The BHC Oakland Trauma Program supports and sustains the hospital’s designation as a Level I Pediatric Trauma Center, verified by the American College of Surgeons (ACS). The program ensures compliance with ACS standards, facilitates trauma center verification, and contributes to national trauma registries to benchmark performance, support research, and drive system-wide improvement.
Involves the establishment and supervision of processes (e.g., performance improvement, clinical documentation, etc.) to achieve the optimal degree of excellence in the services rendered to every trauma patient. Evaluation of practice operates within the parameters of patient outcome, cost-benefit in care provision, and patient access to the health care delivery system. Provides for internal strategic planning efforts and implementing continuous quality improvement programs.
Applies extensive knowledge of quality data analysis and / or improvement (QI) concepts, methodologies, and data collection and abstraction techniques to substantial projects of large scope and high degrees of complexity.
The Trauma Performance Improvement Nurse is actively engaged in PI evaluation, review, and solution generation/implementation to improve the optimal care of the trauma patient. They are skilled in writing reports and presenting data graphically, both internally and externally, to promote process improvements, improved outcomes and optimal patient care.
Additionally trained in Trauma Registry, the Trauma Performance Improvement Nurse is responsible for maintaining and assuring the quality and accuracy of the trauma registry database, the foundation of the trauma PIPS process. This role contributes to the development of standard work and during the process of trauma registry data entry, reliably identifies cases that warrant review, fully completes data abstraction into the trauma registry database according to Trauma Service standards, trauma leadership needs, existing regulatory requirements and to meet data entry deadlines for the County, NTDB and TQIP. The Registrar collects, analyzes and reports trauma data for quality improvement tracking as assigned, as well as targeting injury research and prevention. This role implements processes to assure accuracy and confidentiality in the handling of all trauma registry related matters.
Key responsibilities include trauma registry management, data analysis and reporting, performance improvement coordination, and oversight of injury prevention and community outreach initiatives. The program collaborates closely with hospital leadership, clinical departments, the ACS, and regional EMS authorities to advance trauma care quality and promote public health and safety.
