Job Summary:

In accordance with the Purpose, Vision, Values and Coast Salish Teachings, and strategic directions of PHSA, safety, including both patient and employee safety, is a priority and a responsibility shared by everyone at PHSA. As such, the requirement to continuously improve quality and safety is inherent in all aspects of this position.

Reporting to the Director, the Leader Patient Safety, Quality & Accreditation assists the Director with planning, implementing, coordinating and monitoring program-specific, population-based quality and performance improvement programs, focusing on maintaining an environment of continuous improvement. The Leader collaborates with clinical and administrative leaders and staff within the program and across PHSA agencies to prioritize improvement projects, and develops, implements, monitors, and evaluates the processes.

Duties/Accountabilities:

• Works with program staff to develop, implement, and evaluate clinical service outcomes and performance; prioritize quality initiatives based on program functions, needs and performance measurement system; plan, develop and implement Patient Safety and Quality Improvement education, initiatives and materials including evaluation and PS&QI sustainment tools.

• Ensures quality and safety activities are in alignment with accreditation requirements. Provides accreditation education to program staff as required. Leads program level actions to respond to recommendations arising from accreditation surveys, and to address new accreditation requirements.

• Leads retrospective reviews such as Root Cause Analysis, and/or prospective reviews such as Failure Modes Effect Analysis, necessitated by safety events, critical incidents or process issues related to the program; monitors the culture of patient safety through methods such as reviewing patient safety culture survey results and creating action plans to lead improvements.

• Educates program staff regarding regulatory issues, new statutes and/or guidelines, and safety, quality, and risk management activities.

• Contributes to continuous quality improvement of PHSA programs through methods such as identifying and evaluating new initiatives, developments and trends in patient safety, & quality & accreditation, participating in corporate lead process improvement initiatives Performs other related duties as assigned.

Qualifications:

A level of education, training and experience equivalent to a Master’s degree in Nursing, Health Administration, related health discipline or other relevant area plus five (5) years of clinical practice in a program area including experience in leadership and quality and safety.

• Knowledge and expertise in Quality Management, Performance Improvement, Patient Safety and Accreditation standards preferred. Working knowledge of legal, ethical, and clinical issues associated with standard of care practices, and Accreditation Canada requirements. Working knowledge of evaluation techniques and methodologies including statistical analysis methods and presentation of information. Demonstrated analytical and problem-solving skills with a global perspective in order to incorporate the organization’s systems and strategies when developing viable solutions to program problems.