Quality Improvement and Accreditation Leader - Whitby, Canada - Ontario Shores Centre for Mental Health Services

Sophia Lee

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Description
***: The Quality Improvement and Accreditation Leader is a strategic and tactical partner in helping to create a culture of continuous quality improvement at Ontario Shores and plays a key role in supporting the organization to advance the quality of care and ensure continuous readiness for Accreditation. Together with the Manager, Quality, Recovery and Patient Experience, the Quality Improvement and Accreditation Leader will advance a culture of learning and continuous quality improvement in collaboration with key stakeholders as well as ensure compliance with Accreditation standards and required organizational practices at Ontario Shores.

Ontario Shores will be going through our next Accreditation round in Spring 2025. This role initially will be fully allocated to support preparation for this upcoming Accreditation. The organization will transition thereafter to a continuous monitoring process through the Qmentum Global Program. Assignments and allocations for this role will support both Accreditation and quality improvement within the organization.


KEY DUTIES AND RESPONSIBILITIES:


  • Work closely with leaders and teams to facilitate, guide, and support the planning and coordination of Quality and Accreditationrelated activities.
  • Facilitate and manage the identification, development, implementation and monitoring of quality improvement initiatives.
  • Continuously advance operational effectiveness through the coaching and training of staff in the use of continuous improvement tools and methodologies.
  • Build, manage, and ensure implementation of an effective quality system inclusive of planning, quality improvement, quality control and assurance that leads to positive and measurable impact on the quality of care provided by Ontario Shores.
  • Coordinate with Managers/Directors to develop and implement QI initiatives and act as a knowledge expert and resource for the evaluation of QI projects within their programs and portfolios to ensure strategic alignment and optimal use of resources.
  • Lead, train, and monitor quality initiatives, identify and evaluate root causes for project issues, and recommend innovative strategies for improved outcomes;
  • Analyze, track, trend, and followup on organizational performance data and metrics in order to make recommendations.
  • Monitor quality improvement activities, identifies and evaluates root causes for performance shortfalls and gaps and recommends corporate strategies for improved outcomes.
  • Provide guidance on the annual quality improvement workplans for each Quality and Recovery Council
  • Ensures continuous alignment with Accreditation standards and required organizational practices transitioning to the Qmentum Global Program
  • Collaborates with programs and other corporate support areas such as Data and Analytics, Enterprise Risk Management, Professional Practice etc. to support the Accreditation process and corporate indicators
  • Lead the planning, implementation and monitoring of the Accreditation continuous readiness to embed compliance with Accreditation Standards, Required Organizational Practices, and surveys into the organization's daytoday activities and culture;
  • Assumes a lead role to provide management support for a steering committee and to develop recommendations to present to executive sponsors
  • Support and facilitate meaningful engagement of all stakeholders, including early identification and management of conflicting priorities
  • Ensure development and use of appropriate mechanisms to measure and evaluate performance, processes, and outcomes
  • Act as a resource to staff to provide to assist them in understanding and meeting the Accreditation Canada Standards and ROPs applicable to them;
  • Assist Quality and Recovery Councils and teams in identifying relevant Accreditation Standards and ROPs and opportunities for improvement.
  • Conduct mock tracers with staff to ensure deep understanding of tests for compliance and process standards.
  • Coordinate the evaluation and impact that system improvements have on Ontario Shores' core health services and functions.
  • Ensure that the needed data is collected on a timely basis, regular reports on progress prepared and distributed and make recommendations for future improvements based on data.
  • Identify the appropriate business owner and stakeholders within the organization to proactively identify and implement solutions and action plans.
  • Monitor changing priorities, trends, legislative requirements and/or other internal and external emerging issues and analyses their potential impact on the corporate quality and patient relations goals, priorities and activities.
  • Develops indepth knowledge/understanding of current trends, makes specific and actionable recommendations for improvement and provides intensive guidance and coaching based on knowledge of the team's needs.
  • Perform cross functional and other duties assigned and/or requested.
  • Qualifications Required and Preferred**QUAL

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