Trauma Performance Improvement Coordinator

12 Jan 2024

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 Trauma Performance Improvement Patient Safety Coordinator assists the Trauma Program Medical Director (TPD) and the Trauma Program Manager (TPM) 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 (PI) 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 (POPIMS) to ensure adequate documentation as required by Pennsylvania Trauma Systems Foundation (PTSF). 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.

Ensure that all pertinent issues are entered into POPIMS as they occur.

Describe all pertinent details of each issue in an agreed upon format.

Tracks loop closure/resolution in POPIMS.

Assist the Trauma Program Medical Director and the Trauma Program Manager to evaluate the effectiveness of the Trauma Team and the Trauma Program.

Produces and analyzes trended data and provider specific profiles in collaboration with Trauma Program Manager, Trauma Performance Improvement Medical Director.

Assist in the preparation of any documents and reports as requested by the Pennsylvania Trauma Systems Foundation, Trauma Director, Trauma Program Manager or administration.

Assist TPM with external education.

Assists with preparation for PTSF site surveys.

Assists with maintaining Trauma policies and procedures.

Coordinates and participates in trauma performance improvement forums/committees.

Through the use of the trauma registry, POPIMS and peer review information, provide a standardized set of analytical, statistical and reporting strategies for a variety of patients or provider outcomes, to be reviewed by internal and external review committees

Serves as an active member of trauma specific committees and is an active participant in strategic planning for the Trauma Program.

Participate in the Trauma Committee Meeting. Report on significant trends, issues and outstanding items.

Selects and prepares the cases for review for the multidisciplinary peer review meetings in collaboration with TPMD and TPM.

Attend and participate in the peer review process and counsel and train members to increase awareness of adverse trends and participation in interdisciplinary process improvement.

Serves as a liaison and collaborates with all departments involved in the care of trauma patients.

Identify areas for improvement and education, using trauma PI data to develop educational programs to address quality issues identified in the trauma program.

Regionally and internally collaborate, consult, with individuals/departments/committees to coordinate and implement the yearly requirements for trauma performance improvement.

Attends outside conferences and meetings pertinent to job responsibilities.

Serves as a resource/mentor to others in the area of trauma PI and registry.

Instructs others on pertinent standards and guidelines and ensures that these standards and guidelines are adhered to.

Establish channels of communication and reporting which encourage interdisciplinary cooperation, respect, and support among members of the trauma service and the personnel with which they come in contact.

Coordinates follow-up back to facilities that transfer patients to St. Luke ’s and to institutions to which we transfer.

Facilitate the development of and/or create in conjunction with the trauma Peer Review and/or Clinical Management Guideline surveillance, variance analysis and reporting.

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 training. Desired Master’s Degree.TRAINING AND EXPERIENCE: 3-5 years experience in either ER, Critical Care or floor that takes care of trauma patientsPlease complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke'sSt. Luke's University Health Network is an Equal Opportunity Employer. ( Founded in 1872, St. Luke’s University Health Network ( (SLUHN) is a fully integrated, regional, non-profit network of more than 18,000 employees providing services at 14 campuses and 300+ outpatient sites. With annual net revenue of $2.7 billion, the Network’s service area includes 11 counties: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. Dedicated to advancing medical education, St. Luke’s is the preeminent teaching hospital in central-eastern Pennsylvania. In partnership with Temple University, St. Luke’s established the Lehigh Valley’s first and only regional medical school campus. It also operates the nation’s longest continuously operating School of Nursing, established in 1884, and 38 fully accredited graduate medical educational programs with 347 residents and fellows. St. Luke’s is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. St. Luke’s is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. U.S. News & World Report ranked St. Luke’s #1 in the Lehigh Valley and #6 in the state. Three of IBM Watson Health’s 100 Top Hospitals are St. Luke’s hospitals. St. Luke’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from IBM Watson Health nine times total and seven years in a row, including in 2021 when it was identified as THE #1 TEACHING HOSPITAL IN THE COUNTRY. In 2021, IBM Watson Health also named St. Luke’s among the 15 Top Health Systems nationally. Utilizing the Epic electronic medical record (EMR) system for both inpatient and outpatient services, the Network is a multi-year recipient of the Most Wired award recognizing the breadth of the SLUHN’s information technology applications such as telehealth, online scheduling and online pricing information. St. Luke’s is also recognized as one of the state’s lowest cost providersLearn More Here. (

  • ID: #50858233
  • State: Pennsylvania Bethlehem 18025 Bethlehem USA
  • City: Bethlehem
  • Salary: USD TBD TBD
  • Showed: 2024-01-12
  • Deadline: 2024-03-13
  • Category: Et cetera