Position: Trauma Quality Managment Coordinator (RN)

Dept: Trauma Program

Shift: Full Time 8am - 4:30pm / 80 Hours per Pay (Salaried)

Facility: Miami Valley Hospital

The Trauma Quality Management Coordinator performs quality assessments and improvement reviews for the medical staff and other committees consistent with the approved performance improvement plans and in accordance with the American College of Surgeons (ACS) Level I Trauma Center verification criteria.

The TQMC is responsible for providing information to the Trauma Medical Director, Trauma Program Manager, or other quality improvement teams and committees for concurrent and retrospective quality assessment and improvement reviews. He/She assists the medical staff and other committees with data collection, including chart abstraction and analysis of trends using statistical quality tools in order that performance opportunities and improvements can be identified and implemented to improve patient outcomes. The TQMC may be responsible for participating on quality improvement teams by managing clinical data and employing evidence-based solutions. The TQMC is also responsible for individual case reviews, all trauma death reviews and follow up for improvement opportunities. The TQMC facilitates and documents monthly Trauma Committee and weekly Trauma Conference.

Education: Bachelor's degree in Nursing required; Master's preferred.

Licensure/Certification/Registration: Valid Ohio RN license

Experience: Minimum 3 years of Trauma or Critical Care RN experience is required.

Knowledge/Skills:

• • Must be able to multitask with constant interruptions while maintaining a pleasant demeanor
  • Basic computer knowledge
  • Strong organization skills

Essential Duties & Functions:

• • Nursing practice, which is grounded in the organization’s nursing philosophy, involves the patient/caregivers/significant others with respect to their values, cultural differences, preferences and expressed needs.
  • Evaluate patient response/outcome to determine effectiveness of treatments and modify as necessary to achieve identified patient goals.
  • Awareness and accountability with regards to outcomes across the balanced score card.
  • Works with the medical staff and chairs of various medical staff and hospital committees to establish criteria for review and is responsible for analysis of approximately 150 death reviews and 120 case reviews annually.
  • Pursues ongoing education (eg. AAST Grand Rounds) in trauma and trauma PI/quality benchmarks and trauma care guidelines (EAST guidelines).
  • Works with Registry Coordinator and Registrars to ensure that data abstraction points are up to date in accordance with the National Trauma Data Standard and the Ohio State Trauma Registry.
  • Participates on quality improvement teams and committees and maintains documentation for and in accordance with accrediting and/or regulatory agencies for areas of responsibility-eg. Joint Commission, American College of Surgeons.
  • Responsible for attending and documenting discussion at the weekly Trauma Conference. Makes appropriate arrangements for approved time off to accommodate this requirement.
  • Assists Trauma medical director and Trauma program manager in identification of problem trends AND assists with the analysis and completion of activities and action plans for resolution