Trauma Performance Improvement Coordinator
Job Description
The Trauma Performance Improvement Coordinator (PIC) works in collaboration with Trauma Medical Director (TMD) and the Trauma Program Manager (TPM) to improve the quality of trauma care encompassing all areas and disciplines of the hospital that participate in the management of the injured patient. The Trauma PIC is responsible for coordination and facilitation of the multidisciplinary trauma performance improvement program including data collection, analysis, trending and benchmarking of data and outcomes while maintaining confidentiality.
Principal Duties:
1. Collaborates closely with trauma program leadership to ensure compliance with the Code of Maryland Regulations (COMAR) for trauma, the Maryland Institute for Emergency Medical Services Systems a. (MIEMSS) standards, and Prince George’s Hospital Center’s (PGHC) standards related to Performance Improvement.
2. Coordinates the Multidisciplinary Trauma Performance Improvement/Patient Safety Program in collaboration with TMD and TPM.
3. Implements and sustains the institutional Trauma Multidisciplinary Performance Improvement Plan that meets all regulatory requirements.
4. Facilitates the identification, validation, and documentation of trauma specific performance improvement variances, complications, and quality filters as required by MIEMSS and selected a. American College of Surgeons (ACS) and National Trauma Data Bank (NTDB) performance improvement variances and complications.
5. Makes clinical rounds with the Trauma team and performs comprehensive, concurrent chart review to identify adverse events, variances in clinical management and outcomes, and institutional system or process issues that negatively impact the care of trauma patients. POSITION SUMMARY The Trauma Performance Improvement Coordinator (PIC) works in collaboration with Trauma Medical Director (TMD) and the Trauma Program Manager (TPM) to improve the quality of trauma care encompassing all areas and disciplines of the hospital that participate in the management of the injured patient. The Trauma PIC is responsible for coordination and facilitation of the multidisciplinary trauma performance improvement program including data collection, analysis, trending and benchmarking of data and outcomes while maintaining confidentiality.
6. Assists in the development of both clinical and operational performance indicators.
7. Supports the integrated program for multidisciplinary trauma peer review, morbidity and mortality review, outcomes analysis and reporting.
8. Attends trauma related meetings and prepares peer review cases for appropriate venue.
9. Maintains knowledge of and participates on hospital committees and initiatives related to quality.
10. Maintains secure and confidential documentation of all PI activities, including patient performance improvement files, minutes of peer review and process improvement meetings using standard format.
11. Maintains concurrent case review summaries and a tracking system for trends, follow-up and loop closure.
12. Performs open chart reviews and aggregates data in compliance with documentation standards/best practice.
13. Proficient in data analysis of trauma program studies, including clinical, quality, administrative, epidemiologic, research, and prevention.
14. Through the use of trauma registry, peer review information, and other relevant databases, provides a standardized set of analytical, statistical and reporting strategies for a variety of patients or provider outcomes, to be reviewed by internal and external review committees.
15. Establish channels of communication and reporting which encourage interdisciplinary cooperation, respect, and support among members of the trauma service and the personnel with which they come in contact.
16. Participates in local, regional, state and national organizations to expand knowledge and program development.
17. Demonstrates/verifies proficient use of the current ICD coding and the AIS and ISS injury scoring systems.
18. Designs reports that accurately represent information in the context provided.
19. Submits monthly reports in a concise organized manner.
20. Utilizes computer based reporting mechanisms to abstract and compile reports
21. Translates clinical documentation into data elements for the purpose of driving quality improvement in all areas of clinical quality.
22. Performs data abstraction, criteria-specific or focused chart review, from the medical record as required by The Joint Commission, Center for Medicare Services and other regulatory agencies.
23. Serves as a resource/mentor to others in the area of trauma registry/performance improvement.
24. Performs related work as assigned.
Qualifications
Required:
Current Maryland license in good standing as a Registered Nurse
Preferred:
Clinical Performance Improvement experience; Emergency/Trauma Program and/or Critical Care
Life Support Certification:
Basic Life Support – Health Care Provider (BLS-HCP)
Additional Information
All your information will be kept confidential according to EEO guidelines.
Compensation: