TRAUMA PERF IMPRV COORD I

Memorial Hermann Health System•Katy, TX

20d

About The Position

The Trauma Performance Improvement Coordinator I coordinates and facilitates the facility’s Trauma Performance Improvement and Patient Safety process, working with hospital departments involved in caring for traumatically injured patients. The role supports compliance with Texas Department of State Health Services (DSHS) and/or American College of Surgeons (ACS) standards and typically reports to the facility Trauma Program Manager or Director. The coordinator manages trauma performance improvement data and reviews, analyzes indicators and benchmarking information, supports education and continuous improvement, and documents follow-up and resolution of identified issues. The position also contributes to trauma case reviews, patient follow-up, and safe, compassionate, efficient care.

Requirements

Bachelor’s degree in Nursing.
Registered Nurse license.
Completion of a TOPIC course within one year.
Three years of clinical experience in an emergency department or critical care area within a designated or verified trauma center.
Effective oral and written communication skills while maintaining patient confidentiality.
Proficiency in word processing, spreadsheet development, data reporting, and statistical analysis.
Ability to think critically and perform chart abstraction.

Responsibilities

Coordinate the facility-level Trauma Performance Improvement Program, including data collection, collation, analysis, modification, and instruction.
Review performance improvement indicators and medical records for accuracy, documentation completeness, and audit filters specified by DSHS or ACS.
Collect and analyze benchmarking data, focus studies, and clinical indicators.
Provide education, ensure loop closure, prepare reports, present outcomes, and participate in trauma-related continuous improvement projects.
Organize and coordinate new employee trauma education and orientation to facility charting and trauma care expectations.
Monitor compliance with trauma program policies and procedures and standards established by national, state, and regional agencies.
Document performance improvement processes to assess the success of actions and implementation of loop closure, resolution, and next steps.
Provide patient follow-up with physicians, hospitals, and emergency medical services.
Interpret and present data supporting process improvement and research by identifying variations in care delivery and measuring outcomes against benchmarks.
Report identified quality-of-care concerns, including sentinel events, deaths, transfers, and complications.
Collaborate with the trauma team to prepare documents for trauma medical peer or case reviews, morbidity and mortality reviews, and other requested meetings.
Ensure safe care for patients, staff, and visitors and follow Memorial Hermann policies, procedures, and standards within budgetary specifications, including time management, supply management, productivity, and service quality.
Maintain professional growth and development through required continuing education and competency activities; support department goals and serve as a preceptor, mentor, and resource to less experienced staff.
Model Memorial Hermann service standards and provide safe, caring, personalized, and efficient experiences to patients and colleagues.
Perform other duties as assigned.