.Trauma Performance Improvement Coord, TMC At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position is responsible for coordinating and facilitating the Trauma Performance Improvement Patient Safety process by interfacing with all hospital departments that participate in the care of the traumatically injured patient. This position also supports and ensures compliance with the Texas Department of State Health Services (DSHS) and/or the American College of Surgeons (ACS) standards and typically reports to the Trauma Program Manager/Director at the facility level. Job Description Minimum Qualifications Education : Bachelors Degree in Nursing, Master's Degree preferred. Licenses/Certifications : Registered Nurse, TOPIC Course completion required within 12 months from date of hire. Experience / Knowledge / Skills: Five (5) years clinical experience in either emergency department or a critical care area within a designated/verified trauma center. Three (3) years experience implementing performance improvement process/initiatives with DSHS and/or ACS, Joint Commission standards, or regulatory agencies (Including National Trauma Data Bank-NTDB). Effective oral and written communication skills while maintaining patient confidentiality. Demonstrates proficiency in word processing, development of spreadsheets, data reporting, and statistical analysis. Demonstrates the ability to critically think and perform chart abstraction. Principal Accountabilities Serves as a Trauma Performance Improvement subject matter expert and provides consultation and support to hospital leadership, Trauma Program Manager and/or Director and facility. Participates in Regional, State, or National trauma committees. Coordinates the Trauma Performance Improvement Program at the facility level to include data collection, collation, analysis, modification, and instruction. Reviews Performance Improvement indicators and medical records for accuracy, completeness of documentation, and audit filters as specified by the DSHS or the ACS. Collects and analyzes benchmarking data, focus studies and clinical indicators. Provides education, ensures loop closure, prepares reports, presents outcomes and participates in continuous improvement projects as it relates to the trauma program. Organizes and coordinates new employee trauma education and orientation to facility charting and trauma care expectations
