Quality Improvement Research Analyst - Surgery
Mount Sinai Health System
**Job Description**
The Quality Improvement Analyst is responsible for abstracting data for surgical quality initiatives, with a focus on the Vascular Quality Initiative (VQI). This is accomplished through high-quality medical record review, data abstraction, accuracy verification, and entry of data into the applicable databases for all eligible surgeries at multiple hospitals within the Mount Sinai Health System. The Quality Analyst also works closely with the quality team to review complications submitted by clinical providers, as well as the lead vascular surgeon to verify data accuracy. As needed, the analyst can expect to pull data reports for presentations and quality meetings, and work on process improvement initiatives. This position is based with the Surgical Quality team at the Mount Sinai Hospital, with the option to work remotely several days per week.
**Qualifications**
+ Bachelor of Arts or Science required.
+ 3 years in research and/or data analysis or related experience
+ Clinical chart review and abstraction experience preferred.
+ Database data entry and/or management experience preferred.
+ Quality improvement or patient safety knowledge and experience preferred.
+ 2 - 5 years of previous quality, research, clinical or chart review experience preferred.
Non-Bargaining Unit, 862 - Surgery - ISM, Icahn School of Medicine
**Responsibilities**
+ Responsible for the identification of surgical patients for inclusion in each program registry through the application of strict program inclusion/exclusion criteria.
+ Responsible for the reliable collection of pre-operative, operative, and post-operative data components for the program through the effective utilization of the electronic medical record systems and operative logs from the included hospitals.
+ Responsible for meeting the follow up thresh hold, including calling patients to ascertain their current status.
+ Responsible for ensuring complete data and 100 percent case entry for all applicable case types and surgeons accrual per year.
+ Validates data periodically by cross referencing billing data as required by VQI.
+ Communicates with surgeons, surgical teams and interventional radiology staff to ensure reliable data collection of procedures and all postoperative occurrences.
+ Identifies areas for streamlining and improvement in the data collection process.
+ Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data for entry into the VQI.
+ Responsible for keeping abreast (and communicating to appropriate personnel) applicable changes in the VQI program, policies, and data entry requirements.
+ Responsible for monitoring, accessing, and compiling the data and quality/benchmark reports from the program websites for use in quality improvement projects.
+ Establishes effective working relationships with members of the hospital community, especially staff in the Surgery, Medicine, Nursing, Medical Records and the Information Systems departments whose support is necessary for the management and success of the quality programs.
+ Maintains communication with clinical staff regarding the contact of patients via telephone and/or written communications post-operatively, as applicable for the purpose of identifying possible occurrences associated with surgical procedures performed at the hospital, and potential loss-to follow-up.
+ Participates in team meetings with other quality monitoring analysts covering various surgical specialties and areas.
+ Reviews complications submitted as Morbidities and Mortalities by clinical staff.
+ Meets with Vascular Surgery clinicians to ensure clinical accuracy.
**About Us**
**Strength Through Diversity**
The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:
+ Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
+ Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
+ Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.
Explore more about this opportunity and how you can help us write a new chapter in our history!
**“About the Mount Sinai Health System:**
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.”
**EOE Minorities/Women/Disabled/Veterans**
**Compensation Statement**
Mount Sinai Health System (MSHS) provides a salary range to comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $58661 - $74000 Annually. Actual salaries depend on a variety of factors, including experience, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
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