Description

Wentworth-Douglass Hospital, an affiliate of Mass General Brigham, is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve. At Mass General Brigham, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, ability, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

The Trauma Performance Improvement (PI) Coordinator works with Trauma Program leadership to coordinate all aspects of the Trauma Performance Improvement and Patient Safety (PIPS) Program. The PI Coordinator will conduct ongoing reviews and focus studies to investigate all variances in clinical care and system issues with respect to trauma protocols, guidelines, and standards. This position supports the data management of the Trauma Program, including data entry into the Trauma Registry and developing reports from the registry.

Maintains trauma database

• Accurate case selection as required by the New Hampshire Trauma Medical Review Committee, American College of Surgeons Committee on Trauma, and Wentworth-Douglass Hospital inclusion and exclusion criteria.
• Monitors ED logs, reports, and other electronic and paper sources to identify potential trauma cases.
• Extracts data for all current data fields for the registries from various electronic or paper sources following divisional, ACS, NTDS, and TQIP policies.
• Fills out data entry forms when appropriate.
• Performs data entry on the cases selected and extracted adhering to internal, state and regulatory standards.
• Enters performance improvement and compilation data points.
• Abstracts cases into trauma registry in required timeframes, performs duties and meets productivity expectations in a manner that allows the trauma registry to meet the vital standard benchmarks set by the National Trauma Data Bank and NH Trauma Medical Review Committee.

Data Management:

• Assists with cleaning up data using validation reports and correcting errors when identified. Reports discrepancies to trauma program manager when unable to resolve.
• Performs inter rater reliability to ensure accuracy of data.
• Generates reports to detect and analyze trends and as requested.
• Assists with data projects including calculations or data mining with direction from the program manager and may include research projects, education and outreach, loop closure, or performance improvement activities.
• Assists with the preparation of state or NTDB required data submission and ensure submission in accordance with required calls for data.
• Develops graphs and other reports.
• Analyzes trauma data.

Tqip

• Attends webinars on TQIP education.
• Understands and stays current with TQIP concepts, definitions, and requirements.
• May attend TQIP conference.
• Performs TQIP data entry when needed.
• Participates in TQIP program as advised by program manager.

• Assists program manager preparing for and participating in the State and/or American College of Surgeons Trauma Center verification visit.
• Other projects assigned by trauma administration.

Education Activities:

• Participates and assists with coordinating Trauma Grand Rounds

Community Outreach:

• Injury prevention outreach support and coordination

Qualifications

Required:

• Bachelor’s degree in Nursing from an accredited college of nursing
• Three years of work experience as a Registered Nurse caring directly for trauma patients
• Strong digital literacy required in Excel, PowerPoint, and Word
• Strong written and verbal communication

Desired/Preferred:

• Master of Nursing
• Experience with abstracting data
• Project management experience
• Quality improvement experience
• TNCC or TCAR
• TCRN

Wentworth-Douglass Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

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