The Trauma Department Performance Improvement (PI) Coordinator manages all aspects of the Trauma Department's Performance Improvement Program. The Trauma PI Coordinator is responsible for monitoring and evaluating performance for the Trauma Program and works closely with the Trauma Registry to ensure accurate concurrent data collection and identification of performance improvement occurrences. The Trauma PI Coordinator collaborates with the Trauma Medical Director, Trauma Program Coordinator, Trauma Registrars and other disciplines to review the performance and safety of the Trauma Program including coordinating activities to evaluate issues, promote loop closure, and enhance clinical outcomes. The Trauma PI Coordinator is accountable for meeting regulatory and accrediting standards for performance improvement and patient safety for a Level I trauma program.
Review of patient hospital records, beginning with the 911 call, to determine compliance with patient care protocols, policies and procedures throughout the trauma system care continuum.
Abstraction of Performance Improvement/Quality Assurance (QA) data from the hospital records as required for entry into the Trauma Registry. Ensures Trauma Department peer review and PI/QA follow-up by Hospital Departments is completed.
Prepares and reports Trauma Department PI/QA data for Trauma Department meetings.
Participation in analysis of Trauma Department PI/QA data and interpretation of trends.
Preparation of Trauma PI/QA data reports for the Trauma Department and Hospital Department committees.
Maintenance of the Trauma Department's PI/QA data, peer review results and all follow-up in the Trauma Registry.
Accountable for meeting the federal and state regulatory and accrediting standards of performance and patient safety for a Level I trauma program.
3- 5 years of experience at a Level 1 Trauma Center working with the organizational Trauma Program
At least two years of experience as a Trauma Performance Improvement Coordinator and/or 5 years as a Senior Trauma Registrar
Experience and knowledge of Trauma Quality Improvement Program (TQIP)
Proven ability to evaluate data and recommend process changes
Knowledge and understanding of ICD 10 and AIS coding
Knowledge and experience with performance improvement processes, evaluation, needs for recommendation, loop closure
AS and 3 years' experience with Level I trauma center, trauma registry, or BS, and 2 years' experience with Level I trauma center, or RN and 2 years' experience with Level I trauma center, or Any combination of education and experience approved by Human Resources
Apply for Transfer (current employees only)
External applicants click here to apply
External Application Confirm
Are you sure you want to continue as an EXTERNAL applicant?
Internal Application Confirm
Are you sure you want to continue as a INTERNAL applicant?
Westchester Medical Center