Manager, Diagnostic Imaging, Diagnostic

Full-time, permanent
Position summary
Reporting to the director, accreditation programs, the manager, diagnostic imaging is responsible for providing leadership and management for the overall development, maintenance and delivery of the diagnostic imaging accreditation program. The manager provides leadership to diagnostic imaging program staff to ensure planned assessment activities are conducted by qualified, trained personnel. The manager also provides leadership to staff in conducting research and evaluating, maintaining and developing standards for the diagnostic imaging program.
Duties and responsibilities

**Duties include but are not limited to the following**:
Assessment management
- ensure an accreditation schedule is developed for each facility/service including reference to any regional/corporate structure models
- ensure initial assessments of new services/facilities are completed in a timely manner
- ensure all components of the on-site assessment are completed in a timely manner, e.g. technical, management and medical components
- ensure desktop audit submissions are reviewed, evaluated and followed up as required
- ensure focused assessments are conducted in a timely manner
- ensure knowledge of any significant issues arising during the assessment are responded to and reported to the director or deputy registrar in a timely manner

Assessing performance of facilities
- ensure the appropriate evaluation of performance to the DAP accreditation standards

Accreditation report and award
- ensure accreditation reports are produced in a timely manner
- ensure reports identify best practices, opportunities for improvement, and nonconformances with associated time frames for submission of corrective actions
- monitor post-assessment activities to address nonconformances and work with the facility to ensure implementation within established time frames
- ensure the timely creation of assessment reports, recommendations, briefing notes and documents requiring review and decision by the DAP Committee

Assessor management
- maintain a roster of assessors by recruiting an appropriate number and skill mix, selecting and appointing assessors in accordance with competency-based selection criteria and program requirements
- define peer assessor responsibilities and expectations through a contract or agreement
- ensure the selection of an appropriate number and skill mix of assessors to complete the assessment activities
- manage the ongoing education program for assessors

Client relationships and communication
- establish and maintain effective relationships and ongoing communication with facilities and organization leaders
- respond to client enquiries and complaints and when needed, escalate to the director/deputy registrar

Educational program
- identify learning needs of client organizations related to the accreditation standards, accreditation processes and cycle
- develop, implement and evaluate education plans to address learning needs of DAP facilities and assessors

Standards management
- identify time frames for standards development
- ensure a formal review process is completed to identify the need for new or revised standards
- identify objectives, parameters and time frames for new accreditation program development
- form advisory committees to support standards development
- ensure advisory committee agendas and meeting materials are developed
- ensure that a record of decisions made by the advisory committees, minutes, agenda and briefing notes are maintained
- ensure the advisory committees’ decisions are implemented in a timely and effective manner
- ensure the accreditation standards, criteria, criteria descriptors, reference material, mandatory requirements timelines, and evidence submission documentation are maintained
- ensure the development of assessor protocols and other assessment tools, e.g. initial assessment and focused visit protocols
- ensure the creation of associated education and supporting material
- ensure that transitional strategy for implementation of revised standards is identified, implemented and followed
- ensure organizations have access to the most recent edition of the applicable accreditation standards, tools and processes

Human resource management
- recruit and select program staff
- ensure appropriate orientation of program staff, set performance expectations, assess performance and oversee performance plans
- train, coach and develop program staff
- report any human resource issues to the director

Quality improvement
- participate as a member of the AP (Accreditation Program) Quality Improvement Committee
- support continuous improvement by participating in internal audits, management of nonconforming events, document and records management, and other elements of the quality management system
- support the successful participation in external accreditation activities
- develop and implement policies, procedures, standardized processes and templates under