Coordinator, Accreditation

2 weeks ago

Barrie, Canada Royal Victoria Regional Health Centre Full time

**Job Description**:
Reporting to the Manager, Risk Management & Accreditation, this position will support our partner organizations, Georgian Bay General Hospital and Collingwood General and Marine Hospital.

The position works across multiple organizations and with external parties (insurance companies, legal firms, other hospitals, vendors, etc.). Responsibilities may vary between organizations and have been outlined below:

- Ensuring ongoing compliance with Accreditation Canada Standards and Required Organizational Practices
- Leading Accreditation activities including self-assessments, Patient Safety Culture Survey, creating action plans, etc.
- Liaison between organization and external parties (insurance companies, Accreditation Canada, other hospitals, vendors, etc.).
- Identifying, assessing, mitigating, and monitoring risks (clinical and non-clinical for GBGH)
- Supporting staff with warrants, subpoenas and Statements of Claims for GBGH
- Developing and providing education to leaders and frontline staff for Accreditation and Risk Management
- Policy Management and oversight for CGMH
- Support process and follow up for the Incident Management System (IMS) including alerts and recalls
- Ensure ongoing compliance with legislation and legislation changes

**Education**:

- Undergraduate Degree - Mandatory
- Health Law Certificate - Preferred
- Quality Management Certificate - Preferred
- PMP, Six Sigma, LEAN Certification - Preferred
- Certified Risk Manager - Preferred

**Experience**:

- Must have supported one Accreditation survey in an acute healthcare setting
- Minimum of five years experience in an acute care healthcare setting
- Minimum of five years working with acute healthcare legal and insurance claims
- Minimum of three years identifying and managing risk in an acute healthcare setting
- Minimum of three years of demonstrated investigation and negotiation skills
- Minimum of three years of working knowledge of risk management, risk mitigation, privacy, legislation, standard of care and best practice guidelines
- Minimum of five years of experience making independent decisions, creating contingency plans, developing action plans, etc.
- Minimum of five years of proven assessment, critical thinking and problem solving skills.

**Competencies**:

- Knowledge of Accreditation Canada standards and Required Organizational Practices
- Knowledge of current legislation of Governing Health Care Facilities (e.g. Public Hospital Act, Mental Health Act, Quality of Care Information Protection Act, and the Coroners’ Act, ECFAA, FIPPA)
- Knowledge of Health Law and healthcare insurance policies
- Ability to engage stakeholders at all levels of the organization
- Training in risk management and mitigation, project management methodology and lean methodology
- Working knowledge of patient incident reporting systems including a consistent incident follow up system
- Strong training and presentation skills
- Demonstrated experience working in fast paced department adjusting to mandating changes
- Proficient at Microsoft word, excel and power point

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