join the conversation!

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Hello I am looking for information on how to become a HEDIS nurse abstractor. I am looking for an employer that will provide training or a training program with job placement. I currently work in research doing regulatory work/ start up work.

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Specializes in Tele, ICU, Staff Development.

HEDIS, or the Healthcare Effectiveness Data and Information Set, is a set of standardized performance measures developed by the National Committee for Quality Assurance (NCQA). HEDIS nurse abstractors play a critical role in collecting and analyzing data to help healthcare organizations improve the quality of care. Familiarity with these measures is essential, as you'll be responsible for abstracting relevant clinical information from patient records.

Required Skills and Qualifications

  • Nursing background. A nursing degree (RN or LPN) is usually preferred. Your clinical experience will help you understand medical records and data.
  • Attention to detail. The role requires a high level of accuracy in data collection and analysis.
  • Analytical skills. You'll need to analyze data effectively to ensure compliance with HEDIS measures.
  • Familiarity with electronic health records (EHR). Experience with EHR systems will be advantageous, as you'll work with these tools to gather data.
  • Regulatory knowledge. Your current experience in research and regulatory work is a vital asset, as it will help you understand the compliance aspects of HEDIS measures.
  • Finding Training Programs
  • Healthcare organizations. Many health plans and hospitals offer training programs for HEDIS abstractors. Start by researching large healthcare organizations in your area. Look for positions labeled "HEDIS nurse abstractor" or "quality improvement nurse."

Online courses. Websites like Coursera, Udemy, or even specialized healthcare education platforms may offer courses focused on quality improvement and HEDIS measures.

Networking. Join professional networks or groups on platforms like LinkedIn. Connect with HEDIS abstractors to learn about their paths and any training opportunities they recommend.

Job Placement Programs

  • Internships or apprenticeships. Some employers offer internships specifically for HEDIS abstractors. These positions can provide hands-on experience and may lead to full-time job offers.
  • Job fairs. Attend healthcare job fairs that focus on quality improvement or regulatory positions. These events can connect you with potential employers who offer training.
  • Recruitment agencies. Consider working with recruitment agencies that specialize in healthcare roles. They can help you find employers who provide training programs.

Contact potential Eemployers directly. Reach out to hospitals, insurance companies, or health plans directly to inquire about training opportunities. Express your interest in HEDIS abstraction and your current qualifications.

Brush up on HEDIS measures. Familiarize yourself with the latest HEDIS measures and guidelines. Resources can be found on the NCQA website.

Continuing education. Consider taking courses in healthcare quality improvement or data analysis to strengthen your resume.

Conclusion

Transitioning to a HEDIS nurse abstractor role can be a fulfilling career move, particularly with your regulatory experience. By leveraging your nursing background and seeking out training opportunities, you can position yourself effectively for this role. Networking, researching potential employers, and enhancing your understanding of HEDIS will ultimately lead you to success in this field. Good luck!

Best wishes,

Nurse Beth

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