(Full-Time Temporary) Quality Improvement and Accreditation Leader

POSITION SUMMARY:

This onsite Quality Improvement and Accreditation Leader is a strategic and tactical partner in helping to create a culture of continuous quality improvement at Ontario Shores and plays a key role in supporting the organization to advance the quality of care and ensures readiness as we continue preparing for the onsite Accreditation Survey in May 2025.

You are people centered, an excellent communicator, and thrive on guiding and informing others on topics such as quality improvement and patient safety. You look at things and respond with an eye for continuous quality improvement. You are flexible and can pivot as needed by staying positive, engaged in the work you do and energized by the difference you’re making.

Together with the Manager, Quality, Recovery and Patient Experience, the Quality Improvement and Accreditation Leader will advance a culture of learning and continuous quality improvement in collaboration with key stakeholders as well as ensure compliance with Accreditation standards and required organizational practices at Ontario Shores.

KEY DUTIES AND RESPONSIBILITIES:

• Work closely with leaders and teams to facilitate, guide, and support the planning, coordination and implementation of Quality and Accreditation-related activities according to the workplan
• Facilitate and manages the, development, implementation and monitoring of quality improvement initiatives.
• Continuously advance operational effectiveness through the coaching and training of staff in the use of continuous improvement tools and methodologies.
• Build, manage, and ensure implementation of an effective QI system that leads to positive and measurable impact on the quality of care provided by Ontario Shores.
• Coordinate with Managers/Directors to develop and implement QI initiatives and act as a knowledge expert and resource for the evaluation of QI projects within their programs and portfolios to ensure strategic alignment and optimal use of resources.
• Lead, train, and monitor quality initiatives, identify and evaluate root causes for project issues, and recommend innovative strategies for improved outcomes;
• Analyze, track, trend, and follow-up on organizational performance data and metrics in order to make recommendations.
• Monitor quality improvement activities, identifies and evaluates root causes for performance shortfalls and gaps and recommends corporate strategies for improved outcomes.
• Provide guidance on the annual quality improvement workplans for each Quality and Recovery Council
• Ensures continuous alignment with Accreditation standards and required organizational practices transitioning to the Qmentum Global Program
• Collaborates with programs and other corporate support areas such as Data and Analytics, Enterprise Risk Management, Professional Practice etc. to support the Accreditation process and corporate indicators

• Lead the planning, implementation and monitoring of the Accreditation continuous readiness to embed compliance with Accreditation Standards, Required Organizational Practices, and surveys into the organization’s day-to-day activities and culture; in addition to providing management support to various governance structures and act as the liaison to identify needs and provide ongoing support through training and preparatory reviews
• To develop recommendations to present to executive sponsors and or their delegates
• Support and facilitate meaningful engagement of all stakeholders, including early identification and management of conflicting priorities
• Ensure development and use of appropriate mechanisms to measure and evaluate performance, processes, and outcomes
• Act as a resource to staff to provide to assist them in understanding and meeting the Accreditation Canada Standards and ROPs applicable to them;

• Assist Quality and Recovery Councils and teams in identifying relevant Accreditation Standards and ROPs and opportunities for improvement.
• Conduct mock tracers with staff to ensure deep understanding of tests for compliance and process standards.
• Coordinate the evaluation and impact that system improvements have on Ontario Shores’ core health services and functions.
• Ensure that the needed data is collected on a timely basis, regular reports on progress prepared and distributed and make recommendations for future improvements based on data.
• Identify the appropriate business owner and stakeholders within the organization to pro-actively identify and implement solutions and action plans.
• Monitor changing priorities, trends, legislative requirements and/or other internal and external emerging issues and analyses their potential impact on the corporate quality and patient relations goals, priorities and activities.
• Develops in-depth knowledge/understanding of current trends, makes specific and actionable recommendations for improvement and provides intensive guidance and coaching based on knowledge of the team’s needs.

• Perform cross functional and other duties assigned and/or requested.

QUALIFICATIONS:

• Master’s degree in Health Science, Business or Health Administration.
• Minimum of 3-5 years’ experience in healthcare; Patient Experience, Quality Improvement and Project Management.
• Formal training (certification preferred) in improvement methodologies (LEAN, Six Sigma, IHI Model for Improvement, Project Management).
• Expertise in Quality Improvement Tools (PDSA, Process Mapping/Flow Diagrams, Cause and Effect Diagrams, Pareto Charts, Creativity Methods, Affinity Diagrams, Force Field Analysis, Tree Diagram, Run Charts, Shewhart Charts etc.).
• Expert knowledge of Accreditation Canada Standards, Required Organizational Practices and Accreditation Canada processes and have experience leading teams in preparation for Accreditation Canada surveys (preferably in a hospital environment).
• Efficiency in Word, Excel, Access, Power Point, Visio, SPSS, Chart Runner, Canva, Mural or other collaborative intelligence platforms
• Excellent strategic thinking skills and ability to demonstrate value to various key stakeholders.
• Proven leadership skills and experience and effective change agent.
• Ability to inspire/influence others to believe in a culture of continuous quality improvement and learning.
• Ability to handle job-related matters in a professional, diplomatic and confidential manner.
• Strong problem solving, analytical, organizational, interpersonal and customer service skills.
• Highly organized, attentive to detail and task-oriented as demonstrated by previous work experience.
• Demonstrated ability to prioritize, align and oversee multiple projects and competing demands.
• Excellent written and verbal communication skills including the ability to facilitate workshops, make compelling presentations to diverse audiences.
• Comprehensive knowledge of evaluation measures to ensure sustainability.
• Proven ability to work collaboratively to ensure adequate resources are brought to bear to meet client needs throughout the organization.
• Fluent in principles of Adult Education.
• A body of knowledge that is theoretical, ethical, practical and clinical.
• Sound working knowledge of advocacy and ethics principles, corporate mission, vision, values and related healthcare legislation

Contract: 12 months

Ontario Shores is dedicated to fostering equitable employment opportunities and encourages applications from all qualified individuals. We are committed to supporting candidates requiring accommodations and invite you to inform us of any needs during the recruitment process.

We welcome applicants who embrace respect and are dedicated to collaboratively cultivating an inclusive environment where everyone feels a sense of belonging. We particularly encourage applications from individuals who have encountered historical or current barriers to equity.

Job Posting Closing: October 25, 2024 at midnight. Please note any job applications after the closing date will not be considered.