Trauma Performance Improvement Coordinator

Howard University Hospital Washington DC

Role Summary

As the Trauma Performance Improvement Coordinator at Howard University Hospital you will partner with the Trauma Medical Director and Trauma Program Manager to drive quality and improve outcomes across every discipline involved in the care of the injured patient. Reporting to the Director of Trauma Services you will coordinate and facilitate our multidisciplinary trauma performance improvement (PI) program leading peer review analyzing registry data identifying variances and ensuring loop closure on the issues that matter most to patient safety and Level I Trauma Center designation.

If you are an experienced trauma emergency or critical care nurse with a passion for data-driven quality improvement this is your opportunity to help shape outcomes at one of the nations most storied academic medical centers and a designated DC Level 1 Trauma Center.

What Youll Do

Performance Improvement Program Leadership

• Implement and maintain a multidisciplinary trauma performance improvement (PI) program aligned with regulatory standards and Level I Trauma Center requirements
• Partner with trauma program leadership to ensure ongoing compliance with American College of Surgeons (ACS) and other applicable trauma center designation standards
• Lead and support initiatives to improve trauma care quality patient safety and operational efficiency across the continuum of care

Peer Review & Outcomes Reporting

• Coordinate and support trauma peer review morbidity and mortality (M&M) meetings and outcomes reporting
• Identify validate and document trauma-related variances complications and quality indicators
• Track trends follow-up actions and ensure loop closure on identified performance issues

Clinical Review & Quality Surveillance

• Conduct clinical rounds and concurrent chart reviews to assess care quality and identify improvement opportunities in real time
• Monitor adherence to hospital and trauma policies procedures and evidence-based clinical practice guidelines
• Contribute to the development and revision of trauma clinical practice guidelines

Data Analysis & Documentation

• Analyze trauma data and generate reports using the trauma registry and other data systems to support decision-making
• Maintain accurate secure documentation of PI activities including meeting records case reviews and follow-up actions
• Prepare progress reports dashboards and presentations for trauma leadership and hospital committees

Education Research & Professional Engagement

• Participate in trauma-related research education and professional organizations to support program development and continuous learning
• Coordinate trauma PIrelated meetings conferences and special activities

Compliance & Regulatory

• Ensure all PI activities align with professional standards regulatory agency requirements and institutional policies
• Promote adherence to the Health Sciences Compliance Program Howard University Code of Ethics Health Sciences Standards of Conduct and HIPAA
• Attend all mandatory compliance training including HIPAA Privacy training
• Maintain strict confidentiality of patients families and staff

Required Qualifications

• Bachelor of Science in Nursing (BSN) required; Masters Degree in Emergency/Trauma Critical Care or related field strongly preferred
• Current Registered Nurse (RN) licensure in the District of Columbia (or eligibility)
• Basic Life Support (BLS) certification through the American Heart Association
• Trauma Certified Registered Nurse (TCRN) certification required within one (1) year of hire
• Minimum five (5) years of nursing experience in Emergency Trauma or Critical Care
• Minimum three (3) years of quality improvement experience
• Working knowledge of trauma registry systems with the ability to abstract data for reports presentations and research
• Working knowledge of ICD-10 medical coding
• Proficiency with Microsoft Word Excel PowerPoint and Outlook
• Strong analytical problem-solving organizational and communication skills

Preferred Qualifications

• TCRN certification at time of hire
• Demonstrated experience in clinical performance improvement
• Familiarity with the American College of Surgeons (ACS) trauma center verification process
• Experience with the Trauma Quality Improvement Program (TQIP)
• Experience with statistical analysis software and data visualization tools

What We Offer

• Work-life balance
• Recognition and rewards for professional expertise
• Competitive comprehensive benefit plans including health disability vacation sick leave and 403(b) retirement plan
• Tuition remission at Howard University for you and/or eligible dependent children up to two (2) courses per semester
• A mission-driven environment rooted in over 150 years of excellence service and advocacy for the communities we serve

About Howard University Hospital

Howard University Hospital (HUH) is the nations only teaching hospital located on the campus of a historically Black university. With a legacy dating back to 1862 when it operated as Freedmens Hospital providing care and refuge to those who had been denied it elsewhere HUH has grown into one of the most comprehensive healthcare facilities in the Washington D.C. metropolitan area and is a designated DC Level 1 Trauma Center. Today HUH continues its proud tradition of delivering exemplary patient-centered and culturally responsive care to the community while providing exceptional learning and professional development opportunities for the next generation of healthcare professionals.

Position Details

Pay & Schedule

This is a full-time exempt position. Salary range: $75000 $99000 annually commensurate with experience and qualifications.

Compliance Statements

Culture of Care: Howard University Hospital supports a Just Culture that promotes accountability learning and patient safety.

Equal Opportunity Employer: Howard University Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race color religion sex national origin age disability veteran status sexual orientation gender identity or any other status protected by applicable law.

Reasonable Accommodation: Howard University Hospital is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state and local laws. If you require an accommodation during the application or interview process please contact the Human Resources Department at .

Pay Transparency: Salary ranges listed in job postings reflect the expected compensation range for the position and are provided in accordance with applicable pay transparency laws. Final compensation is determined based on experience education internal equity and other relevant factors.

Disclaimer: The above statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all duties responsibilities or qualifications associated with the position.