Project Coordinator, Accreditation

Position Profile:
**Build your career at the hospital that’s building for the future**

Humber River Hospital is committed to revolutionizing patient care for our diverse community. With the opening of our new facility, North America’s first fully digital hospital, scheduled for October 18, 2015, the future is very exciting for our people and programs. And we’re looking for exceptional individuals to join our great team: people who share our passion to deliver excellent, patient-focused, expert care. The Hospital is formally affiliated with both the University of Toronto and Queen’s University.

We currently have an exciting opportunity for a **Temporary Part Time** **Project Coordinator, Accreditation **to join our Quality & Patient Safety Department for approximately 18 months.

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**Hours of work**:15 hours per week (e.g. two out of five days per week)

**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

**Please be advised that in order to be eligible for employment at Humber River Hospital, all new hires must have received the full series of a COVID-19 vaccine or combination of COVID-19 vaccines approved by Health Canada (e.g., two doses of a two-dose vaccine series, or one dose of a single-dose vaccine series); AND have received the final dose of the COVID-19 vaccine at least 14 days prior to the hired employee’s first date of employment Medical exemptions or any other kind of requested exemption based upon the Hospital’s obligations pursuant to the Ontario Human Rights Code will be considered on a case-by-case basis