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University of Rochester Project Nurse, Vascular Quality Initiative - 231123 in Rochester, New York

Project Nurse, Vascular Quality Initiative Job ID 231123

Location Medical Faculty Group Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening

Full Time 40 hours Grade 044 CVSL - Vascular Surgery


Position Summary:

The Project Nurse will have the following primary responsibilities:

  • Serves as an internal contact for Vascular Quality Initiative (VQI) Data Management questions, issues or concerns, but not limited to clinical data collection, validation, delivery, reconciliation, and data management activity.

  • Concurrently and retrospectively reviews medical records and data to identify patient care, process, and system issues (hospital and external) related to the care of the vascular surgery patients. Analyzes reports and clinical data to identify trends impacting quality outcomes.

  • Works closely with the Hospital Quality office, the Department of Surgery Quality Team and providers/staff from the Vascular Surgery team to identify opportunities for clinical safety and quality improvement, and works with the team developing initiatives to improve quality outcomes.


    Project Nurse/Quality Assurance Liaison 50%

  • Utilizes VQI and other data sources to analyze patient outcomes, identify patterns and trends in care delivery in order to create safety/quality initiatives for vascular surgery patients.

  • Develops project work-plans using Quality Improvement principles.

  • Utilizes evidence-based practice in facilitating ongoing quality improvement efforts to drive better patient outcomes.

  • Participates in multidisciplinary teams on quality improvement initiatives.

  • Regularly reports quality improvement activities and quality outcomes to providers and clinical staff and is responsible for presentation of this work at various Department and Hospital level committees.

  • Participates in root cause analyses and creates required documents as needed.

  • Attends monthly Vascular Surgery Morbidity and Mortality Conference and completes required case reviews.

  • Completes audits on patient records and clinical documentation for quality purposes.

  • Assists with work related to the Quality Collaboratives the Department is involved in.

  • Maintains knowledge of current trends, issues and research in Quality Improvement.

    Vascular Quality Initiative (VQI) 45%

  • Accurately identifies surgical patients for inclusion in the VQI database through the application of strict inclusion/exclusion criteria and protocols.

  • Performs meticulous chart review and enters clinical data into the vascular surgery quality database to identify opportunities for improved outcomes, reduced cost, improved LOS and best practice utilization of resources.

  • Complete and accurate collection of preoperative, operative and postoperative data through the effective utilization of the EMR and other Hospital databases.

  • Demonstrates appropriate utilization of resources necessary for accurate and timely data entry into the program’s database.

  • Demonstrates applicability of the methodology and the reliability of definitions utilized by reviewers within the program through inter-rater reliability, (IIR) testing.

  • Establishes effective working relationships with members of the CV Service Line, Department of Surgery, Nursing, and all other Hospital Departments.

  • Serves as an educational resource on the VQI and Vascular Surgery Quality Program.

  • Identifies areas for streamlining and process improvement in the data collection process.

  • Prepares reports utilizing the VQI database as requested.

  • Attends Department and Division level Quality Meetings/Conferences.

  • Participates in VQI Regional Collaborative biannual meetings.

  • Participates in scheduled teleconferences with other surgical clinical nurse reviewers/Data Managers; attends national VQI conference annually.

    Other projects and job duties as assigned 5%

  • Participates in other Quality/PI work as assigned


  • Current valid NYS Registered Nurse license. Bachelor’s degree in Nursing or related field.

  • Minimum of 4 years clinical nursing experience, including 1 year of experience with clinical chart review preferred, monitoring of clinical data/performance and performance/process improvement.

  • Clinical experience in perioperative nursing, inpatient surgical unit, or surgical clinic preferred.

  • Quality improvement or patient safety knowledge and experience preferred.

  • Ability to interact with all members of the vascular surgery team and administrative staff in a professional and courteous manner.

  • Strong interpersonal, presentation, and communication skills, including written communication.

  • Detail oriented with strong organizational and prioritization skills and ability to work independently under general guidance.

  • Proficiency in Microsoft Office (Word, Excel, PowerPoint, Access), software/web applications, and electronic medical record.

  • Statistical knowledge preferred.

  • Clinical chart review and abstraction experience preferred.

  • Quality Assurance and Process Improvement (QA/PI) experience preferred