Burn Performance Improvement Coordinator

The Trauma/Burn Performance Improvement Coordinator evaluates and monitors the quality of clinical care of the injured patient across the continuum of care from point of injury to discharge from the hospital. Coordinates and monitors the effectiveness of the Trauma Performance Improvement and Patient Safety (PIPS) program as determined by regional, state, and national standards. Serves as a clinical resource on trauma care for pre-hospital personnel, referring hospitals, units, departments, and staff involved in the care of the trauma patient.
This individual must be capable of:
Representing the program and organization internally and externally by working to develop relationships with front-line team members, internal stakeholders, and external partners.
Driving change through influence, and building consensus to promote quality outcomes.
Building trust with colleagues and members of the multidisciplinary team that cares for injured pediatric patients.
Translating clinical knowledge, experience, and evidenced-based research/guidelines into clinical practice.

Essential Job Statements

Responsible for daily operations of the Trauma/Burn PIPS program through data collection, identification, analysis, monitoring, reporting, and documentation in accordance with standards determined by the Virginia Office of Emergency Medical Services (VAOEMS), American College of Surgeons (ACS), and/or American Burn Association.  

• Identifies and validates performance improvement and quality issues through direct observation of clinical care, concurrent and retrospective chart review, staff reporting, and patient rounds. 

• Provides concurrent feedback and issue resolution to the trauma/burn service, liaisons, and multidisciplinary team involved in care. 

• Ensures compliance with all PIPS requirements and standards.  

• Effectively communicates the status of PI and quality issues to trauma/burn program leadership.  

• Escalates patient safety issues to trauma/burn program leadership and/or through established channels of escalation in accordance with organizational policy.  

Coordinates the Trauma/Burn Performance Improvement and Patient Safety Program (PIPS) in collaboration with the Medical Director and Program Manager.  

• Assists Medical Director, Program Manager, and team leaders in identifying barriers to implementing improvement plans and developing strategies to overcome these barriers.  

• Collaborates with the Medical Director and Program Manager to ensure successful verification/designation. 

• Assumes lead role in PI components of the verification/designation process. 

• Participates in trauma/burn case reviews, escalation of events through quality committees, and linking performance improvement data to actions plans, educational programs, and/or outreach. 

• Communicates to team members the importance of monitoring clinical care, documentation, and quality outcomes, and meeting and exceeding the expectations of those we serve.  

• Promotes engagement of staff and stakeholders in PI process.  

Monitors, documents, and reports the performance improvement process to determine effectiveness of implemented actions to demonstrate loop closure/resolution/next steps.  

• Develops the analytic and measurement strategy for performance implemented actions.  

• Ensures complete loop closure for identified issues.  

Validates accuracy of process measures and data elements used for PI dashboards and benchmarking. 

Serves as a clinical resource on trauma/burn care for pre-hospital personnel, referring hospitals, units, departments, and staff involved in the care of the trauma patient.  

Develops, implements, and manages trauma related follow up and feedback for referral hospitals and prehospital providers.  

Participates in development of educational programs and action plans to address quality issues identified in the trauma program and to ensures follow through on these plans. 

• Works with all relevant stakeholders in the development of these programs. 

• Collaborates with unit and department leaders in the coordination and implementation of educational offerings. 

Participates in regional and state PI initiatives.  

Ensure responsibility and visible commitment of diversity equity and inclusion strategy, programs, and initiatives through collaboration and implementation of initiatives across the health system.   

Demonstrate personal ownership and accountability for safety across the area of responsibility by role modeling daily key concepts of a high reliability organization as personal work habits. 

Performs other duties as assigned and/or participates in special projects to support the mission of Children’s Hospital of Richmond at VCU and VCU Health System.  

Patient Population

Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures. 

Neonates (0-4 weeks)

Infant (1-12 months) 

Pediatrics (1-12 years) 

Adolescents (13-17 years) 

Adults (18-64 years)

Geriatrics (65 years and older) 

Employment Qualifications 

Education Qualifications

Required Education: 

Baccalaureate Degree in Nursing  

Preferred Education: 

Master's Degree in Nursing  

Licensing/ Certification

Licensure/Certification Required: 

Current RN licensure in Virginia or eligible compact state  

Licensure/Certification Preferred: 

Current RN licensure in Virginia, Certification in specialty area 

Minimum Qualifications 

Years and Type of Required Experience 

Minimum of 3 years of clinical nursing experience caring for trauma and/or pediatric patients    

Other Knowledge, Skills and Abilities Required: 

Computers skills to include Microsoft Office, Excel, and other clinical software systems.  

Ability to analyze and problem solve independently and disseminate data to relevant groups across the health system.  

Exceptional interpersonal skills that display effective and professional customer service skills and interaction.  

Cultural Responsiveness 

Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias. 

Other Knowledge, Skills and Abilities Preferred: 

Knowledge of quality improvement processes.  

Knowledge of trauma registry, report writing, and data management.  

Working Conditions

Periods of high stress and fluctuating workloads may occur. 

General office environment. 

Required to car travel to off-site locations, occasionally in adverse weather conditions.

Physical Requirements

Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Balance, Bending

Work Position: Sitting, Walking, Standing

Additional Physical Requirements/ Hazards:

Hear alarms/telephone/tape recorder

Mental/Sensory – Emotional

Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking 

Emotional: Able To Handle Multiple Priorities

Days

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.