Trauma PI Coordinator
Assists the Trauma Medical Director (TMD) and the Trauma Program Manager (TPM) to improve the quality of trauma care throughout the continuum of care. Collaborates with the TPD and the TPM to plan, implement and evaluate trauma care to assure adherence to the Trauma Program's Performance Improvement/Patient Safety (PIPS) program through clinical review both concurrent and retrospective and chart review of trauma patients.
Effective continuous performance improvement and patient safety programs depend upon concurrent monitoring of the events surrounding the care and outcome of injured patients. Rational decision-making aimed at improving trauma care must be based upon a detailed understanding of the causes, treatment, and outcomes of injury
- 3-5 years experience in either ED, Critical Care or nursing floor caring for trauma patients
- BA/BS Degree in Nursing/ Advanced Practitioner
- RN/ Advanced Practitioner Licensure
- ACLS and or PALS, ATLS/ACTN, TNCC/TCAR certification preferred(or within one year of hire)
Major Duties and Responsibilities:
- Coordinates the Trauma Performance Improvement/Patient Safety (PIPS) Program for the hospital in collaboration with the Trauma Medical Director and Trauma Program Manager.
- Conducts patient rounds while utilizing clinical expertise to aggregate, assess and interpret information in order to evaluate the quality of clinical care, the review of appropriate services and adherence to the ACS Level One Trauma and hospital standards.
- Review patient occurrences, user defined indicators, and audit filters with Trauma registrar and validate data on a concurrent basis.
- Responsible for issue identification, issue validation, issue analyses, and initiates follow-up to assure loop closure to improve clinical outcomes and patient care.
- Identify areas for improvement and education; using this data to develop action plans to address quality issues identified and to ensure follow through of developed plans.
- Oversees the collection, tracking and benchmarking of trauma PI issues related to patient care and system development.
- Correlates PI Database and PI findings with trauma registry data for adherence to PIPS criteria, accuracy, and inter-relater reliability and educates registry staff as needed to ensure required compliance for trauma center verification.
- Provides concurrent feedback and issue resolution to the trauma service and trauma panel liaisons.
- Maintenance of the Trauma PI database to ensure adequate documentation as required by ACS PIPS standards, ability to produce clear effective reports and to track issues over time.
- Update PI database on a daily basis using concurrent and retrospective review of patient care.
- Ensure that all pertinent issues are entered into PI Database as they occur.
- Describe all pertinent details of each issue in an agreed upon format.
- Tracks loop closure/resolution in PI Database.
- Assist the Trauma Program Medical Director and the Trauma Program Manager to evaluate the effectiveness of the Trauma Team and the Trauma Program
- Produces and analyzes trended data and provider specific profiles in collaboration with Trauma Program Manager, Trauma Medical Director.
- Assist in the preparation of any documents and reports as requested by the Trauma Medical Director, Trauma Program Manager or hospital administration
- Assist the TPM, Injury Prevention/SBIRT coordinator with external education.
- Assists with preparation for ACS site surveys.
- Assists with maintaining Trauma policies and procedures
- Coordinates and participates in trauma performance improvement/patient safety forums/committees
- Through the use of the trauma registry, PI Database and peer review information, provide 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
- Serves as an active member of trauma specific committees and is an active participant in strategic planning for the Trauma Program.
- Participate in the Trauma Performance Improvement Committee monthly meetings. Providing input to the agenda and reporting on significant trends, issues and outstanding items
- Selects and prepares the cases for review for the multidisciplinary peer review meetings in collaboration with TMD and TPM.
- Attend and participate in the Trauma Peer Review process, communicating to increase awareness of adverse trends and participation in interdisciplinary process improvement.
- Serves as a liaison and collaborates with all departments involved in the care of trauma patients.
- Regionally and internally collaborate, consult, with individuals/departments/ committees to coordinate and implement the yearly requirements for trauma performance improvement/patient safety.
- Attends outside conferences and meetings pertinent to job responsibilities. i.e. STAC, RTAC HHC Trauma Sub-committee.
- Serves as a resource/mentor to others in the area of trauma PI and registry
- Instructs others on pertinent standards and guidelines and ensures that these standards and guidelines are adhered to.
- 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.
- Coordinates follow-up back to facilities that transfer patients into the trauma center and to institutions to which trauma centers utilize for transfer
- Facilitate the development of and/or creation of clinical management guideline surveillance, variance and reporting in conjunction with the Trauma Peer Review and/or Trauma Operational Committee.