Manager, Clinical Risk and Safety

Position Summary Quinte Health is committed to providing a safe and secure environment for all patients, visitors, physicians, students and volunteers, and is committed to providing high quality care. The Manager of Quality and Risk is responsible for maintaining oversight of clinical risk within the organization and supporting Quinte Health with risk management activities including assessment, analysis and mitigation of risks to minimize the likelihood of consequences of identified risks. This role works with Quinte Health senior leadership, management, physicians and staff to determine whether identified risks are significant and whether sufficient controls and/or contingencies are in place. The Manager of Quality and Risk supports the leadership team to develop and implement a risk management framework to ensure consistency in approach to risk assessment, risk management and risk mitigation. The results of decisions, actions or advice by the Manager of Quality and Risk could have significant consequences typically affecting the long‑term performance and reputation of the hospital. The mandate of this position is achieved by working collaboratively with both internal and external stakeholders, and through planning, development, implementation, integration and evaluation of organizational processes. Required Undergraduate Degree in Health Sciences field of study 3-5 years of experience in quality improvement in health care 3-5 years of experience in a healthcare/clinical environment with knowledge of hospital operations Patient Safety Officer Certification (or commitment to complete within a year) Canadian Risk Management Certification is an asset LEAN/Six Sigma Black Belt certification is an asset Knowledge of legislation and regulatory environment applicable to hospitals and healthcare including the Excellent Care for All Act, Quality of Care Information Protection Act and Privacy Act, and The Public Hospitals Act Familiarity and demonstrated commitment to Just Culture Demonstrated experience with data/performance measurement, indicator development and analysis pertaining to risk, quality and patient safety Demonstrated knowledge and experience of the application of quality improvement tools such as process mapping, performance and change management, and rapid cycle improvement Experience with reviewing and interpreting health records Knowledge and demonstrated experience with policy and procedure development Demonstrated effective communication with the healthcare team, patients & families Demonstrated ability to function effectively and independently Familiarity with Accreditation Canada mandate and standards Proven interpersonal and conflict management skills Demonstrated analytical, problem‑solving, critical thinking/decision‑making knowledge/skills with the ability to identify trends, establish benchmarks and provide analysis and recommendations Experience and knowledge with electronic clinical incident management systems Program design, development and presentation skills Exceptional computer/technology skills Duties Supervisory In conjunction with the Director, select, hire, promote, transfer, discipline, terminate and manage all staff members within the service Use the performance appraisal program to evaluate and improve staff performance Support the professional development of staff including provision of educational programs and continuing education opportunities Determine orientation needs of staff and coordinate the orientation program Determine the appropriate resource requirements to meet the needs of the service through appropriate benchmarking & utilization management Participate with the Director to develop corresponding operating budgets and monitor resource utilization and financial performance where required Risk Management Co‑design the risk management framework for the organization which includes HIROC Risk Assessment and legislation compliance Establish, communicate and facilitate the use of appropriate risk management methodologies, tools and techniques Co‑ordinate risk management support to the organization, programs and individuals by facilitating external legal counsel, ensuring regulatory and policy compliance, consulting and providing direction on emerging and evolving risk issues, participation in law enforcement matters where appropriate, oversight of routine reporting Collaborate with the Manager of Planning and Performance to design risk management programs within their areas, including risk related performance measures Oversee insurance claim management: centralized administration of liability, receive notifications of claims, identify and report actual/potential clinical claims to the insurer, coordinate internal and external support resources, support investigation of claims, monitor claims activity and maintain a claims database Manage communication to appropriate parties regarding liability claims, support interviews with claims adjuster and preparation for discovery, respond to requests for information to support the defense in liability claims, provide regular updates to leadership and oversee reporting obligations Oversee Quinte Health’s event reporting system and monitor process for management and notification of product/equipment alerts and recalls Quality of Care Lead and support physicians and staff through the quality review process, including establishing a safe environment for participation, information gathering, interview techniques, development of the timeline, root cause analysis, developing recommendations and post‑implementation evaluation of recommendation efficacy Collaborate with internal stakeholders to ensure internal quality and patient safety activities are aligned with external initiatives and obligations (e.g., Healthcare Excellence, MOHLTC, Canadian Patient Safety Institute) Research current evidence and best practices, consult experts on patient safety and quality improvement tools, integrate new knowledge into improvement activities Work with the Patient Safety Specialist and Patient Experience Specialist to identify and mitigate patient experience and safety issues arising from medical and legal processes Share knowledge and achievements with external partners and promote a culture of safety and quality improvement through strong leadership, coaching and mentoring at all levels Accreditation Support for Organization Provide coaching and oversight for Quinte Health’s Accreditation Coordinator ensuring compliance with Accreditation Canada standards and Required Safety Practices (RSPs) Support Accreditation Coordinator to execute Accreditation Canada survey logistics (overall project management, team coordination, meeting accountability and information submission deadlines) Monitor and support teams in implementing new processes and practices to maintain compliance with Accreditation Canada standards and RSPs Support the development and integration of Accreditation Canada standards into operational planning of the organization Assist directors, managers and direct‑care physicians and staff to integrate Accreditation Canada standards by addressing patient experience and safety issues identified through self‑assessments Physical Demands Analysis Strength Required rarely – lifting average 5–10 pounds; maximum 15 pounds, carrying, pushing/pulling Mobility Required often – prolonged sitting Required occasionally – standing and walking on hard surfaces, bending/stooping Dexterity Required often – prolonged fine finger movements Required frequently – gripping/grasping, eye/hand coordination Required briefly – reaching with both hands Equal Opportunity Quinte Health is an equal opportunity employer committed to meeting the needs under the Canadian Charter of Rights and Freedom and the Ontario Human Rights Code. Our recruitment process follows the Accessibility for Ontarians with Disabilities Act to provide a fair and equitable process for all candidates. Applicants requiring accommodation through the recruitment/interview process are encouraged to contact the Human Resources Department at 613‑969‑7400 x2577. #J-18808-Ljbffr