Performance Improvement and Patient Safety (PIPS) Program Coordinator - Burns

•Under the direction of the Operations Manager (Burns) and Chair of Burns, develops, implements and evaluates the burn program and performance improvement and patient safety (PIPS) program

Essential Responsibilities • Performance Improvement o Participates in Quality Management and Performance Improvement activities:  Identifies patient care, system, and/or process issues and trends  Assists with chart reviews  Data collection  Preparation for case presentations o Works with the chair of Burns and Operations Manager (Burns) and all other departments in the investigation and resolution of identified issues/opportunites for improvement related to burn care delivery. • Monitors, reviews, and analyses data/reports extracted from the registry and all other relevant reports. • Assists in the development/revision of administrative policies and clinical nursing guidelines/standards of care for program patients in collaboration with appropriate disciplines. • Participates in departmental meetings, and attends conventions, conferences, workshops, and other professional meetings to extend learning and to represent the Burn Center. • Assist the Operations Manager (Burns) and Chair of Burns to update the Burns PIPS program annually.

Program Leadership • Develops and maintains the Performance Improvement and Patient Safety program. • Serves as a technical expert in the program development. • Provides guidance to employees involved in program. • Provide performance feedback to applicable managers. • Evaluate and report to departmental/organizational senior management on status and changes in program.

Service Delivery • Participate in case review, track PIPS reviews and action plans, design and implement practice guidelines. • Role models service excellence in interactions with internal and external constituents. • Establishes a strong cooperative relationship with applicable leaders by providing the information, tools and services necessary to improve the outcomes associated with the program.

Communication • Designs and orchestrates the delivery of applicable communication to internal and external constituents. • Demonstrates excellent oral and written communication using a variety of methodologies. • Coordinates presentations and ensures consistent communication related to the program. • Participates in the review of program processes. • Recommends and participates in implementation of process improvements. Monitors and measures process changes. • Facilitates cross-functional performance improvement teams.

Administrative Role • Participate in various hospital processes o Quality o Research o Leadership o Focus on program goals and patient satisfaction o Facilitate development and execution of PIPS program

Resource Management • Work with other relevant program operations managers to design the burn registry to facilitate performance improvement activities, trend reports, and research while protecting confidentiality.

Strategic Planning • Works collaboratively with appropriate stakeholders to develop the strategic plan for the burn program both internally and externally.

Research • Collaborates with other appropriate departments & entities (internal & external) for all research opportunities relating to the burn program,

Miscellaneous • Responsible for other miscellaneous duties as assigned.

ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE SSMC HEALTH PERFORMANCE STANDARDS.

Accountabilities • Performance Improvement - identification, action plans, resolution and documentation of the process

Required: • Bachelor Degree in health related field

Desired: • Current national professional license or equivalent • Trauma Outcomes Performance Improvement Course completion (if not, within 6 months of starting the role) • Trauma Program Manager Course Completion (optional) • Recognized Registrar Certification CAIS or CSTR (optional) • Quality Management Certification (optional)

Experience:

Required: • Two (2) years’ work experience Desired: • Two years’ experience in burn or trauma care • Experience in quality related activity

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