TRAUMA PERF IMPRV COORD II

About the role

Position is responsible for coordinating and facilitating the Trauma Performance Improvement Patient Safety process by interfacing with all hospital departments that participate in the care of the traumatically injured patient. This position also supports and ensures compliance with the Texas Department of State Health Services (DSHS) and/or the American College of Surgeons (ACS) standards and typically reports to the Trauma Program Manager/Director at the facility level.

Responsibilities

• Serves as a Trauma Performance Improvement subject matter expert and provides consultation and support to hospital leadership, Trauma Program Manager and/or Director and facility
• Participates in Regional, State, or National trauma committees
• Coordinates the Trauma Performance Improvement Program at the facility level to include data collection, collation, analysis, modification, and instruction.
• Reviews Performance Improvement indicators and medical records for accuracy, completeness of documentation, and audit filters as specified by the DSHS or the ACS.
• Collects and analyzes benchmarking data, focus studies and clinical indicators.
• Provides education, ensures loop closure, prepares reports, presents outcomes