Director of Organizational Excellence and Ethics

Reporting to the Executive Director of Quality Care, Patient Safety, and Ethics, the **Director of Organizational Excellence and Ethics** is responsible and accountable for managing the strategic planning, monitoring, and implementation of Health PEI’s accreditation process, quality improvement strategy and ethics programming across Health PEI. The Director is responsible for ensuring Health PEI has processes and functional electronic databases for the collection of patient safety incidents, patient and family feedback using the (Provincial Safety Management System (PSMS) and for the submission of health research proposals for Health PEI (Synto Research proposal database).

**Duties include**:

- Responsible and accountable for managing the strategic planning, monitoring, and implementation of Health PEI’s accreditation process, quality improvement strategy and healthcare ethics programs.
- Responsible for leading the organization through the accreditation process on a continuous schedule for achieving, maintaining and/or reporting on required Accreditation Canada organizational practices and standards across Health PEI programs and services.
- Provide expert advice to all programs and services provided by Health PEI on the interpretation of Accreditation Canada standards and their implementation.
- Maintain ongoing communication with the Accreditation Canada National Office to ensure Health PEI is informed of the most recent changes to Accreditation Canada standards and accreditation processes.
- Responsible to communicate across the entire organization (Board, Executive Leadership Team and Quality Improvement Teams), the most current accreditation standards.
- Lead the preparation for Accreditation Canada onsite survey visits by developing guidelines for mock surveys and when possible by participating in mock surveys with program managers, implementing and developing the communication plan and supporting materials, and coordinating survey schedules and meetings.
- Lead, support, guide and collaborate with the Health PEI Leadership Quality Improvement Team to develop a leadership workplan and quality initiatives related to Accreditation Canada’s Leadership standards.
- Participate as a non-voting member of the Health PEI Board Quality and Safety Subcommittee to provide education and guidance on accreditation processes, Accreditation Canada Governance Standards and to assist in informing the Board’s Quality Improvement workplan.
- Monitor patient safety incident trends/themes in all program/service areas and identifies opportunities to coordinate quality improvement initiatives related to ROPs or high priority standards.
- Responsible to ensure appropriate educational/training resources related to Accreditation Canada processes, standards, required organizational practices, and Quality Improvement methodology etc. are developed and updated.
- In collaboration with the Director of Quality and Patient Safety plan, resource and lead, as appropriate, quality initiatives at all levels of the organization.
- In collaboration with the Transformation Office and the Director of Quality and Patient Safety this position is responsible for leading overall quality improvement strategy inclusive of designing front-line management system and improvement methods for Health PEI.
- Develop and review broad quality improvement policies on a regular basis.
- Assist in the development of quality indicators that are aligned with strategic plan
- In collaboration with the Director of Quality and Patient Safety promote and guide all program Quality Improvement Teams to develop, monitor and report appropriate indicators (promoting the adoption of national indicators) to measure and improve quality and patient safety across Health PEI.
- Responsible for coordinating a bi-annual Quality and Patient Safety Learning Exchange conference to showcase and share information on quality initiatives occurring in Health PEI programs and services.
- Develop and maintain effective, collaborative working relationships with Health PEI leadership, Health PEI Board of Directors, all levels of management, staff and physicians.
- Promote effective working relationships with other national organizations that directly impact the programs and services of the Quality, Patient Safety and Professional Practice Division (e.g., Canadian Nurses Association, Healthcare Excellence Canada, Atlantic Quality Council, Canadian Institute for Healthcare Improvement, Nova Scotia Health Ethics Network etc.).
- Responsible and accountable for the staff within this division.
- Responsible for all activities involved with the PSMS/Synto software systems including financial, strategic direction, future upgrades, system optimization and implementations while ensuring the day to day functioning of the PSMS and Synto systems.
- Responsible for the clinical and organizational ethics program which supports staff with ethical issues related to clinical care.
- Work in partnership