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Location: Gainesville, Georgia
Internal Number: R8180
Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.
The Trauma Performance Improvement (PI) Coordinator, in collaboration with Trauma and Acute Care Surgery (TACS) Leadership, is responsible for NGMC's Trauma Performance Improvement and Patient Safety (PIPS) Program. The Trauma PI Coordinator works closely with the Trauma Program Manager (TPM) and the Trauma Registrars to assure NGMC meets all trauma center requirements related to performance improvement. Assists in the advancement of the professional practice environment by communicating the NGHS nursing strategic direction and focusing on activities that support the nursing strategic direction. The Trauma PI Coordinator primarily works 8:30 - 5:00 pm, but hours may vary based on the needs of the department. Assists in the advancement of the professional practice environment by communicating the NGHS nursing strategic direction and focusing on activities that support the nursing strategic direction. Assists with overall clinical governance and other projects as assigned. Is a professional member of VOICE providing feedback on issues being addressed at meetings
Licensure or other certifications: Licensed to practice as an RN in Georgia. Required: Professional certification in either a clinical or education specialty within two (2) years.
Educational Requirements: A degree in nursing (either BSN or MSN).
Minimum Experience: Three (3) to five (5) years experience in trauma/surgical nursing; including performance improvement and database management responsibilities.
Other: Professional organization membership within three months of hire into the role.
Preferred Licensure or other certifications:
Preferred Educational Requirements: A Masters Degree (Nursing or other if Possessing a BSN) within five (5) years.
Preferred Experience: Previous TPM and/or Trauma Registry experience.
Demonstrated expertise with computer software (emphasis on Excel, Word, and PowerPoint)
Demonstrated expertise with database management systems
Strong attention to detail with emphasis on organizational, analytical, and problem-solving skills
Excellent interpersonal skills working with those of diverse professional and personal backgrounds
Ability to work both collaboratively with a variety of team members and independently
Excellent verbal and written communication skills
Strong work ethic including ability to manage multiple demands, meet deadlines, and work at a rapid pace
Ability to work effectively as a team member and team leader
Knowledge of Trauma Registry and Trauma Registry report writing functions
Ability to prioritize responsibilities
Performance Improvement and Patient Safety. Oversees the daily operations of the Trauma PIPS program. Performs concurrent and retrospective case reviews to identify provider and/or system-related improvement opportunities. Manages the data collection, monitoring, and reporting of identified PI issues, ensuring action plans are implemented and loop closure is completed. Participates in regional, state, and national PI initiatives; including Regional Trauma Advisory Committee (RTAC), Georgia Committee on Trauma Excellence (GCTE), Georgia Trauma Commission (GTC), Georgia Committee on Trauma (GA-COT), and Trauma Quality Improvement Program (TQIP). Maintains all Trauma PIPS program files and paperwork; including agendas, minutes, and databases. Creates reports, tables, charts and graphs that accurately reflect the Trauma Program's PIPS activities and data. Presents Trauma PIPS data to various hospital committees or outside agencies at the request of TACS Leadership. Creates and maintains the Trauma PI dashboard showing all required key performance indicators. Collaborates with the TPM to assure the Trauma PIPS program is driven by Trauma Registry data as required by the ACS-COT. Develops, implements, and maintains a process for reviewing and analyzing TQIP reports; shares findings with TACS Leadership on a regular basis. Assists TACS Leadership in the creation of practice management guidelines when indicated by TQIP reports, Trauma Registry data, and/or trauma case review. Collaborates with Variance and Events Committee (VEC), Practice Review Committee (PRC), and other committees when indicated. Assists various departments; including Intensive Care Unit, Surgical Floors, Surgical Services, Radiology, Emergency Department, and others, with Trauma PIPS initiatives.
Trauma Registry. Competently performs Trauma Registry functions including; chart abstraction, data input, and AIS/ICD-10 coding. Assists Trauma Registrars with complex chart reviews to ensure accurate capture of diagnosis, procedures, and complications. Participates in Trauma Registry data validation processes. Participates in monthly TQIP conferences and quizzes. Utilizes the Trauma Registry Outcomes Module to capture, monitor, and report PI issues. Collaborates with TPM and Trauma Registrars to continually improve all Trauma Registry workflow processes; utilizing Quest/Lean tools when appropriate.
Education and Training. Assists in the orientation of new Trauma & Acute Care Surgery (TACS) Service staff and providers in areas pertaining to the Trauma PIPS program. Participates in regional, state, and national conferences at the request of TACS Leadership. Obtains annual continued education as required by the ACS-COT, TACS Leadership, and NGMC. Actively participates in trauma and PI-related professional organizations. Successfully completes mentoring class. Assists with mentoring of Registered Nurses when other mentor resources have been assigned. May mentor more as desired.
Compliance. Maintains awareness of all current state and national regulatory requirements related to trauma performance improvement. Assures this information is shared with TACS Leadership on a routine basis. Ensures the Trauma Program is compliant with the American College of Surgeons Committee on Trauma's (ACS-COT) standards regarding integration of the Trauma PIPS program with the hospital's overall PI program. Performs all other duties as assigned by the Service Line Executive Director.
Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time
Weight Carried: Up to 20 lbs, Occasionally 0-30% of time
Vision: Moderate, Frequently 31-65% of time
Kneeling/Stooping/Bending: Occasionally 0-30%
Standing/Walking: Occasionally 0-30%
Pushing/Pulling: Occasionally 0-30%
Intensity of Work: Occasionally 0-30%
Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding
Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals.
NGHS: Opportunities start here.
Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.
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