RN, Performance Improvement Nurse, Trauma Service

Baystate Health•Springfield, MA

7d•Hybrid

About The Position

RN, Performance Improvement Nurse, Trauma Service Full Time Coordinates Baystate Quality Management and Performance Improvement for a level 1 adult trauma program. Assists in coordination of the Trauma Quality Improvement Program (TQIP) in compliance with the American College of Surgeons. Adheres to system and department compliance policies, and any applicable laws and regulations.

Requirements

Bachelors in Nursing
MA Nursing License and CPR required
3-5 acute care in OR, Surgical, Surgical Inter-care or Emergency required
PI, Quality Improvement strongly preferred
Strong clinical background.
Strong communication, clinical knowledge
Ability to organize and prioritize workload to meet deadlines, ability to facilitate performance improvement process
Ability to lead teams through difficult discussions- for example challenge peer review committee determination based on investigation findings.
Proficient with use of computers including Word and database software

Responsibilities

Functions as Quality Assurance/Performance Improvement (QAPI) Team Facilitator for the level 1 Trauma program.
Serves as resource/liaison/educator to both clinical and nonclinical staff members regarding performance improvement processes.
Ensures that systems and/or process issues identified during performance improvement activities are referred to appropriate department(s) or teams for resolution.
Utilizes PDSA cycle, lean methodologies, and other quality improvement tools as appropriate in performance improvement activities.
Collects data from a variety of sources, including the EMR, Trauma registry and other sources to support identified quality of care and patient safety measures.
Manages, implements, and evaluates Quality Assurance/Performance Improvement (QAPI) activities including collecting and analyzing data and preparing formal reports for presentation.
Manages the coordination of data collection and reporting of performance improvement (PI) data as needed to meet requirements of external regulatory agencies and third party payers.
Tracks risk events including infections and patient harm.
Uses data to create QAPI initiatives for prevent further occurrences.
Works collaboratively with the Trauma registrars to track and trend occurrences .
Facilitates the weekly Morbidity and Mortality conference with the Trauma Medical Director.