Stormont Vail Health

Position Status:

Full time

Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours per week:

40

Job Information

Exemption Status: Exempt

A Brief Overview

Trauma Performance Improvement Coordinator monitors and evaluates the care of the critically injured patient from time of injury through the continuum of care to ensure that care is safe, effective, patient centered, timely, efficient, and equitable. Works under the direction of the Trauma Medical Director (TMD) and the Trauma Program Director (TPD).

Education Qualifications

• Bachelor's Degree Nursing or related field. Required
• Master's Degree Clinical, Business or Quality focus. Preferred

Experience Qualifications

• 3 years Trauma Patient Care in at least one of the following areas: Emergency Medicine, Critical Care, or Surgery. Required
• Quality experience. Monitoring outcomes, implementing change initiatives, abstracting data, etc. Preferred
• Experience with ICD-10 Injury and Procedure coding or AIS coding. Preferred

Skills and Abilities

• Ability to independently handle multiple ongoing or recurrent tasks. Ability to work well under tight timelines. Ability to work independently on assigned projects and be result oriented. (Required proficiency)
• Ability to work as part of a team serving multiple customers. Ability to establish productive relationships with a wide variety of health care professionals. Capable of interacting with all levels of staff. (Required proficiency)
• Ability to manage challenging situations and have crucial conversations for the purpose of reaching consensus, maintaining accountability, and consistency among health care professionals and stakeholders. (Required proficiency)
• Ability to maintain confidentiality of sensitive information. Maintain secure and confidential documentation of all PIPS activities, including files, minutes, and loop closure. (Required proficiency)
• Superior attention to detail with excellent verbal and written communication skills. Ability to track data, analyze and interpret numbers, and make recommendations based on data synthesis in a clear and logical representation to management and peers. (Required proficiency)
• Clinical background and knowledge necessary to interpret/analyze patient outcomes and synthesis research to draft guidelines. Magnet Champion. Participation in Magnet Councils strongly encouraged. (Required proficiency)

Licenses and Certifications

• Registered Nurse - KSBN Required
• Basic Life Support (BLS), Trauma Nurse Critical Core (TNCC), Advanced Cardiac Life Support (ACLS), Advanced Trauma Life Support (ATLS), Pediatric Life Support (PALS) Trauma Care after Resuscitation (TCAR), Trauma Outcomes & Performance Improvement Course (TOPIC) must be obtained within 6 months of hire.
• Trauma Certified Registered Nurse Specialization (TCRN), Certified Emergency Nurse (CEN), etc. is preferred.
• Trauma Program Manager Course is preferred.
• Lean Improvement Certification is preferred.

What you will do

• Collaborates closely with Trauma Program leadership to ensure compliance with the American College of Surgeons Standards related to trauma performance improvement and patient safety (PIPS).
• Data acquisition and analysis, ongoing monitoring, and improvement of patient care. Applies advanced clinical expertise and systematically and continuously monitors trauma patient and quality outcome data.
• Proactively identifies, designs, and executes remedial efforts, collaborates with emergency medical services, internal departments, external medical facilities, and other trauma related professionals to ensure achievement of best practice in trauma care.
• Provides oversight and direction to medical professionals through daily rounding with respective trauma team, monitoring compliance, analyzing, tracking and benchmarking trauma data outcomes and results of performance improvement activities.
• Incorporates evidence-based best practice to facilitate improved clinical outcomes.
• Maintain and enhance professional role by identifying own learning needs; update knowledge through attendance at seminars. Develop personal skills that facilitate efficiency, manage workload, and set priorities. Provide back up leadership to Trauma Program Director, as needed.
• Participates in the regional, state, and national trauma performance improvement activities such as Trauma Quality Performance Improvement Plan (TQIP).
• Take initiative in planning, developing, organizing, and evaluation of the Stormont Vail Trauma Performance Improvement and Patient Safety (PIPS) Program.
• Document all performance improvement activities from daily rounds, trauma chart reviews, peer review presentation, follow up and loop closure. May include use of Stormont Vail quality documentation tools such as the A3.
• Support hospital quality and strategic initiatives. Represent the Trauma Program within organizational quality committees as assigned.
• Maintain secure and confidential documentation of all PIPS activities, including files, minutes, and loop closure.
• Collaborates with the trauma leadership team and other key stakeholders to implement the Trauma Performance Improvement (PI) Plan and assists with the systems and interprofessional peer review meetings.
• Oversee data validation efforts to ensure data reliability as it relates to PIPS activities. Oversee the definitions for data abstraction as it relates program specific trauma performance improvement.
• Collect data from internal (existing operational systems, trauma registry, etc) and external (regional, state, and national, TQIP) data sources to establish benchmarks. Develop and maintain monthly data reporting and tracking. Share applicable trauma related PIPS data with other departments, managers, as requested.
• Participate in annual review of applicable trauma registry inclusion criteria. Work with registry staff to develop and execute queries from the registry, using standard query tools. Identify data collection throughout care continuum.
• Incorporate pre-hospital and referring hospitals in the PIPS plan.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Not Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• Hybrid

Scope

• No Supervisory Responsibility
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Carrying: Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Hearing: Occasionally 1-3 Hours
• Lifting: Rarely less than 1 hour up to 50 lbs
• Pulling: Rarely less than 1 hour up to 25 lbs
• Pushing: Rarely less than 1 hour up to 25 lbs
• Reaching (Forward): Rarely less than 1 hour up to 25 lbs
• Reaching (Overhead): Rarely less than 1 hour up to 25 lbs
• Repetitive Motions: Frequently 3-5 Hours
• Sitting: Continuously greater than 5 hours
• Standing: Rarely less than 1 hour
• Stooping: Rarely less than 1 hour
• Talking: Frequently 3-5 Hours
• Walking: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.