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