The Quality Program Manager, RN Trauma/Burn Service will be accountable to strengthen the Trauma and Burn Centers' Performance Improvement and Patient Safety, by developing programs that are focused on education, outreach, and clinical research activities. S/he oversees and is accountable for ensuring collection, maintenance, analysis, and dissemination of quality, safety, research and compliance data findings. The Quality Program Manager RN must also be able to design, manage, and implement a variety of projects and improvement activities across multiple academic and operational departments. S/he will be directing and/or collaborating with a diverse range of internal and external contacts, ranging from pre-hospital providers, patients/families, care improvement consultants, nurses, surgeons, and other care providers and multidisciplinary specialists, as well as medical directors. This role is supervised by the Nursing Director of the Trauma/Burn Program.
Performance Improvement and Patient Safety activities:
Works closely with the Nursing Director of the Trauma/Burn Program to identify and develop programs to address opportunities for improvement, assess clinical care, provide ongoing resource/education for process improvement, monitor and facilitate compliance with pertinent regulatory standards.
Is the content expert on improvement methodologies related to the Trauma/Burn patient population and imparts knowledge of improvement process to team leaders and the program teams.
Assists the team leaders in identifying barriers to implementing improvement plans/processes and develops strategies to overcome these barriers.
Develops the analytic and measurement strategies for all assigned projects including the identification of key metrics necessary for assessing the impact of change on processes of care to ensure ongoing success with improvement strategies.
Leads the coordination and facilitation of performance improvement data collection, analysis, trending and benchmarking of data and outcomes.
Maintains working knowledge of the National Trauma Data Standard (NTDS) and American College of Surgeons Trauma Quality Improvement Program (TQIP) data definitions and serves as a resource to the data coordinator team.
Fosters clinical inquiry that includes journal article reviews; presentations; and the development of Evidence-based or Clinical practice guidelines for the trauma and burn patient populations.
Acquires and maintains a current knowledge of the evidence-based practice for discrete trauma and burn patient populations
Regularly prepares for and attends the Trauma Performance Improvement and Patient Safety Committee, presenting relevant quality assurance and process improvement data.
Based on ACS and program filters, prepares all confidential case summaries for monthly Peer Review.
Regularly attends relevant Trauma Services meetings to provide recommendations based on data collection and professional input.
Leads the development and review.
Education/Outreach activities:
Collaborates with staff educators in developing and supporting clinical nursing practice and innovation in the care of trauma and burn patients.
Fosters clinical practice development through observation, conceptualization, and analysis of complex clinical problems related to trauma and injury with outputs that are as specific as evidence-based in-services, clinical practice guidelines, and trauma nursing grand rounds.
Assists Professional Development Managers and unit-based educators in the development of competency standards specific to the population.
Promotes education via lectures, in-services, abstracts, and presentations at local and national meetings as requested.
Works closely with the program team, at times as the lead, on trauma-related education and programming for physicians, nurses, and pre-hospital providers. Current examples include ATLS, TNCC, ABLS.
In collaboration with the Trauma and Burn Outreach Manager, monitors the effectiveness of the system of care for all trauma and burn patients, with a special emphasis on safe transitions for inter- and intra-facility transfers.
Research activities:
Works closely with the Nursing Director to promote quality outcomes through the identification of clinical topics and patient care issues in need of scientific inquiry. Examples include: identification and early intervention for elderly patients experiencing cervical spine injury; determining the effectiveness of non-invasive modalities in the management of pain for patients with multiple rib fractures.
Fosters research activities related to assuring optimal outcomes for the trauma/burn population as principal investigator or co-investigator. These activities may include study conceptualization, design, and implementation of related research activities carried out within the trauma/burn program and in collaboration with members of the multidisciplinary team.
Interprets clinical data in conjunction with co-investigators, statisticians, and other members of the research team as appropriate.
Collaborates in the preparation of manuscripts for publication.
Additional activities:
Collaborates with the Nursing Director regarding clinical and administrative activities necessary to ensure successful verification by the American College of Surgeons for Level I Trauma and the American Burn Association. May be asked to assume lead roles in selected components of the verification process.
Demonstrates leadership through promotion of caring practice, systems thinking, and responsiveness to diversity.
At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, 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.
Qualifications
QUALIFICATIONS
Bachelors degree required (BSN); current Massachusetts RN licensure required.
Masters degree in healthcare related field preferred.
5+ years in emergency room and ICU nursing required.
Database management and analysis experience preferred.
TNCC certification within 6 months of hire required; TNCC instructor within 12 months of hire required.
ATLS coordinator certification preferred.
Experience in health care and patient safety quality measurement, reporting, and improvement.
Previous leadership or project management experience, including statistical concepts and applications preferred.
Experience working in a large and complex health care organization.
Competence with MS Word, Excel, PowerPoint, required for this position; candidate must be able to produce presentation materials including but not limited to slides and spreadsheets.
SKILLS/ ABILITIES/ COMPETENCIES REQUIRED
Knowledge of current professional nursing theory, practice and skills with particular emphasis on the area of trauma and emergency surgery.
A demonstrated ability to fully participate in the planning, design and implementation of guidelines, protocols and standards of care for trauma patients.
Superior organizational and interpersonal skills with ability to work independently.
Demonstrated effectiveness as a team member, team facilitator, and team leader.
Ability to manage time and resources effectively to meet project deadlines.
Ability to work independently and manage concurrent, time-sensitive projects is essential.
Comfortable interacting with a vast array of administrative and interdisciplinary clinical staff, ranging from the Executive Directors of Quality to frontline care providers.
High degree of professionalism, discretion, and confidentiality.
Thorough knowledge of federal and institutional policies governing clinical research.
Supervisory Responsibilities
Hires, orients, and supervises program staff as needed.
Works within legal, regulatory, accreditation and ethical practice standards relevant to the position and as established by BWH/MGB; follows safe practices required for the position; complies with appropriate BWH and MGB policies and procedures; fulfills any training required by BWH and/or MGB, as appropriate; brings potential matters of non-compliance to the attention of the supervisor or other appropriate hospital staff.
EEO Statement
Brigham and Women's Hospital is an Affirmative Action 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.
