Accreditation Assessment Officer, Diagnostic

8 months ago

Vancouver, Canada CPSBC Careers Full time

Full-time, permanent
Position summary
Reporting to the manager, diagnostic imaging, the accreditation assessment officer (AAO), diagnostic imaging, has responsibility for assessing the performance of the diagnostic service facilities, in British Columbia for the purposes of accreditation.
Primarily focused on diagnostic imaging facilities, the AAO will also perform their duties in other diagnostic services.
Through on-site assessments of the diagnostic imaging facilities, the AAO writes assessment reports identifying best practices evidenced, opportunities for improvement, and follow-up actions required to address nonconformances. In conducting the assessments, the AAO provides education and shares best practices for the purposes of improving quality and safety.
In the capacity of accreditation assessment officer, this position has delegated authority to review and sign off on evidence submitted in response to nonconformances, and to make recommendations for accreditation awards to the Diagnostic Accreditation Program (DAP) Committee.
Duties and responsibilities

**Duties include but are not limited to the following**:
Assess diagnostic service facility performance
- assess the performance of the diagnostic imaging facilities in British Columbia for the purposes of accreditation

Perform pre-assessment activities
- assist in the development of an accreditation strategy and schedule for each diagnostic service facility including reference to any regional/corporate structure models

Perform on-site assessments
- review and evaluate evidence submissions from diagnostic imaging facilities in accordance with DAP assessment policies and procedures
- conduct on-site assessments in accordance with DAP assessment policies and procedures
- follow up with diagnostic imaging facilities, as required, for further information or clarification of submitted information
- provide education and share best practices for the purposes of assisting the diagnostic imaging facilities to continually improve safety and quality

Perform post-assessment activities
- prepare reports resulting from the on-site assessments
- identify nonconformances to be addressed by diagnostic imaging facilities with associated time frames for completion
- perform the technical quality review of reports for the other diagnostic imaging accreditation assessment officers
- submit reports to the manager, diagnostic imaging within the time frame defined in the DAP service standards
- make recommendations to the DAP Committee on the appropriate level of accreditation award for diagnostic imaging facilities assessed

Perform the activities of an accreditation officer
- conduct initial assessments of new diagnostic imaging facilities and prepare initial assessment reports
- conduct relocation assessments as required and prepare relocation assessment reports
- conduct focused visits as required and develop focused assessment reports documenting findings from the focused visit and any recommended courses of action
- conduct focused desktop assessments as required and develop focused assessment reports documenting findings from the focused visit and any recommended courses of action
- review submissions from diagnostic imaging facilities in response to nonconformances and determine whether the facilities have demonstrated compliance to the accreditation standard
- review extension request submissions from diagnostic imaging facilities in response to cited nonconformances and determine whether the timeline to the cited nonconformance can be extended as per request
- follow up directly with the facility as required to clarify information or ask for additional information
- document the assessment demonstrating compliance to the nonconformance, or a recommended course of action to be taken by diagnostic imaging facilities
- communicate and work effectively with the manager, diagnostic imaging and accreditation specialist as it relates to these assigned duties
- provide reports and documentation in a timely and prescribed manner to the manager, diagnostic imaging

Other general duties
- assist with the maintenance of facility profiles, key contact lists, etc. to ensure information is current, accurate and reliable
- assist in the continuous development and maintenance of accreditation methodologies, standards, protocols, processes and tools
- participate in communication and representation activities
- facilitate meetings, forums, focus groups and workshops
- contribute to the development and maintenance of educational programs
- deliver educational programs assigned
- attend meetings and functions at the direction of the manager, diagnostic imaging
- perform related duties as assigned

Decision-making
- identify best practices, opportunities for improvement, and follow-up actions required to address nonconformances
- make recommendations for accreditation awards to the Accreditation Program Committee

Accountability
- inform the manager, diagnostic imaging of any qu

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