Clinical Trauma Improvement Specialist

Clinical Trauma Performance Improvement Specialist Position Summary

The Clinical Trauma Performance Improvement Specialist role develops and implements a robust standardized performance improvement plan. Provides comprehensive monitoring and evaluates the quality of clinical care for the injured patient concurrently and retrospectively via identifying performance improvement issues through primary review level as well as multidisciplinary and interdisciplinary reviews at the secondary, tertiary, and qua ternary review levels. Requires strong organizational, leadership, group cohesion, and a high level of interpersonal and communication skills, both verbal and written, necessary to interact effectively with all internal and external resources as needed.

A high degree of professionalism is essential. Given the nature of handling highly confidential and proprietary information, a high level of discretion is also critical.

• Position:
  Clinical Trauma Performance Improvement Specialist
• Department:
  Critical Care and Trauma Surgery
• Schedule:
  
  Full Time

• In collaboration with the Trauma Program leadership, develops and implements the Trauma and Acute Care Surgery Division’s Performance Improvement and Patient Safety (PIPS) plan in compliance with the recommendations of the American College of Surgery by maintaining current knowledge in “Resources for Optimal Care of the Injured Patient” standards.
• Works closely with Trauma Program leadership to prepare for and participate in upcoming Trauma verification surveys.
• Supports the trauma medical director and hospital administration in the development, implementation and evaluation of a high quality plan that is multidisciplinary and focused on evidence based patient outcomes.
• Assists in monitoring and coordinating all aspects of PIPS program.
• Consistently and actively monitors the Level 1 trauma center standards through protocols and guidelines, identifies deficiencies and has an ongoing action plan and timeline to address the deficiencies through the PIPS process.
• In collaboration with the Trauma Program leadership, assist with the development of program-specific administrative and clinical guidelines, serving as a resource for clinical practice and provides education to any pre-hospital, hospital, health‑care agency, and/or community resources that requests assistance or information related to trauma or injury prevention activities.
• As part of the PIPS review process, actively identifies and monitors performance improvement issues through chart reviews, attendance at daily morning report, M&M conferences, trauma registry and other modalities, then validates, reviews, creates action items and closes the loop to optimize clinical outcomes across the continuum of care.
• Leads the committee that guides the PIPS processes including preparation of select morbidity/mortality cases for secondary and tertiary review and provides written and/or verbal feedback to various disciplines across the care continuum as determined by the Trauma Program leadership.
• Actively participates in hospital based Trauma Operational Group and Trauma Anesthesia Group.
• Participates in local, state, regional, and national meetings such as Trauma Systems Committee, MA Committee on Trauma and TQIP.
• Oversees Trauma clinical databases for accuracy.
• Develops, organizes, facilitates, and/or participates in trauma-related educational opportunities with target audiences for healthcare providers such as physicians, advanced practice providers, nurses, pre‑hospital providers as well as community members in formal or informal settings.
• In collaboration with the Trauma Program leadership, assists with the design and implementation of audits and reports to support registry data validation, facilitate performance improvement activities, trend reports, and conduct research while maintaining confidentiality.
• Develops, implements, and analyzes specific, data‑driven performance improvement projects and injury prevention initiatives based on trauma registry data trends and TQIP data to the Trauma committee.
• Special projects:
  Supports the Trauma team on special projects,…