Administrative Coordinator, Quality - ISM, Surgery

Description 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. Responsibilities Administrative Tasks 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 Meetings & Presentations 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. Data Management 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 Working Effective with Patients, Families, and Staff Contact patients via telephone, Tavoca and/or MyChart , as applicable for the purpose of identifying surgical outcomes, and obtaining 30-day follow up Reporting Run requested Redcap reports requested by residents and research coordinators Produce QITI resident reports upon request from residency program director Qualifications Bachelors Degree or equivalent combination of experience and education., i.e. HS/GED diploma plus seven years of experience. Database data management & analysis experience preferred. Quality improvement or patient safety knowledge preferred. 5 years related administrative or business experience required. Non-Bargaining Unit, 862 - Surgery - ISM, Icahn School of Medicine Employer Description 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 The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $66482.07 - $74250 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. #J-18808-Ljbffr Mount Sinai Medical Center