RN Trauma Performance Improvement Coordinator - CMH Trauma Dept. - Days

Responsibilities

• Responsible for daily operations of the Trauma/Burn PIPS program through data collection, identification, analysis, monitoring, reporting, and documentation in accordance with standards determined by the Virginia Office of Emergency Medical Services (VAOEMS), American College of Surgeons (ACS), and/or American Burn Association.
• Identifies and validates performance improvement and quality issues through direct observation of clinical care, concurrent and retrospective chart review, staff reporting, and patient rounds.
• Provides concurrent feedback and issue resolution to the trauma/burn service, liaisons, and multidisciplinary team involved in care.
• Ensures compliance with all PIPS requirements and standards.
• Effectively communicates the status of PI and quality issues to trauma/burn program leadership.
• Escalates patient safety issues to trauma/burn program leadership and/or through established channels of escalation in accordance with organizational policy.
• Coordinates the Trauma/Burn Performance Improvement and Patient Safety Program (PIPS) in collaboration with the Medical Director and Program Manager.
• Affords lead role in PI components of the verification/designation process.
• Participates in trauma/burn case reviews, escalation of events through quality committees, and linking performance improvement data to actions plans, educational programs, and/or outreach.
• Communicates to team members the importance of monitoring clinical care, documentation, and quality outcomes, and meeting and exceeding the expectations of those we serve.
• Promotes engagement of staff and stakeholders in PI process.
• Maintains the performance improvement process to determine effectiveness of implemented actions to demonstrate loop closure/resolution/next steps.
• Develops the analytic and measurement strategy for performance implemented actions.
• Ensures complete loop closure for identified issues.
• Validates accuracy of process measures and data elements used for PI dashboards and benchmarking.
• Serves as a clinical resource on trauma/burn care for pre-hospital personnel, referring hospitals, units, departments, and staff involved in the care of the trauma patient.
• Develops, implements, and manages trauma related follow up and feedback for referral hospitals and prehospital providers.
• Participates in development of educational programs and action plans to address quality issues identified in the trauma program and to ensures follow through on these plans.
• Works with all relevant stakeholders in the development of these programs.
• Collaborates with unit and department leaders in the coordination and implementation of educational offerings.
• Participates in regional and state PI initiatives.
• Ensures responsibility and visible commitment of diversity equity and inclusion strategy, programs, and initiatives through collaboration and implementation of initiatives across the health system.
• Demonstrates personal ownership and accountability for safety across the area of responsibility by role modeling daily key concepts of a high reliability organization as personal work habits.

Qualifications

• Required Education: Baccalaureate Degree in Nursing
• Licenses/Certifications: Current RN licensure in Virginia or eligible compact state