Pediatric Trauma Performance Improvement Coordinator

Performance Improvement Patient Safety Coordinator

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Performance Improvement Patient Safety Coordinator assists the Trauma Program Medical Director and the Trauma Program Manager in improving quality of trauma care throughout the continuum. Collaborates with the TPD and the TPM to implement and assure adherence to the Trauma Program's Performance Improvement Patient Safety Program and the PTSF through concurrent and retrospective clinical and chart review of trauma patients. The work of the Performance Improvement Patient Safety Coordinator will facilitate this process with the Trauma Program Medical Director who will be ultimately responsible for the quality improvement program. Effective continuous quality improvement programs depend upon concurrent monitoring of the events surrounding the care and outcome of injured patients. Rational decision-making aimed at improving trauma care must be based upon a detailed understanding of the causes, treatment, and outcomes of injury.

Job Duties and Responsibilities:

• Coordinates the Trauma Performance Improvement Program for the hospital in collaboration with the Trauma Medical Director and Trauma Program Manager.
• Conducts patient rounds to review services and adherence to the PTSF standards. Utilizes clinical expertise to aggregate, assess and interpret information in order to evaluate the quality of clinical care.
• Review patient occurrences, user defined indicators, and audit filters with Trauma registrar and validate data on a concurrent basis.
• Responsible for issue identification, issue validation, issue analyses, and initiates follow-up to assure loop closure that will improve clinical outcomes and patient care.
• Identify areas for improvement and education; using this data to develop educational programs, action plans to address quality issues identified in the trauma program and to ensure follow through on these plans.
• Oversees the collection, tracking and benchmarking of trauma PI issues related to patient care and system development.
• Correlates POPIMS outcomes and PI findings with trauma registry data for adherence to PTOS criteria, accuracy, and inter-relater reliability and educates registry staff as needed to ensure required compliance for trauma center accreditation.
• Provides concurrent feedback and issue resolution to the trauma service and liaisons.
• Maintenance of the Trauma PI database to ensure adequate documentation as required by Pennsylvania Trauma Systems Foundation. Ability to produce clear effective reports and to track issues over time.
• Update POPIMS database on a daily basis using concurrent and retrospective review of patient care.

Physical and Sensory Requirements:

Sit up to six hours per day, for two hours at a time. Standing for up to two hours per day. Walking for up to one hour per day, ten minutes at a time. Continually uses fingers and hands to manipulate objects. Occasionally lift, carry or push objects up to 20 pounds. Hearing as it relates to normal conversation. Seeing as it relates to general vision, near vision, peripheral vision, and visual monotony.

Education:

Required BA/BS Degree in Nursing RN Licensure in PA. ACLS/PALS/ATLS-ATCN preferred. Master's degree desired.

Training and Experience:

3-5 years' experience in either ER, Critical Care or floor that takes care of trauma patients.

St. Luke's University Health Network is an Equal Opportunity Employer.