RN Trauma Quality Improvement

Scope of work

Under minimal direction, performs data abstraction and entry, review, and analysis on trauma patient's specific to Quality Improvement. Provides consultative support to the operating units, medical staff, and service lines leaders, as appropriate, utilizing clinical data and clinical best practices to improve clinical outcomes. Supports quality improvement process implementation, working collaboratively with stakeholders to improve patient care outcomes. Provides support to the Trauma Program Manager and Trauma Medical Director, including but not limited to data entry, database maintenance and support, graphing, control charts, pivot tables, and meeting preparation and follow-up.

Collections, analyzes, evaluates, and displays data from clinical information and the trauma registry database based on the guidelines from the American College of Surgeons (ACS) to support the objectives of the performance improvement process. Identifies all trauma activations, admissions, transfers, and deaths, using clinical identifiers and strict inclusion/exclusion criteria as defined by the American College of Surgeons. Able to identify all injuries, procedures, complications, and outcomes.

Provides clinical and performance improvement subject matter expertise to departments, medical staff, and clinical operations. Conducts ongoing research of best practices for quality and performance improvement for specified patient populations. Makes recommendations to the medical staff on appropriate next steps and suggested clinical indicators for departmental improvement plans based on internal and external data as well as current literature. Actively participates and facilitates best practices to drive improved outcomes based on population performance both internally and externally.

Retrieves and compiles data through data download from trauma data sources including other hospital databases and patient logs.

Qualifications

• Registered Nurse required
• BSN preferred
• Requires a minimum of three years of recent nursing experience in the emergency department, critical care, or surgical services with increasing responsibility and interest in trauma care.
• Teaching or training program experience desired
• Quality/Performance improvement experience preferred
• Data collection experience preferred
• Comfortable with Microsoft Office
• Requires a current and unrestricted Registered Nurse License in the State of Michigan.
• Requires completion of American Trauma Society’s Trauma Registrar Course, AIS course and the ICD-10 coding course or within 6 months of hire.
• Requires TNCC/ENPC provider.
• Requires flexible hours when needed and the ability to travel for meetings, conferences and/or classes.
• Requires the ability to maintain knowledge of current trauma trends and developments.
• Requires a high degree of demonstrated analytical skills to organize, record, and abstract data from computer systems and patient charts to maintain trauma registry and produce various reports.
• Requires computer and internet experience including demonstrated familiarity with Windows and MS Office software programs.
• Requires the ability to research, compile, create and analyze a variety of statistical data reports.
• Requires a high level of interpersonal and communication skills to interact effectively with children, adults, and colleagues to the trauma program.
• Requires the ability to effectively present highly technical information to a diverse audience.