Trauma Performance Improvement Specialist

2 months ago

Fredericksburg, Virginia, United States Mary Washington Healthcare Full time
Job Summary

The Trauma Performance Improvement Specialist will serve as the coordinator for performance improvement and patient safety activities for Trauma Services. This includes oversight of the Trauma Registry and Registrars, quality indicators, data analysis, trending, and report preparation to guide outreach, injury prevention, and educational activities based on data.

Key Responsibilities
  • Collaborate with the Trauma Program Manager and Trauma Medical Director to develop and maintain quality indicators for the trauma program.
  • Coordinate activities with the Trauma Medical Director and Trauma Program Manager to facilitate overall Trauma Program quality and consistency.
  • Execute the Trauma PI Plan to monitor, evaluate, and improve the performance of the Trauma Program.
  • Review the PI continuum of care from prehospital setting through hospital discharge and determine compliance with patient care protocols, policies, procedures, and established standards of care.
  • Work with trauma program leadership to ensure compliance with regulatory requirements of the American College of Surgeons, Committee on Trauma, and the Virginia Office of Emergency Medical Services Trauma Division.
  • Supervise the validation, preparation, and submission of trauma data to the VA OEMS, National Trauma Data Bank, and ACS, COT Trauma Quality Improvement Program.
  • Manage the Trauma PI database in accordance with ACS and State guidelines.
  • Conduct data collection, surveillance, data entry, analysis, and reporting of trauma quality and performance information from medical records and other resources.
  • Communicate existing or potential trauma performance improvement issues and opportunities identified in trauma case evaluation and reports trending to the Trauma Program Manager and Trauma Medical Director.
  • Prepare various PI reports for meetings, data analysis, issue identification, and issue resolution, including loop closure.
  • Provide support functions for all aspects of the trauma program.
Requirements
  • Bachelor's Degree in nursing required, MSN preferred.
  • Licensed Registered Nurse by the State of Virginia or compact state required.
  • CPR, ACLS, and PALS required.
  • TNCC, ENPC, CEN, TCRN preferred.
  • 3-5 years' experience in Emergency, Trauma Outreach, Critical Care, education/clinical education, Performance Improvement, or Trauma Registry required.
  • Knowledge of chart abstraction and the trauma registry, including reporting, data analysis, trend identification, and benchmarking of outcomes based on the American College of Surgeons, Committee on Trauma standards and recommendations for quality and maintenance for trauma center verification/reverification required.
  • Proficient in data analysis of trauma program studies, including clinical, quality, administrative, epidemiologic, research, and prevention required.

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