Coordinator Operational Excellence

3 weeks ago


Toronto, Canada St. Michael's Hospital Full time

Unity Health Toronto, comprised of Providence Healthcare, St. Joseph’s Health Centre and St. Michael’s Hospital, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in world-class research and education. Join our team in our mission to continue to put patients and families at the centre of everything we do, in the role of Coordinator Operational Excellence.

The role of the Coordinator Operational Excellence includes accountabilities and responsibilities for Policy and Procedures, Accreditation and the Improvement Team. The Coordinator serves as Unity Health Toronto’s Policy and Procedure system expert and plays a key role in the coordination of continuous improvement initiatives and Unity Health Toronto’s accreditation planning and preparation for its on-site survey and sustainability plan. This role is a Unity Health Toronto position with accountability across all sites in the organization.

**Activities**:

- Provide input into ongoing development of a document management system/platform (e.g. interfaces, functional requirements, authorities and permissions, monitoring needs, etc.);
- Liaise with IT and Vendor regarding problem identification and resolution, and future system development
- Fulfils the “administrator” function role and serves as the single point of entry for documents entering the electronic document management system for publishing and archiving
- Coordinates the harmonization, updating, development and review of all policies and procedures
- Supports and provides advice on use of the policy and procedure system including “process expertise” for the development, approval, implementation, updating and archiving of policies
- Develops, revises and communicates the guidelines and reference material for policy and procedure development, review, updating, approval, implementation and evaluation;
- Develops and revises the standard operating procedures for the policy and procedure system
- Develops/revises templates, supporting material and corresponding instructions for the policy and procedure system
- Develop, deliver and evaluate different modes of education as required
- Maintains the evolution of policy and procedure system through evaluation and improvements including monitoring the system from a quality assurance and continuous improvement lens
- Keeps updated on literature and research on document management best practices and health care service design
- Participate in formal service and system design/planning activities, as necessary.
- Conducts needs assessments, environmental scans and develops and implements action plans to address gaps as appropriate
- participates in and provides support to Operational Excellence team quality improvement initiatives
- Acts as primary point of contact to support the organization in its Accreditation preparation and sustainability plans
- Coordinates and manages all Accreditation-related activities from end to end to ensure the delivery of all milestones;
- Act as a resource to staff providing advice and support to all clinical and non-clinical programs, services and departments to help them understand and meet the Accreditation Canada standards and Required Organizational Practices;
- Guides the organization and staff through the Self-Assessment Questionnaire based on Accreditation Standards in order to prioritize areas requiring further work so that they can be addressed prior to the on-site survey.
- Tracks status and reports on ongoing compliance with Accreditation Canada standards and Required Organizational Practices;
- Develops and distributes summary reports to leadership and staff;
- Manages ongoing Accreditation Canada survey requirements, requests, and submissions;
- Responsible for developing and updating educational and communication materials related to Accreditation
- Coordinate logistics associated with the on-site survey and manages the follow-up of all recommendations arising from the same;
- Coordinates mock tracers and activities including identification and summary of areas of watch and concern;
- Responsible for providing all required elements to the onsite survey team prior to the survey;
- Responsible for assisting and supporting the survey team to conduct their evaluation of the organizations clinical and administrative processes
- Responsible for summarizing the results of the accreditation survey report, coordinating next steps based on report recommendations, and distributing summary reports to leadership and staff;
- Supports the development and implementation of the sustainability plan;
- Other duties as assigned.

**QUALIFICATIONS**
- Undergraduate degree in Quality, Improvement, Information Management or relate



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