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).

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 backup leadership to Trauma Program Manager, 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 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.


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.


Performs other duties as assigned

Minimum Education
Graduate of accredited RN program required. Bachelor\'s Degree Nursing preferred. Master\'s Degree Clinical, Business or Quality focus. Preferred
Required Skills
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. 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. 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. Ability to maintain confidentiality of sensitive information. Maintain secure and confidential documentation of all PIPS activities, including files, minutes, and loop closure. 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. Clinical background and knowledge necessary to interpret/analyze patient outcomes and synthesis research to draft guidelines.
Required Licenses
[West Virginia, United States] Registered Nurse
Current WV RN license required. Certifications: BLS required TNCC required

Minimum Work Experience
2 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
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran