Performance Improvement and Patient Safety (PIPS)

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'

Desired Candidate Profile

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