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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 Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next 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 48,000 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 more than 9,000 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, top 5 in Cardiology/Heart Surgery, and top 20 in 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. 11 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.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

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.