Administrative Coordinator, Quality (Spanish Bilingual Preferred) - Surgery

Mount Sinai Health System•New York, NY

About The Position

The Quality Administrative Coordinator is responsible for all administrative aspects of the system-wide quality program for the department of Surgery. This is accomplished through ensuring timely & accurate meeting agendas, invites, minutes and follow up items, data entry, database administration, spreadsheet creation, case selection, deadline monitoring for case entry and practitioner scorecards, close coordination with the clinical and quality teams, and a variety of focused quality projects. The Quality Administrative Coordinator also works closely with the Director of Surgical Quality along with all other team members to identify opportunities for clinical quality improvement, analyze data, and other projects as needed.

Requirements

Bachelors Degree or equivalent combination of experience and education., i.e. HS/GED diploma plus seven years of experience.
5 years related administrative or business experience required.

Nice To Haves

Database data management & analysis experience preferred.
Quality improvement or patient safety knowledge preferred.

Responsibilities

Responsible for sending memos to appropriate faculty as per request
Provides backup administrative support for Quality Team members
Organizes surgical quality cycle spreadsheets
Participate with grievance process to crosscheck patients in EPIC
Create reminders and manage OPPEs for physician assistants and NPs
Management of CME approvals for weekly M&M conference
Contribute to quality newsletter
Manage invoice processing and record keeping
Create employee and patient facing educational materials
Analyzes various data sources to identify surgical outcomes and what is driving those outcomes.
Preparation of Morbidity and Mortality PowerPoint slides for weekly conference
Provide back up for support for creation of quality agenda for monthly meeting to be presented during weekly Morbidity & Mortality (M&M) Conference
Schedules monthly quality committee meetings run by the Vice Chairman of Surgery
Attend mandatory quality team meetings as per request.
Responsible for sending reminders to all committee members for monthly meetings
Attend annual national conference pertaining to the programs, where applicable
Responsible for sending Outlook calendar invites for QA/PIC monthly meetings
Attend team chart review meetings that are conducted on bi weekly basis.
Communicates with clinical and quality teams to ensure reliable data collection as needed
Responsible for identifying areas for streamlining and improvement in the data collection process
Demonstrates appropriate utilization of resources necessary to obtain valid, reliable data
Identifies cases to be included in the bowel bundle protocol, and communicates eligibility with peri-operative staff at multiple hospitals
Inputs audit data into Microsoft Access bowel bundle database based on EPIC reports
Compiles and sorts data for numerous quality projects/research as per request
Select cases to be included in NSQIP cycles via EPIC for abstraction by quality team members
Responsible for monitoring, accessing, and compiling the data and quality/benchmark reports from the program websites for use in quality improvement projects
Co-manages the M&M database, monitoring and ensuring adequacy of submissions, querying and analyzing the database to support resident and departmental projects, trouble shooting and ensuring personnel access after adequate training
Review and assign cases reported to Morbidity and Mortality database
Approve all requests for appropriate employees to gain access to the M&M database
Enter standard of care adjudication and administrative notes in the M&M database
Contact patients via telephone, Tavoca and/or MyChart , as applicable for the purpose of identifying surgical outcomes, and obtaining 30-day follow up
Run requested Redcap reports requested by residents and research coordinators
Produce QITI resident reports upon request from residency program director