Administrative Coordinator, Quality - Surgery

Responsibilities

• 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
• Manage CME approvals for weekly M&M conference
• Contribute to quality newsletter
• Manage invoice processing and record keeping
• Create employee and patient facing educational materials
• Analyzes various data sources to identify surgical outcomes and what is driving those outcomes
• Preparation of Morbidity and Mortality PowerPoint slides for weekly conference
• 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
• Send reminders to all committee members for monthly meetings
• Attend annual national conference pertaining to the programs, where applicable
• Send Outlook calendar invites for QA/PIC monthly meetings
• Attend team chart review meetings that are conducted on bi-weekly basis
• Communicates with clinical and quality teams to ensure reliable data collection as needed
• Identify areas for streamlining and improvement in the data collection process
• Demonstrate appropriate utilization of resources necessary to obtain valid, reliable data
• Identify cases to be included in the bowel bundle protocol, and communicate 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
• Monitor, access, and compile 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
• Acknowledge 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
• 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

• Bachelor's Degree or equivalent combination of experience and education
• Database data management & analysis experience preferred
• Quality improvement or patient safety knowledge preferred
• 5 years related administrative or business experience required