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City/State
Williamsburg, VAOverview
Work Shift
Rotating (United States of America)SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER ED/ TRAMA QI COORDINATOR PART TIME Qualifications: REQUIREDRegistered nurse3-5 years OF experience in trauma and critical care nursing
Preferred skills
- EPIC
- Knowledge of ICD-10 and AIS coding
- Microsoft word skills- Excel, Word and PowerPoint
- Experience with data base management: ESO
- TOPIC course preferred or taken within 3 months of hire
Activities:
* Develop and maintain trauma quality improvement plan
* Develop, review/revise trauma policies, procedures, and protocols
* Participate in PEMS & JCC EMS councils
* Provide feedback to top three referring facilities or those identified by the trauma service
* Review all transfers, identify PI issues. and follow up with EMS agency and referring hospital
* Provide trauma registry education to EMS agencies and referring hospitals
* Participates in the statewide Trauma quality improvement committee
* Review state recommended and ACS audit filters
* Submit data to Virginia Statewide registry, National trauma database and TQIP
* Reviews all deaths and participate in monthly morbidity and mortality rounds. Maintain spreadsheet and documentation of survival probability.
* Participates in weekly trauma quality improvement team meetings
* Provide trauma registry data to be used for research purposes
- Participates in outreach activities to referring facilities to discuss registry data and PI opportunities for improvement.
* Develop and maintain a trauma PI issue log to document process and follow-up
* Monitor volume and team activation
* Monitor for compliance with attending MD response time
* Evaluate all over triage and under triage cases against set activation criteria
* Evaluate ACS filters, submit report and identify PI opportunities
* Maintain complications list and report quarterly to trauma attending and trauma quality committees
* Coordinate and report findings of follow up phone calls to discharged patients
* Reviews trauma registry data for accuracy
* Communicates quality issues to nursing and ancillary staff as indicated
* Create teams to focus on identified quality improvement opportunities
* Reviews annual data and submit an annual report to Trauma Medical director and trauma program manage
- Support the Trauma Program through analysis of predetermined triggers and monitors developed through the criteria in the Resources for the Optimal Care of the Injured Patient, review of TQIP reports, and other trauma related PI data collected by the hospital.
- Assures that appropriate review processes are in place for loop closure and continued monitoring phases
- Serves as the direct supervisor to the registry
- Responsibilities include assuring data quality, concurrent abstraction, and timely data submission.
Job Summary
The Quality Improvement Coordinator is responsible for providing project management and facilitation, as well as, clinical oversight and support for the development, coordination, implementation and evaluation of quality improvement medical staff performance improvement and patient safety initiatives. This includes organizing relevant task forces, review of evidenced based literature/benchmarks, establishment of indicators for monitoring and evaluation of quality and appropriateness of care, continuous improvement, and achieving targeted goals as well as medical record review, occurrence/complaint investigation and tracking/trending medical staff performance.3 or more years of current experience in QI related activities preferred. Experience in a clinical area of an acute care facility with demonstrated leadership, teaching and QI/PI facilitation skills preferred. Knowledge and understanding of regulatory and accreditation agency standards preferred.
Must be able to link the clinical effectiveness and clinical informatics arenas. Requires local travel and use of personal automobile. Requires flexibility in work schedule.
Qualifications:
N-4YR - RN-Bachelor's Level Degree (Required)Registered Nurse (RN) Single State - Nursing License - North Carolina, Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP), Registered Nurse License (RN) - Nursing License - Compact/Multi-State LicenseSkills
Communication, Coordination, Critical Thinking, Judgment and Decision Making, Microsoft Office, Project Management, Social Perceptiveness, Speaking, Technology/Computer, WritingSentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.
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