Mackenzie Health Richmond Hill, ON, Canada
May 03, 2018Full time
STATUS: Temporary Full Time (approximately 24 months) DEPARTMENT: Surgery REPORTS TO: Operations Director HOURS: Days; 7.5 Hour Shifts POSITION SUMMARY Reporting to the Operations Director, the Surgical Quality Analyst (SQA) will participate in the implementation of the National Surgical Quality Improvement Program (NSQIP), created by the American College of Surgeons that will support the delivery of quality care and better patient outcomes. The SQA is accountable for the planning, collection, and reporting of accurate and timely data. PRIMARY RESPONSIBILITIES Identify surgical patients for inclusion in the Program through the application of Program inclusion/exclusion criteria and protocols. Collect preoperative, operative, and postoperative data components for the Program through the effective utilization of the hospital medical record systems. Supports timely collection and distribution of data for external reporting to the Ministry of Health and Local Health Integration Network, Cancer Care Ontario, and Ontario Renal Network. Demonstrate applicability of the methodology and the reliability of definitions utilized by reviewers within the program through Inter-Rater Reliability (IRR) testing. Identify streamlining and process improvement opportunities in the data collection process. Demonstrate appropriate utilization of resources necessary to obtain valid, reliable data for entry into the Program. Utilize software applications for data collection and analysis. Responsible for the accurate and timely entry of data into the program’s database and meet the caseload accrual requirement protocol. Review weekly site accrual report on the database and respond to accrual report alerts. Execute study-related administrative tasks such as collection of regulatory documents, data entry, ethics submissions, serious adverse event submissions, etc. Plan, implement and coordinate all aspects of data collection, and source documentation, in accordance with hospital policies. Conduct telephone and/or clinical interviews to collect data using established criteria. Conduct chart reviews. Assess study-related literature and participate in its dissemination. Participate in database maintenance including data entry. Establish effective working relationships with members of the hospital community, especially staff in the Surgery, physicians in the Dept of Medicine, Nursing, Medical Records and the Health Information. Contact patients and/or families via telephone and/or written communications postoperatively for the purpose of identifying possible occurrences associated with surgical procedures performed at the hospital. Serve as an educational resource on the ACS NSQIP for internal and external audiences by developing educational material and delivering presentations. Identify problems, reports them to senior team members, and assist in developing plans to resolve them. Successfully complete the ACS NSQIP SCR Training/Certification Program. Participate in Program teleconferences. Share NSQIP data and quality improvement lessons and solutions with the NSQIP-ON Collaborative participants. Engage in collaborative learning with a network of colleagues across the province (NSQIP-ON Collaborative. Participate in training/webinars/meetings. Prepare and present data to surgical committees. Participate in formal evaluation of NSQIP-ON Network. Perform other duties as assigned. QUALIFICATION S Baccalaureate degree in a health related discipline or equivalent. Minimum one year of related experience in a clinical setting (health records, clinical research, in-patient units with preference given to candidates with surgery experience). Successful completion of NSQIP Training within given timeframe required. Basic statistical knowledge preferred. Database entry and/or management experience preferred. Clinical chart review and abstraction experience preferred. Quality improvement or patient safety knowledge and experience preferred. Proficiency and knowledge of the regulatory environment in Clinical research, including Privacy legislation, Health Canada Clinical Trial Applications, Health Canada inspections, Tri-Council Policy. Computer and internet experience requires- Proficiency in MS Windows applications (Word, Excel required: Power Point, Visio and Access preferred). Familiarity with healthcare databases and performance requirements (CIHI, CCO, ORN, LHIN, MOHLTCH, Intellihealth). Experience with other databases considered an asset. Knowledge of financial/statistical information, health information systems and use of BI tools/Report Writing Software (ie: SAS, SQL, Visual studio, Crystal Reports) or other statistical software considered an asset. Working knowledge of Cerner Power chart Application preferred. Proven attendance record. Demonstrates understanding and complies with patient and staff safety policies and procedures that foster a safe and inclusive environment for all. Ability to perform the essential duties of the job. Effectively uses empathy in interactions with others. Demonstrates behaviours consistent with Mackenzie Health’s Commitment to Caring. Models behaviours that is aligned with the values of Mackenzie Health – Excellence, Leadership and Empathy. Commitment to providing an exceptional experience for staff and clients within a challenging and exciting health care environment.