The Pediatric Trauma/Performance Improvement Coordinator is responsible for the operation comprehensive regionalized system of pediatric care (CRPC) for Ballad Health as defined by state standards. This position works to promote collaboration among all health care providers across the state of Tennessee starting with pre-hospital providers, building physician relationships and acting as a marketing agent for Niswonger Children’s Hospital in all public interactions. The Pediatric Trauma/PI Coordinator will collaborate with adult focused hospitals to provide pediatric education to their facilities to meet the requirements of the state rules and regulations for the Healthcare Board of Licensure for a CRPC, and to promote the correct care of those pediatric patients seen in those adult focused facilities. The Pediatric Trauma/PI Coordinator will oversee outreach/injury prevention safety education throughout our region. He or she will take the lead with regards to the pediatric aspects of disaster preparedness. He or she will involve the Trauma Program Managers in needs assessment for education in regards to injury prevention in the region and will work with EMSC coordinator for EMS education in the region.
• Assist in coordination and oversight of pediatric trauma data collection system by planning and coordinating with the trauma registry in compliance with current standards and regulations, of the State of Tennessee and American College of Surgeons, including but not limited to National Trauma Data Base, TQIP (Trauma Quality Improvement Program).
• Assist in monitoring pediatric trauma compliance with contract and state requirements and partner with all clinical support departments to ensure compliance to regulatory and accreditation standards.
• Provide education to clinical and medical staff members regarding key measures of quality (CMS, accreditation, national and state initiatives, blueprint measures, etc) and serves as a resource to department leaders in quality assessment and improvement activities
• Evaluate data and prepares quarterly reports reflecting pediatric trauma systems operation and patient outcome
• Monitor pre-hospital care and triage patterns for consistency with established protocols
• Assist in development of Evidence Based Protocols, reports for the pediatric trauma PI and patient safety meetings, M&M and case reviews, in collaboration with the adult trauma program manager and medical director.
• Serves as a liaison on pediatric trauma related matters for Emergency Medical Services with any other organizations as required
• Performs analysis and develops reports for performance improvement initiatives, PI committees, and research and injury prevention activities of the pediatric trauma program.
• Coordinates injury/illness prevention activities of EMS with all external organizations
• Assists with coordinating prevention activities with trauma system hospitals
• Conducts periodic reviews and makes recommendations for changes to the pediatric Trauma System Plan and Strategic Plan and assists with development of annual operational plan for quality at facility and region/state
• Designs special studies: develop data collection tools (definitions, spreadsheets), conduct data collection, and ensure accuracy of data. Works in conjunction with the Institutional Review Board, trauma department and Corporate Research on research publications, lectures and reports.
• Investigate and respond to questions or complaints regarding the pediatric trauma system
• Provide for inter-facility and regional professional staff development participating in case review, standardizing practice guidelines, and directing community trauma education and prevention programs
• Collect and analyze data that supports trauma process improvement and research by identifying variations in patient care delivery and measuring clinical outcomes parameters and benchmarks. Complete concurrent review of cases to identify quality, timeliness and systems issues related to care of the trauma patient. Track and report any identified quality of care issues including sentinel events, deaths, transfers and complications.
• Begin and maintain documentation of meeting rules and regulations set forth by the health care board of licensure in regards to requirements to achieve and maintain status as a CRPC.
• Assist other adult focused facilities in understanding the rules and requirements for their level of pediatric care as well as the education and equipment needs to maintain that level of care.
• Perform related duties and responsibilities as required.
• BSN from an accredited school of nursing (Masters Degree in Nursing is strongly preferred)
• Currently licensed to practice as a professional nurse in the appropriate state
• Minimum of three years’ experience current in Emergency Room with Level 1 Trauma and should show expertise in trauma care
• CEN and/or CCRN preferred
• ACLS, BLS, PALS and TNCC certification required. BLS and PALS instructor certification preferred. ENPC provider certified preferred.
• Clinical chart review and abstraction experience required
• Database data entry and/or management experience, statistical knowledge, quality improvement and patient safety knowledge and application experience preferred
CONTINUING EDUCATIONAL REQUIREMENTS:
1. Plans and conducts a minimum of two hours of job related educational programs.
2. Obtains 12 hours educational credit.
3. Verbalizes understanding of Shared Governance Model and willingly serves on at least one Shared Governance, hospital committee, task force, or project to improve patient care or work area.
4. Identified relevant patient care and/or nursing practice KIQs (key indicators of quality). This is achieved by using PDCA methodology and the appropriate data collection, aggregation, analysis and trending in the demonstration of measurable improvement outcomes.
5. Attends 75% of staff meetings and reads 100% of the minutes of the meetings missed.