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*Raleigh General Hospital*

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JOB SUMMARY

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 Program Manager (TPM).

ESSENTIAL FUNCTIONS

* 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.

* Participates/oversees daily patient rounds in conjunction with or without Trauma Nurse Clinician as needed.

* Responds to activated Trauma Team Activations to serve in the role as scribe while in house as needed.

* 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 backup leadership to Trauma Program Manager, 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 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.

* 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 to 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.

* Participates 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.

* Assists Trauma Program Manager with development and implementation of injury prevention programs and community outreach initiatives.

* Serves as a resource to nursing staff, pre-hospital personnel, and other outside personnel related to trauma care and injury prevention education.

* Performs other duties as assigned.

Experience Qualifications

2 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

Education Qualifications

Bachelor's Degree Nursing preferred.

Master's Degree Clinical, Business or Quality focus. Preferred

Trauma Outcomes Performance Improvement Course (TOPIC) must be completed within 12 months of hire

EEOC Statement:

Raleigh General Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.

**Job:** **Please select a valid job field*

**Organization:** **Raleigh General Hospital*

**Title:** *Trauma PI Coordinator*

**Location:** *West Virginia-Beckley*

**Requisition ID:** *7418-12100*