The Quality Measurement Data Manager will be responsible for daily review of the live National Surgical Quality Improvement Program (NSQIP) dashboard along with data capture and reporting as well as quality improvement and administrative activities related to the NSQIP data. The successful candidate will divide their time equally between daily review of real time NSQIP dashboard and outreach to the appropriate responsible parties for patient care along with daily chart abstraction for the NSQIP Registry. The primary focus of the NSQIP program is to collect data which encompass both surgical encounters as well as thirty day follow-up in order to improve outcomes and decrease complications in patients undergoing surgical procedures at Stony Brook University Hospital.
Duties of a Quality Measurement Data Manager may include the following but are not limited to:
Daily review of the real time NSQIP dashboard, with outreach as needed to the clinical service.
Successful completion of the program run by the Clinical Support team from ACS NSQIP, including training and certification as a Surgical Clinical Reviewer (SCR). Participation in ongoing SCR education, testing, and support including attendance at regular SCR Conference Calls and Webinars and successful completion of the annual certification exam for SCRs to ensure understanding of ACS NSQIP case selection and application of variable definitions.
Continually analyze new and revised specifications for the NSQIP registry and develop a comprehensive understanding of reporting requirements. Ensure compliance with CMS and other payers/regulatory agency requirements. Educate Department of Surgery, Quality Measurement & Analytics (QMA), Quality Improvement (QI), IT, and Clinical Transformation regarding potential impact on workflow requirements.
Perform gap analysis to identify NSQIP registry data elements not currently captured in the legal medical record. Participate in and/or manage collaborative projects with IT and Department of Surgery to develop mechanisms for capturing these data.
Perform hybrid medical record review of surgery cases, validation, outlier cases drill-down, and other clinical data capture activities as necessary to support external quality reporting and quality improvement activities. This includes tracking thirty day follow-up of patients undergoing surgical procedures and performing follow-up phone calls for any patients not returning to clinic at thirty days. Continually take steps to ensure the accuracy of all data captured for the registry.
Retrieve and review standard NSQIP reports. Generate and review customized reports from the NSQIP database. Analyze clinical outcomes data related to surgery procedures with other patient information. Present in various formats to Department of Surgery the information needed to drive quality improvement efforts.
Provide guidance and support on clinical topics to other QMA personnel, QI, Surgery, and other analytical and clinical departments.
Attend Weekly Mortality and Morbidity Conference, Monthly Program of Distinction Meetings and any other relevant meetings to present and review data and opportunities for patients undergoing surgical procedures.
Generate ad-hoc reports and perform ad-hoc responsibilities as deemed appropriate by the Assistant Director of QMA Analytics in collaboration with the Surgeon Champion for NSQIP.
Maintain awareness of institutional quality priorities and work collaboratively with colleagues in QMA, the Quality Management Division, Surgery, other clinical and ancillary services, IT, and hospital leadership to accomplish organizational goals.
Three or more years of nursing/clinical experience.
Project management skills and the ability to work independently as well as collaboratively with diverse populations of healthcare workers is critical.
Basic computer skills including spreadsheet, word processing, and presentations are also required.
Demonstrated ability to grow and adapt in a changing environment.
Superior organization skills, detail oriented, and ability to be persistent and follow through.
Bachelor's degree in nursing or other advanced clinical education.
Five or more years of surgical nursing/clinical care experience.
Clinical chart review and abstraction experience and ability, preferably with surgical cases.
Prior experience with health care quality reporting and/or interpreting health care regulatory/accreditation requirements.
Skill in presenting information to a variety of audiences.
Experience in collaborative design of electronic health record components.
This position will remain posted until filled or for 90 days max.
An initial review of all applicants will occur two weeks from the posting date. For full consideration, applications must be received before the initial review date (which is within two weeks of the posting date). If within the initial review no candidate was selected to fill the position posted, additional applications will be considered for the posted position; however, the posting will close once a finalist is identified, and at minimal, two weeks after the initial posting date. Please note, that if no candidate were identified and hired within 90 days from initial posting, the posting would close for review, and possibly reposted at a later date.
