Manager, Quality and Patient Safety

**OVERVIEW**

Reporting to the Director, Quality, Patient Safety and Operational Excellence, the Manager, Quality and Patient Safety plays a critical role in ensuring Michael Garron Hospital is a recognized leader in providing safe, reliable and effective care. In partnership with the Director and Medical Director, this role will have the opportunity to lead the Hospital's Quality and Patient Safety program and they have the following core responsibilities:

- Designing the organizational plan for Quality and Patient Safety,
- Promoting a high reliability quality and patient safety culture across the organization around Patient Safety
- Building capacity across the organization and leading organizational change to proactively improve Quality and Patient Safety.

By leading a team of professionals in Quality and Patient Safety, the Manager builds a collaborative and effective team to partner with departments, patients and providers across the organization to strengthen and sustain proactive systems to support safe, reliable and effective care. The Manager does this with an intentional ability to build psychological safety and embed principles of equity,

**PRIMARY RESPONSIBILITIES**
- Leads the development and implementation of the Quality and Patient Safety Plan
- Champions and fosters a high reliability culture focused on Quality and Patient Safety
- Provides staff education and training in Quality Improvement and Patient Safety
- Establishes performance metrics and benchmarks to monitor key quality indicators, analyzes data trends, and generates reports for senior management and regulatory agencies
- Manages and maintains Quality and Patient Safety policy and procedures and supports a

sustainable system for policy management at MGH
- Leads a sustainable approach to Accreditation readiness
- Leads Emergency Preparedness for the organization
- Oversees the implementation of quality assurance processes, including root cause analyses and the organizational incident reporting system
- Prepares reports, briefing notes and presentations for all levels of the organization
- Supports the prioritization and implementation of organizational Quality Improvement Plans
- Stays abreast of current issues and practices in Quality and Patient Safety
- Partners closely with the Medical Director, Quality and Research on the Quality and Patient Safety program at MGH
- Oversees, manages, and develops a team of Quality and Patient professionals
- Fosters a collaborative team culture rooted in trust, respect, psychological safety, equity, diversity, inclusion and belonging
- Oversees the incident reporting system and facilitates the development of improved systems for tracking, analysis, evaluating, reporting and communicating patterns of care and clinical outcomes with a focus on system/process improvement
- Builds strong and collaborative partnerships with departments across the organization, including with credentialed clinicians
- Facilitate the management of the hospital and program quality score cards
- Performs other duties as required

**EDUCATION**
- Registered Health Professional in good standing with their respective college
- Master’s degree in Health Administration, Business, or Engineering
- Certification in healthcare quality management (e.g., Certified Professional in Healthcare Quality -CPHQ) is highly desirable
- Completion of data analytics training, an asset

**QUALIFICATIONS**
- 10 years experience in healthcare, preferably hospital setting, required
- 5 years of Leadership experience (formal and informal experience will be considered)
- Experience managing a high-performing team
- Demonstrated leadership capabilities in driving organizational change, fostering a culture of quality and safety, and inspiring teamwork among staff members
- Expertise with using Microsoft Office (Outlook, PowerPoint, Excel, Word)
- Proficiency in data analysis to identify trends, patterns, and areas for improvement
- Excellent verbal, written and presentation communication skills
- Excellent critical thinking skills
- Group facilitation skills
- Organized and able to multi-task and prioritize effectively
- Deep understanding of systems, systems analysis techniques, values analysis process and

continuous improvement principles and tools
- Superior decision-making and organizational skills
- Ability to provide leadership, support and critical analysis in stressful, highly complex clinical and often emotional situations
- Able to build relationships internally and externally
- Up to date knowledge of current accreditation and regulatory landscape
- All employees of Michael Garron Hospital (MGH), a division of Toronto East Health Network (TEHN) [formerly Toronto East General Hospital (TEGH)] agree to work within the legislated practices of the Occupational Health and Safety Act of Ontario.
- All employees of MGH are responsible to contribute to a transparent culture of patient and staff safety by adhering to and abiding by patie