Trauma Performance Improvement Coordinator

Bay Medical Center
May 16, 2019
Panama City, FL
Job Type


Under the direction of the Director of Trauma Services and the Trauma Medical Director, the Trauma Performance Improvement Coordinator is responsible for overseeing trauma care quality from prehospital to discharge/rehabilitation and the coordination and implementation of trauma quality management activities, including data collection/abstraction, analysis, trending, benchmarking and reporting of data outcomes.

Job Responsibilities

Assists in coordinating the continuum of trauma care and promoting trauma performance improvement by participating in the development and implementation of evidenced-based clinical and organizational processes, guidelines and strategies to meet the needs of injured patients.

Assists in monitoring compliance with trauma guidelines and/or processes.

Performs concurrent and retrospective monitoring and data abstraction processes to identify quality, timeliness and educational opportunities/trends for improvement.

Performs concurrent screening and variance analysis of all trauma patients to detect issues, events, patterns and trends that are problematic and require intervention.

Prioritizes, coordinates, and communicates data results with appropriate clinical service leaders and providers; identifies areas when process improvement or change is required and facilitates appropriate communication, education and/or process revisions.

Coordinates and documents activities of the Multidisciplinary Trauma Conferences and Trauma Performance Improvement Patient Safety (PIPS) Committee meetings.

In coordination with Medical Staff Services, facilitates peer review, including preparation of necessary documents.

In coordination with the Director of Trauma Services and Trauma Medical Director, facilities the annual review of the Trauma Patient Safety/Quality Improvement Plan.

In coordination with the Trauma Registry Specialists, prepares and submits quality data to the Florida Department of Health, the Trauma Performance Improvement Patient Safety Committee and the American College of Surgeons Trauma Quality Improvement Program (TQIP) as required.

Participates in clinical rounds of the injured patient.

Participates in education and training opportunities for community outreach and injury prevention.

Promotes hospital services to outlying areas by establishing and maintaining relationships among various agencies.

Provides feedback to prehospital agencies and referring hospitals/providers when performance improvement opportunities are identified.

Participates in State and National training/educational programs, including TQIP educational offerings.

Completes a minimum of sixteen (16) hours of trauma-related education every year.

Responsible as part of organization culture to meet and address patient safety and confidentiality issues as appropriate.

Performs other duties as assigned.

Job Requirements

Minimum Education                                              Associate's Degree in Nursing or Diploma RN required

Minimum Qualifications                                        3 years of clinical experience in emergency/trauma/critical care nursing required. Experience in a Trauma Center preferred. Computer skills and proficiency in Microsoft Office software programs, including Excel. Ability to greet and effectively relate to physicians, patients and staff. Excellent interpersonal skills and ability to communicate clearly both orally and in writing. Ability to deal with pressure and complaints. Presents oneself in a professional manner through appearance and conduct.

Certification/Registration                                     Licensed RN by State of Florida. TNCC, ENPC and TOPIC course required within 12 months of assuming position.  TNCC instructor status required within 24 months of assuming position.

Working Conditions                                              May be exposed to infections and contagious diseases. Subject to a varying and unpredictable situations and interruptions. Occasionally subjected to irregular hours. Occasional pressure due to multiple calls and inquires. Will be on call as needed to meet business needs.

Physical Demands                                              Light physical effort (lift/carry up to 10 lbs). Mostly sedentary. Occasional standing/walking. Occasionally lifts supplies/equipment. Manual dexterity and mobility. Occasional reaching, stooping, bending, kneeling, crouching.

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