Position Title

Trauma Performance Improvement Coordinator (Registered Nurse/RN)- CC274801 UKH Trauma Admin (Full-time; 8a-5p)

Days - Full Time

Wescoe Pavilion

Position Summary / Career Interest:The Clinical Performance Improvement Coordinator is responsible for the development, coordination, data abstraction and implementation of performance improvement projects to meet the requirements of the clinical program and administration department as outlined by the American College of Surgeons.

Responsibilities and Essential Job Functions

Collaborates with Medical Director and Clinical Program Manager to develop, implement, and systematically evaluate the Clinical Program. Provides data to the Clinical Program and Organizational Leadership to facilitate the provision of quality care, resource utilization and needed support to maintain verification through weekly,  monthly, quarterly annual and on-demand reports.Monitors clinical outcomes and system issues related to quality of care delivered thru internal & external benchmarking monthly & on-demand. Participates in weekly M & M, Peer and Systems meetings as well as all required Multidisciplinary Clinical Performance Improvement Committees by preparing reports and presentations. Coordinates physician case reviews.Assesses the efficiency and efficacy of patient care delivery to the patient population/service line throughout the continuum of care thru evaluation of the clinical program’s registry data to internal and external benchmarks. Develops plans to modify as necessary using the Focus PDCA model.Develops and maintains evidence-based patient care standards of practice, protocols, techniques, and partnership objectives that meet national standards of care. Assists in the dissemination of current research findings through protocol development and education.Demonstrates an in-depth knowledge of the institutional commitment required to maintain the program’s designation.Prepares charts, reports, and PIPS data for review during the American College of Surgeons site survey visit.Is knowledgeable about and complies with the JCAHO, AHRQ guidelines, ANA Standards, Kansas Nurse Practice Act as well as state and other regulatory or professional standards.Collaborates with the Clinical Program Manager to oversee clinical program’s registry data collection to assure the validity and accurateness of the registry thru chart reviews and data abstraction of medical records.Attends daily service line huddles and serves as a liaison between the Clinic and clinical program.Maintains continuing education requirements as outlined by the Kansas State Board of Nursing and clinical program.Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

High School GraduateBachelor Degree Nursing2 or more years of nursing experience in an acute care setting

Preferred Education and Experience

Master Degree NursingLess than 1 year of emergency department, critical care, or operating room experience

Required Licensure and Certification

Basic Life Support Heartsaver (BLS HS) (Non-Clinical) - American Heart Association (AHA) within 14 daysLicensed Registered Nurse (LRN) - Single State - State Board of Nursing

Time Type:Full time

Job Requisition ID:R-45138

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.

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