Project Coordinator, Accreditation

6 months ago

Toronto, Canada Humber River Health Full time

Position Profile:
**Humber River Health. Lighting New Ways In Healthcare.**

Since opening our doors in 2015 as North America’s first fully digital hospital and we remain unwavering in our belief that we can change the hospital where we work, the community where we live, and the world of healthcare beyond our borders. Serving a community of 850,000 residents in North West Toronto, Equity Inclusivity and active participation in the North West Toronto Ontario Health Team are key initiatives important to our Team. At Humber River Health, we use a custom combination of technology and clinical expertise to rebuild elements of care. We make technology work for staff and physicians; giving them more time to spend with patients, to eliminate inefficiencies, and to reduce the chance of errors. Humber River Health is formally affiliated with both the University of Toronto and Queen’s University and committed to becoming a community academic hospital. Clinical Excellence, Optimizing Care through Technology and Community Connection frame our Research Strategy.

At Humber River Health, we’re not hoping for a renaissance, we are making it happen. As part of our dynamic team, you can lead the way, as we continue our journey towards high reliability care

We currently have an exciting opportunity for a **Permanent Full Time** **Project Coordinator, Accreditation **to join our Quality & Patient Safety Department.

**Reporting Relationship**:Director, Quality & Patient Safety

**Location**:Humber River Health - Wilson Site

**Hours of work**:Days, occasional evenings/weekends

**Union**:Non-Union

**Responsibilities**:

- To conduct gap analysis, identify opportunities for improved compliance with Accreditation Canada standards and requirements, and develop strategies to mitigate gaps to recommend action plans for senior leadership decision-making
- Develop strategies to meet and exceed Accreditation Canada standards (e.g. risk management, patient safety, ethics, quality improvement program)
- Conduct gap analysis to identify opportunities to improve compliance with professional standards, policies and processes, and clinical and operational approaches; recommend action plans to close gaps for senior leadership decision making
- Coordinate and prepare for work of Accreditation Canada surveyors; coordinate accreditation activities with Accreditation Canada
- Develop and propose recommendations to improve compliance and meet or exceed Accreditation Canada requirements for SMT approval
- Audit and analyze policies, processes, professional standards, and patient safety requirements for evidence-based decision-making
- Influence how to close gaps in professional practices, policy and process compliance, and other Accreditation Canada requirements in collaboration with clinical and operational leadership teams; develop proposals for implementation for Accreditation Committee approval
- Lead accreditation projects in collaboration with Program Directors (i.e. project sponsors), leadership teams, and required organizational practice (ROP) leaders
- Lead teams for Accreditation Canada standards (Required Organizational Practices)
- Ensure organizational alignment with Professional standards arising from regulatory colleges for regulated health professionals and other regulated professionals
- Ensure organizational alignment with reporting requirements and legislation set out by the Ministry of Health and Long Term Care (MOHLTC)
- Ensure organizational alignment with Union collective agreements
- Accessibility for Ontarians with Disabilities Act (AODA), Occupational Health & Safety Act (OH&A), Workplace Hazardous Materials Information System (WHMIS)
- Freedom of Information and Personal Privacy Act (FIPPA), Personal Health Information Protection Act (PHIPA), Personal Information Protection and Electronic Documents Act (PIPEDA)
- Update corporate operational policies and procedures in partnership with departmental administrative and physician leaders

**Requirements**:

- Masters degree in Health Administration or related field
- Minimum 10 years of experience leading acute care operations and extension knowledge of hospital operation
- Experience with leading audit programs and physician education programs
- Experience leading complex organization wide projects with proven successful internal and external stakeholder engagement
- Proven ability to work with all levels of management including Program Directors, Senior Management Team and Chiefs of Services
- Knowledge and applied experience in Patient safety, patient experience, quality and risk, FMEAs, and project leadership
- Tact and diplomacy, negotiation, consultation, interpersonal, critical thinking, problem solving, analysis, organization, detail minded
- Advance MS Office (Outlook, Word, Excel, PowerPoint, etc.) skills

**Why choose Humber River Health?**

At Humber River Health, our staff, physicians, and volunteers are lighting new ways in healthcare. We are proud to

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