Department/Unit:Trauma/Surgery Department

Work Shift:

Day (United States of America)

Salary Range:

$71,612.39 - $110,999.20 The Trauma Performance Improvement (PI) Coordinator fulfills an essential function and is dedicated to the Trauma Service at Albany Medical Center (AMC) in accordance with the American College of Surgeons (ACS) standards for both the adult and pediatric trauma program. This individual works in collaboration with the trauma program leadership and is responsible for the coordination and facilitation of the trauma performance improvement process. The Trauma PI Coordinator collects and analyzes benchmarking data, focus studies and clinical indicators. They use advanced skills in quality assessment to perform comprehensive quality of care and service audits to facilitate the development of valid standards and tools. The Trauma PI Coordinator ensures loop closure, prepares reports, presents outcomes and participates in organizational-wide continuous improvement projects as it relates to the trauma program. He/she is self-motivated and a team player. This individual demonstrates accuracy and confidentiality in the handling of all trauma-related matters. Most important the person in this position can conduct quantitative data analysis in reporting (metrics) as well as the qualitative. This position needs to be continually challenging the Trauma program (Pediatric and Adult) and Trauma Teams to look at data; drawing them to metrics that measure care and outcomes and driving to results (PDCA) on safety and quality improvement. Due to the ratio of adult vs. pediatric patients, approximately 90% of the time should be focused on the adult population and 10% on pediatrics.

Implement and facilitate the activities outlined in the Trauma Performance Improvement and Patient Safety (PIPS) Plan

• Work collaboratively by meeting daily with the Trauma Program Manager and surgeons, as well as other Trauma program staff, for trauma performance improvement activities and initiatives
• Participate in the development and maintenance of the Trauma PIPS Plan

Develop and implement quality and safety indicators, benchmarking, and focus studies

• Assist in identification of appropriate indicators to monitor
• Prepare data collection tools and collect appropriate data for each project or indicator
• Analyze data for trends
• Monitor the effectiveness of QI projects and/or new procedures
• Be alert to Risk Management issues and notify supervisor as appropriate

Prepare and present reports on PI Projects and Reviews

• Demonstrate competence on all software programs necessary for effective report preparation
• Prepare reports necessary to support performance improvement and research functions of the trauma program
• Prepare the case summaries for the Trauma M&M meetings, Trauma Multidisciplinary Peer Review Committee Meetings, and other PI forums
• Scribe the minutes of the Trauma M&M and Trauma Multidisciplinary Peer Review Committee meetings to reflect thorough discussion including analysis of the events, conclusions, proposed corrective actions, and/or loop closure
• Maintain comprehensive supporting documentation related to the Trauma PI process

Supports the review of injury data, research data, and performance data from the trauma registry

• Demonstrate an advanced understanding of trauma surgery procedures and trauma patient care including standards of care as well as potential injury complications
• Possess advanced knowledge of human anatomy and pathophysiology
• Complete case reviews and analyses for contributing factors to the variance in care and/or complications
• Recognize breakdowns in the system of care delivery for trauma patients
• Assist and support the trauma program staff in issue resolution

Actively participate in processes designed to improve trauma care delivery

• Assist in the development and/or revision of patient care protocols and policies to improve trauma care delivery
• Facilitate the development of necessary staff education for trauma care providers on new or revised policies/protocols/procedures
• Coordinate various trauma performance improvement initiatives and works closely with the Trauma Operations Process Performance Committee

Additional Responsibilities:

• maintain confidentiality of trauma related information
• comply with Albany Medical Center employee Health Policies and Inservice Standards

Thank you for your interest in Albany Medical Center!​

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.