Pediatric Trauma Performance Improvement Coordinator

St. Luke’s University Health Network; Bethlehem (Northampton County); On-site; USD 85,000 - 105,000; Full time

Job summary

St. Luke's University Health Network seeks a Performance Improvement Patient Safety Coordinator to support the Trauma Program Medical Director and Manager.

The role focuses on implementing the Trauma PI/Patient Safety program and ensuring data-driven quality of trauma care across the continuum at the Bethlehem Campus. The incumbent will review clinical care processes, aggregate and interpret data, identify improvement opportunities, and help educate staff.

Qualifications

• BA/BS in Nursing required.
• RN licensure in PA required.
• ACLS/PALS/ATLS-ATCN preferred.
• Master’s degree desired.

Responsibilities

• Coordinates the Trauma Performance Improvement (PI) Program for the hospital in collaboration with the Trauma Medical Director and Trauma Program Manager.
• Conducts patient rounds to review services and adherence to the PTSF standards.
• Utilizes clinical expertise to aggregate, assess and interpret information to evaluate the quality of clinical care.
• Review patient occurrences, user defined indicators, and audit filters with Trauma registrar and validate data on a concurrent basis.
• Responsible for issue identification, issue validation, issue analyses, and initiates follow-up to assure loop closure that will improve clinical outcomes and patient care.
• Identify areas for improvement and education; develop educational programs and action plans to address quality issues identified in the trauma program.
• Oversees the collection, tracking and benchmarking of trauma PI issues related to patient care and system development.
• Correlates POPIMS outcomes and PI findings with trauma registry data for adherence to PTOS criteria, accuracy, and inter-relater reliability and educates registry staff as needed.
• Provides concurrent feedback and issue resolution to the trauma service and liaisons.
• Maintenance of the Trauma PI database (POPIMS) to ensure adequate documentation as required by PTSF.
• Ability to produce clear effective reports and track issues over time.
• Update POPIMS database daily using concurrent and retrospective review of patient care.

Skills

Nursing

Critical care

Trauma care

Education

BA/BS in Nursing

RN licensure PA

ACLS/PALS/ATLS-ATCN preferred

Master’s degree desired

Tools

POPIMS

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Performance Improvement Patient Safety Coordinator assists the Trauma Program Medical Director (TPD) and the Trauma Program Manager (TPM) in improving quality of trauma care throughout the continuum. Collaborates with the TPD and the TPM to implement and assure adherence to the Trauma Program’s Performance Improvement Patient Safety Program and the PTSF through concurrent and retrospective clinical and chart review of trauma patients. The work of the Performance Improvement Patient Safety Coordinator will facilitate this process with the Trauma Program Medical Director who will be ultimately responsible for the quality improvement program.

Effective continuous quality improvement programs depend upon concurrent monitoring of the events surrounding the care and outcome of injured patients. Rational decision-making aimed at improving trauma care must be based upon a detailed understanding of the causes, treatment, and outcomes of injury.

JOB DUTIES AND RESPONSIBILITIES:

• Coordinates the Trauma Performance Improvement (PI) Program for the hospital in collaboration with the Trauma Medical Director and Trauma Program Manager.


• Conducts patient rounds to review services and adherence to the PTSF standards.


• Utilizes clinical expertise to aggregate, assess and interpret information in order to evaluate the quality of clinical care.


• Review patient occurrences, user defined indicators, and audit filters with Trauma registrar and validate data on a concurrent basis.


• Responsible for issue identification, issue validation, issue analyses, and initiates follow-up to assure loop closure that will improve clinical outcomes and patient care.


• Identify areas for improvement and education; using this data to develop educational programs, action plans to address quality issues identified in the trauma program and to ensure follow through on these plans.


• Oversees the collection, tracking and benchmarking of trauma PI issues related to patient care and system development.


• Correlates POPIMS outcomes and PI findings with trauma registry data for adherence to PTOS criteria, accuracy, and inter-relater reliability and educates registry staff as needed to ensure required compliance for trauma center accreditation.


• Provides concurrent feedback and issue resolution to the trauma service and liaisons.


• Maintenance of the Trauma PI database (POPIMS) to ensure adequate documentation as required by Pennsylvania Trauma Systems Foundation (PTSF).


• Ability to produce clear effective reports and to track issues over time.


• Update POPIMS database on a daily basis using concurrent and retrospective review of patient care.

PHYSICAL AND SENSORY REQUIREMENTS:

• Sit up to six hours per day, for two hours at a time.


• Standing for up to two hours per day.


• Walking for up to one hour per day, ten minutes at a time.


• Continually uses fingers and hands to manipulate objects.


• Occasionally lift, carry or push objects up to 20 pounds.


• Hearing as it relates to normal conversation.


• Seeing as it relates to general vision, near vision, peripheral vision, and visual monotony.

EDUCATION:

• Required BA/BS Degree in Nursing RN Licensure in PA.


• ACLS/PALS/ATLS-ATCN preferred.


• Master’s degree desired.

TRAINING AND EXPERIENCE:

• 3-5 years' experience in either ER, Critical Care or floor that takes care of trauma patients.

St. Luke's University Health Network is an Equal Opportunity Employer. Founded in 1872, St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non‑profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue in excess of $4 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital. SLUHN is the only Lehigh Valley‑based health care system to earn Medicare’s five‑star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally. St. Luke’s is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row. Also, for the third straight year, St. Luke’s has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award. In 2025, St. Luke’s was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024. Lastly, in 2025, St. Luke’s was named a Top Workplace in New Jersey for the third year in a row.

Learn More Here.