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