Quality Improvement Research Analyst-Quality Assurance Corporate- Full-Time Days Hybrid

Quality Improvement Research Analyst-Quality Assurance Corporate- Full-Time Days Hybrid

The 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.

• 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.

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

Compensation Statement

The 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 this role is $65,885.00 - $98,827.00 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.

Non-Bargaining Unit, 535 - Quality Assurance - MSH, Mount Sinai Hospital

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