Stony Brook Medicine is a smoke free environment. Smoking is strictly prohibited anywhere on campus, including parking lots and outdoor areas on the premises.
All Hospital positions are subject to changes in pass days and shifts as necessary. This position may require the wearing of respiratory protection, which may prohibit the wearing of facial hair.
The selected candidate must successfully clear a background investigation. Prior to start date, the selected candidate must meet the following requirements: Successfully complete pre-employment physical examination and obtain medical clearance from Stony Brook Medicine's Employee Health Services (The hiring department will be responsible for any fee incurred for examination), submit (3) written references, and provide a copy of any required New York State license(s)/certificate(s). Please be advised that failure to comply with any of the above requirements could result in a delayed start date and/or revocation of the employment offer.
The best ideas in medicine start with the best people. At Stony Brook Medicine, our highest calling is to put the power of ideas to work in our patients' lives. Stony Brook Medicine integrates and elevates all of our health-related initiatives: education, research and patient care. Stony Brook Medicine is Long Island's premier academic medical center. With 603 beds, we serve as the region's only tertiary care center and Level 1 Trauma Center, and are home to the Stony Brook Heart Institute, Stony Brook Cancer Center, Stony Brook Children's Hospital, Stony Brook Neurosciences Institute, and Stony Brook Digestive Disorders Institute. We also encompass Suffolk County's only Level 4 Regional Perinatal Center, state-designated AIDS Center, state-designated Comprehensive Psychiatric Emergency Program, state-designated Burn Center, the Christopher Pendergast ALS Center of Excellence, and Kidney Transplant Center. It is home of the nation's first Pediatric Multiple Sclerosis Center.
Stony Brook University is an Affirmative Action/Equal Opportunity employer. We are committed to the creation of a diverse and inclusive campus climate. We encourage protected veterans, individuals with disabilities, women and minorities to apply.
This function/position has been designated as "essential." This means that when the Hospital is faced with an institutional emergency, employees in such positions may be required to remain at their work location or to report to work to protect, recover, and continue operations at Stony Brook Medicine, Stony Brook University Hospital and related facilities.
Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation. If such information has been requested from you before such time, please contact the Governor's Office of Employee Relations at (518) 474-6988 or via email at firstname.lastname@example.org .
IF YOU NEED A DISABILITY-RELATED ACCOMMODATION, PLEASE CALL THE UNIVERSITY HUMAN RESOURCE SERVICES DEPARTMENT AT (631) 632-6161 OR THE UNIVERSITY HOSPITAL HUMAN RESOURCES DEPARTMENT AT (631) 444-4700. IN ACCORDANCE WITH THE TITLE II CRIME AWARENESS AND SECURITY ACT, A COPY OF OUR CRIME STATISTICS IS AVAILABLE UPON REQUEST BY CALLING (631) 632-6350. IT CAN ALSO BE VIEWED ON-LINE AT THE UNIVERSITY POLICE WEBSITE AT http://www.stonybrook.edu/police
Official Job Title: TH Staff Associate
Job Field: Administrative & Professional (non-Clinical)
Primary Location: US-NY-East Setauket
Department/Hiring Area: Quality Measurement & Analytics-Stony Brook University Hospital
Schedule: Full-time Shift: Day Shift Shift Hours: 0830-1700 Pass Days: Sat, Sun
Posting Start Date: Dec 23, 2019
Posting End Date: Mar 23, 2020, 3:59:00 AM
Salary: Commensurate with Experience
Salary Grade: SL4
Internal Number: 1904230
About Stony Brook University
FROM ITS BEGINNINGS A HALF-CENTURY AGO, STONY BROOK UNIVERSITY HAS BEEN CHARACTERIZED by innovation, energy and progress, transforming the lives of people who earn degrees, work and make groundbreaking discoveries here. A dramatic trajectory of growth has turned what was once a small teacher preparation college into an internationally recognized research institution that is changing the world.