Trauma Performance Improvement Program Coordinator

Palomar Health
April 23, 2019
Escondido, CA
Job Type


The Trauma PI Coordinator will establish and maintain the efficient operation of the trauma PIPS process (performance improvement and patient safety).

Job Responsibilities

Supervises and guides performance improvement in accordance with San Diego Trauma System and the American College of Surgeons-Committee on Trauma verification process. Oversees the PI process, performance improvement plans, and oversight to Trauma Outreach and Trauma Injury Prevention Initiatives in conjunction with the Trauma Program Manager. Responsible for the aggregation, monitoring and reporting of regulatory mandated and/or program specific quality metrics. Reviews adverse events, monitors for trends, develops and plans practice changes in collaboration with the TMD and trauma program director/manager. Monitors the Trauma Service Registry database, identifying PI trends. Acts as a liaison to trauma software vendors in the beta-testing and ongoing evaluation of clinical and trauma registry products, recommendations for system enhancements, and resolution of problems. Analyzes trauma data to provide both routine and ad hoc reports of trauma statistics and PIPS filters, used for Trauma Morbidity & Mortality and QCC, and provides critiques of documentation to nursing staff caring for the trauma population and trauma medical staff. This position also acts as a role model and mentor to the various hospital and medical staff departments in facilitating and supporting their quality management activities, both via the provision of data as well as direct support of the process of their quality improvement efforts. Facilitate organizational-wide PI teams that support the Performance Improvement Plan and special projects and assists with staff education. Apprises the Trauma Program Manager of all relevant trauma audit filter inconsistencies for Trauma Committee, (Trauma M&M), review, QCC, and other internal review processes. Prepares reports for PI review as it relates the Trauma PI plan. Works closely with Trauma Program Manager to identify opportunities for clinical quality improvement and other special projects. In collaboration with the Trauma Registry Team, oversees the conversion, upload, and transfer of trauma registry data to other designated database systems, including local, state, and national systems. Prepares reports in preparation for the ACS Level II Trauma Center Re-Verification survey, and participates in the survey, as required by the ACS, the California State Health Division, and Regional Trauma Advisory Board. Maintains knowledge of current trauma trends and developments by reading appropriate literature and attending related seminars conference, and other educational offerings in relationship to database management and PIPS. Assists Trauma Program Manager with development and implementation of injury prevention programs serving as a resource to hospital staff and acting as a liaison other hospitals and community groups related to trauma prevention and outreach.

Job Requirements

Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.

Job Requirements

Minimum Education: Bachelor's Degree in NursingPreferred Education: Bachelor's Degree in Nursing and Master's Degree in NursingMinimum Experience: 5 years related clinical experience in surgical care, critical care, and/or an emergency department, with increasing responsibility and interest in trauma care; experience with database management.Preferred Experience: 3 years progressive management experienceRequired Certification: American Heart Association recognized BLS - Healthcare ProviderPreferred Certification: Not ApplicableRequired License: Current CA RN LicensePreferred License: Not Applicable
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