Westchester Medical Center Health Network · 4 months ago
Coord,Performance Improvement
The Westchester Medical Center Health Network (WMCHealth) is a 1,700-bed healthcare system headquartered in Valhalla, New York. The Performance Improvement Coordinator manages all aspects of the Trauma Department's Performance Improvement Program, ensuring compliance with regulatory standards and enhancing clinical outcomes through collaboration and data analysis.
Hospital & Health Care
Responsibilities
Coordinates the Trauma Performance Improvement (PI) Program for the hospital in collaboration with the Trauma Medical Director and Trauma Program Manager
Assist the Trauma Program Medical Director and the Trauma Program Manager to evaluate the effectiveness of the Trauma Team and the Trauma Program
Review of patient hospital records, beginning with the 911 call, to determine compliance with patient care protocols, policies and procedures throughout the trauma system care continuum
Abstraction of Performance Improvement/Quality Assurance (QA) data from the hospital records as required for entry into the Trauma Registry
Ensures Trauma Department peer review and PI/QA follow-up by Hospital Departments is completed
Prepares and reports Trauma Department PI/QA data for Trauma Department meetings
Participation in analysis of Trauma Department PI/QA data and interpretation of trends
Preparation of Trauma PI/QA data reports for the Trauma Department and Hospital Department committees
Maintenance of the Trauma Department’s PI/QA data, peer review results and all follow-up in the Trauma Registry
Accountable for meeting the federal and state regulatory and accrediting standards of performance and patient safety for a Level I trauma program
Qualification
Required
3-5 years' experience in either ER or Critical Care taking care of trauma patients at a Trauma Center and/or minimum of 2 years of experience as a Trauma Performance Improvement Coordinator
Clinical Experience as a Nurse, Nurse Practitioner, or Physician Assistant with a Licensure in NY
Proven ability to evaluate data and recommend process changes
Knowledge and understanding of ICD 10 and AIS coding
Knowledge and experience with performance improvement processes, evaluation, needs for recommendation, loop closure
Preferred
Master's preferred, Bachelor's required
BLS/ACLS/PALS/ATLS-ATCN training, TCRN, CFRN, CCRN, or CEN preferred
Experience and knowledge of Trauma Quality Improvement Program (TQIP)
Company
Westchester Medical Center Health Network
The Westchester Medical Center Health Network (WMCHealth) is the pre-eminent provider of integrated health care in New York’s Hudson Valley region, serving nearly 2.5 million residents across more than 6,000 square miles.
Funding
Current Stage
Late StageLeadership Team
Recent News
Crain's New York Business
2025-06-25
Connecticut Post
2025-05-30
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