Quality Improvement Research Analyst-Quality Assurance Corporate- Full-Time Days Hybrid
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Job DescriptionQuality Improvement Research Analyst-Quality Assurance Corporate- Full-Time Days HybridThe Quality Improvement Research Analyst is responsible for preparing data abstractions and analyses of clinical data; assisting in the design and testing of data collection instruments and assisting in project management and research activities.The Analyst works within the Quality Assessment and Improvement Department to collect and evaluate clinical data as part of the hospital's Performance Improvement Program. The primary focus of this role is to maintain compliance with the collection of data related to measurement mandated by the JCAHO, CMS, and by the NYS DOH.Responsibilities

• Abstraction of data related to JCAHO Core measures, CMS Publicly Reported Measures, and other data as mandated by NYS DOH, IPRO, and other regulatory agencies
• On a daily basis, utilize expert knowledge of measure-specific/indicator-specific inclusion and exclusion criteria for mandated measure sets
• Daily abstraction of both paper and electronic patient records based on established tools
• Daily data entry into MHA web tools and monitor status
• On a daily basis, develop a report of cases not meeting inclusion criteria, coding issues, and cases that did not meet the measurements standard and review with the Performance Improvement Coordinator. Make preliminary recommendations relative to inclusion/exclusion, re-coding, and documentation remediation
• Create reports of preliminary review findings on concurrent reviews as well as third party sampled cases. Highlight trends and patterns
• Conduct quality control and validation audits on a routine basis and prior to data submission to MHA, JCAHO/CMS, and DOH. Participate in the resolution of transmission errors, omissions critical errors related to submissions to MHA and QNET
• Participate in activities related to CMS validation audits
• Participate in weekly team meetings. Provide education to involved clinicians relative to documentation. Assist in problem solving and formulation of performance improvement strategies related to inclusion and documentation
• Develop education strategies for clinicians relative to documentation
• Work with clinicians to provide just in time feedback
• Serve as a resource to unit-based triads
• Participate in Special Studies as assigned
• Participate in the development of chart abstraction tools for special studies and audits
• Maintain organized documentation of completed reviews and chart tracking
• Performs other related duties.

Qualifications

• Bachelors degree in related science field
• 5 years Medical-Surgical Nursing experience, or experience in a health care-related field

Non-Bargaining Unit, 535 - Quality Assurance - MSH, Mount Sinai HospitalAbout UsStrength 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