Trauma Quality Improvement Coordinator

Sentara Health is seeking to hire a qualified individual to join our team as a Trauma Quality Improvement Coordinator. Position Status : Full-time (40 hours a week), dayshift Position Location: On-site at Sentara Norfolk General. 1 day from home after training. Standard Working Hours : 8:00AM - 5:00PM during training.

Flexibility with working hours after successful completion of training. Overview The Trauma Performance Improvement (PI) Coordinator is responsible for supporting the trauma program’s performance improvement and patient safety processes in accordance with American College of Surgeons (ACS) Trauma Quality Improvement Program (TQIP) standards, state trauma regulations, and organizational quality initiatives. This role facilitates case review, data validation, quality monitoring, and multidisciplinary collaboration to ensure continuous improvement in trauma care delivery and outcomes.

The PI Coordinator works closely with trauma surgeons, advanced practice providers, nursing leadership, registrars, and quality teams to identify opportunities for improvement and implement corrective actions. The coordinator supports the trauma program’s performance improvement and patient safety (PIPS) process, ensuring timely case identification, loop closure, documentation, and compliance with trauma center verification standards.

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Coordinates and supports the trauma program Performance Improvement and Patient Safety (PIPS) program. Identifies cases for review using audit filters, registry data, complications, and mortality reviews. Facilitates timely case reviews with trauma leadership and multidisciplinary teams.

Tracks and documents quality issues, opportunities for improvement (OFIs), and corrective actions. Ensures loop closure for identified performance improvement events. Maintains documentation required for ACS trauma center verification and site visits.

Reviews trauma registry data and quality reports to identify trends and performance gaps. Monitors compliance with trauma clinical guidelines, protocols, and pathways. Collaborates with trauma registrars to ensure accurate case abstraction and data validation.

Assists with preparation and submission of TQIP and state trauma registry data. Develops reports and dashboards highlighting key trauma quality metrics. Prepares cases for Trauma Performance Improvement Committee meetings.

Coordinates multidisciplinary case reviews, including participation from trauma surgery, emergency medicine, nursing, radiology, and other specialties. Documents committee discussions, recommendations, and action plans. Supports implementation of system improvements and education initiatives based on case review findings.

Ensures trauma PI processes comply with: American College of Surgeons (ACS) Trauma Center Standards State trauma system requirements Hospital quality and patient safety policies Assists with preparation for State & ACS trauma center verification and re-verification visits. Maintains documentation of PI activities, meeting minutes, and loop closure evidence. Provides education to trauma staff regarding quality improvement findings and best practices.

Provides education and guidance to trauma registrars. Supports development of trauma clinical practice guidelines and protocols. Promotes a culture of safety, transparency, and continuous improvement across the trauma program.

Education Bachelor's of Science in Nursing required Certification/Licensure RN Licensure - VA/Compact required Experience Minimum 3 years of clinical ED or ICU, preferably trauma-related, experience. Experience with quality improvement, patient safety, or trauma registry preferred Knowledge of ACS trauma verification standards and PIPS processes Knowledge of Excel and EPIC We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits.

The base pay range for full-time employment is $92,060.80 - $136,052.80 annually. Additional compensation may be available for this role, such as shift differentials, standby/on-call pay, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs.

Note: If an annual salary is posted, it is based on a full-time colleague working 2,080 hours annually. Sentara offers a comprehensive benefits package, including medical, dental, vision, life and disability insurance; 401(k)/403(b) with employer match; paid time off (vacation, sick time, and holidays); paid parental and military leave; educational assistance or student loan repayment; and voluntary benefits.

• Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met. Here at Sentara, we are committed to consistently enhancing our training, advancement tracks, work-life benefits, and more. Our goal is to make you feel more excited to be here every day! Sentara Norfolk General Hospital , located in Norfolk, VA, is a 525-bed tertiary care facility that is home to the only Level I Adult Trauma Center and burn trauma unit in Hampton Roads, and also serves as the primary teaching hospital for Eastern Virginia Medical School. In addition to the high-quality heart program at Sentara Heart Hospital, our facility is home to Nightingale Regional Air Ambulance and several other dedicated facilities and specialized services. As a recognized accredited Comprehensive Stroke Center, and Magnet hospital for nursing excellence, our hospital specializes in heart and vascular, neurosciences, neurosurgery, urology, oncology, spine care, advanced imaging, behavioral health, maternity, and women’s health, including a state-of-the-art neonatal intensive care unit. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.