Stormont Vail Health
Trauma Performance Improvement Coordinator - Trauma Services - FT - Days
Stormont Vail Health, Topeka, Kansas, United States, 66604
Trauma Performance Improvement Coordinator
Location: Topeka, KS 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 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
Location: Topeka, KS 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 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