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University of Rochester Sr Information Analyst - 230269 in Rochester, New York

Sr Information Analyst Job ID 230269

Location Strong Memorial Hospital Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Responsibilities

Position Summary

This position is responsible for managing the Quality Assurance and Performance Improvement (QA/PI) work for the Division of Pediatric Surgery and participating in the Surgical QA/PI work for Golisano Children’s Hospital. In addition, this position is responsible for all clinical database work related to the American College of Surgeon’s Pediatric National Surgical Quality Improvement Program (ACS-P-NSQIP). This includes case selection, data collection and submitting reliable data to ACS-NSQIP, interpreting/analyzing quality outcomes and preparing reports. Responsible to identify areas for Process Improvement and leads and/or participates on teams to improve outcomes for Surgical Pediatric Patients at URMC.


The position has opportunity for temporary remote working arrangements and works with minimal supervision in carrying out the designated duties and responsibilities of the position.

General Responsibilities:


  • Accurately identifies surgical patients for inclusion in the NSQIP-P program through the application of strict inclusion/exclusion criteria and protocols.

  • Complete and accurate collection of pre/operative/post-operative 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 and meeting the caseload accrual requirement protocol.

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

  • Contacts patients and/or families via telephone and/or written communications to complete the required NSQIP 30 day follow-up for identifying post-operative complications. Meets the required minimal follow-up compliance percent.

  • Serves as the Hospital educational resource person for the ACS-NSQIP-P program.

  • Leads and/or participates on PI Teams, participates in P-NSQIP Collaborative calls and attends national ACS-NSQIP conference annually.

  • Responsible for identifying areas to improve efficiency including areas for automation and streamlining all work including the data collection process.

  • Analyzes data and reports from ACS, prepares reports and presentations for all levels of Hospital administration and staff.

Division of Pediatric Surgery QAL: 15%

Serves as the Quality Assurance Liaison (QAL) for the Division of Pediatric Surgery.

  • Works with Division Physician QAL to coordinate the ongoing development, implementation and monitoring of the Division’s QA/PI Program.

  • Oversees the Division Mortality and Morbidity (M&M) Case Review process ensuring a comprehensive peer review is in place, summarizes case reviews, enters into RL, coordinates Interdepartmental Case Review requests, and coordinates external agency review requests.

  • Coordinates the Division QA meetings and maintains attendance records.

  • Works with Division Physician QAL monitoring quality outcomes, developing processes to improve outcomes and tracks status of QA/PI plans.

  • Coordinates the investigation and resolutions of patient complaints.

  • Responsible for maintaining Physician QA files/profiles.

  • Coordinates the Division FPPE process.

  • Ensures Division complies with Hospital and external regulatory requirements.

  • Reports and coordinates reportable occurrences (NYPORTS) and leads/participates in RCA reviews.

  • Represents the Division at the Department of Surgery QA Meeting, prepares monthly Quality Dashboards, reporting out when scheduled and prepares Division QA/PI Program presentation annually.

Other QA/PI Work: 20%

  • Leads and participates in QA/PI Projects to improve pediatric surgical outcomes.

  • Works with faculty and all levels of staff

  • Responsible for Hospital level Quality audits including H & P audits, SSI Bundle audits and others as requested.

  • Miscellaneous duties related to the Department of Surgery QA/PI initiatives as assigned.

Other Responsibilities: 5 %

  • Participates in Hospital, Department and Division level meetings and conferences.

  • Establishes effective working relationships with members of the Department of Surgery, Nursing, and all Hospital Administration and Departments.

  • Other duties as assigned.

Machines and Equipment Used

  • General office equipment and computer hardware/software.


  • Bachelor's degree with major course work in nursing, health, or technical field and at least . years’ experience in the analysis and dissemination of information plus supervisory experience; or an equivalent combination of education and experience.

  • Minimum of 3 years’ experience in acute care hospital, direct patient care and surgical specialty preferred.

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

  • Clinical knowledge and understanding in all areas of surgical patient care and experience in gathering information in a complex hospital system environment preferred.

  • Ability to complete ASC-NSQIP Pediatric training modules, certification exam and annual recertification.

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

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

  • Clinical chart review and abstraction experience preferred.

  • Quality/Process improvement and Lean experience preferred.

    How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled