About The Role

•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)