American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Metabolic and Bariatric Surgery Clinical Reviewer Job Description

  • The facility and its medical staff provide the structure, process, and personnel to obtain and maintain the quality standards of the MBSAQIP in caring for metabolic and bariatric surgical patients. The administrative and medical staff commit to broad cooperation in order to improve the quality of metabolic and bariatric surgical care provided at the center.
  • The MBSCR’s key responsibility is to collect and submit accurate, complete, and timely data to the MBSAQIP Data Registry Platform. This task is accomplished through high-quality data compilation, documentation, and entry of 100 percent of metabolic and bariatric procedures performed at the Center into the MBSAQIP Data Registry Platform.
  • The MBSCR works closely with the members of the metabolic and bariatric and general surgery departments to identify opportunities for clinical quality improvement and other special projects that may be identified. There are several components to consider when selecting a candidate for the role of MBSCR:

Primary Competencies

  1. Clinical Knowledge: Data collection and identification of areas for quality improvement requires clinical knowledge and understanding of patient care. The candidate should have some clinical understanding as well as access to a clinical mentor who can advise when clinical questions arise. (35%)
  2. Computer Knowledge: The ability to learn and utilize new software and Web applications for data entry and report generation. The candidate should have some computer experience with Microsoft Office and basic statistical skills. (25%)
  3. Hospital Systems Knowledge: The ability to track health information through various sources such as medical records, surgery clinics, death index, direct patient contact, accounts payable, and legal counsel. The candidate should have some experience gathering information in a complex hospital system environment. (20%)
  4. Hospital Departmental Knowledge: The ability to identify opportunities to report metabolic and bariatric data to relevant groups or meetings (for example, morbidity and mortality, infection control, quality management, and administration). The candidate should have some experience sharing information across functions. (20%)

Specific Job Responsibilities and Capabilities

  1. Data Collection and Reporting:
    • Identifies 100 percent of metabolic and bariatric surgery patients for inclusion in the MBSAQIP data registry.
    • Collects preoperative, intraoperative, 30-day postoperative, and long-term (six month and annual thereafter) follow-up data components for the program through the effective utilization of the hospital medical record systems and through a coordinated effort with individual surgeon office staff.
    • Identifies streamlining and process improvement opportunities in the data collection process.
    • Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into the program.
    • Utilizes software applications for data collection and analysis.
    • Responsible for the accurate, complete and timely entry of data into the program’s database.
  2. Work Effectively with Hospital and Individual Surgeon Office Staff
    • Establishes effective working relationships with members of the hospital community, especially staff in the surgery, medicine, nursing, medical records, and information systems departments and individual bariatric surgeons’ offices whose support is necessary for the management and success of the program.
    • Serves as an educational resource on the MBSAQIP Data Registry Platform for internal and external audiences by developing educational material and delivering presentations.

Primary Requirements

  • Successfully completes the MBSCR Online Training Program.
  • Participates in program teleconferences.
  • Participates in data compilation for audits and (re)accreditation or site visits.
  • Periodically attends voluntary in-person professional development seminars offered at various annual meetings such as ASMBS, ACS NSQIP, or ACS Clinical Congress.