Back to Job Postings

Director, Interprofessional Practice, Quality, Risk & Patient Experience (Interprofessional Practice)



Department / Unit:

Interprofessional Practice, Quality & Patient Experience

Position Type:

Full Time

Bargaining Unit:


Posting Date:

2023-09-22 12:00

Headwaters Health Care Centre. One Community, Caring Together.

We are a dedicated team of professionals focused on providing the best care possible for our patients, families, and caregivers. We work together to care for the whole person from hospital to home.

We are looking for a Director, Interprofessional Practice, Quality, Risk & Patient Experience to help us continue in our mission to serve our community with Kindness, Passion, Courage, and Teamwork


Position Responsibilities:

Reporting to the Vice President Patient Experience, Health Integration, Chief Nursing & Health Disciplines Executive, the Program Director provides leadership for the Interprofessional Practice, Quality and Patient Experience portfolio. The Director will provide internal expertise, leadership, and oversight for leading the planning, development, and execution of functions in the areas of Quality, Risk Management, Ethics, Research, Patient Safety & Patient Experience, Interprofessional Professional Practice, Clinical Informatics, Spiritual Care and Volunteers.


Interprofessional Practice

The Director provides leadership to advance the practice of clinical professionals providing care. The Director is responsible for ensuring best practices in the organization by leading the development, maintenance and evaluation of clinical practice systems and processes to advance patient care planning and documentation. This mandate is to be achieved through assessment of learning needs and addressing learning needs through planning and deployment of professional education resources in consultation with Program Directors. Leadership for interprofessional practice standards is to be achieved through literature review, development of practice tools (policy, procedure, order sets, care pathways) and support for implementation.


Quality & Risk

The Program Director will develop, implement, monitor, evaluate and continuously improve upon a comprehensive and integrated organizational patient safety, quality improvement and risk management program. The work of the Director will be aligned with provincial and national directions in quality improvement, risk management and patient safety. This mandate is to be achieved through learning from patient experiences how to improve care, through planning, development, implementation, integration, and evaluation of strategies to build a culture of safety and quality. The Director is also responsible for responding to clinical risk situations through tracking and learning from patient safety events, conducting structured quality reviews, as well as supporting mitigation strategies/ recommendations.


Patient Experience

The Program Director has accountability for the development and implementation of a Person-Centered Framework and Philosophy that support our strategic direction of “nothing about you without you”. The Program Director will foster inclusion of patients and care partners to be involved in the processes of care.


  • Assures the organizational approach that is focused and facilitates team collaboration and continuance of the Interprofessional Model of Care.
  • Develops in collaboration with Medical Directors and other stakeholders, the annual operating and capital budget submissions for the program based upon patient acuity, activity, objectives, and other workload measures and, once approved, administers same.
  • Reviews the budget performance monthly.
  • Ensures the appropriate actions for the delivery of services within approved budget.
  • Develops new or expanded programs and services, including proposal/business plan development, and manages the resulting implementation.
  • Sets the appropriate context for the program by translating corporate strategic directions and objectives into program-specific goals and objectives.
  • Establishes and maintains external/internal partnerships and linkages and establishes the communication strategies to ensure the appropriate involvement of stakeholders in program development considerations.
  • Monitors and evaluates to achieve efficient and effective resource utilization (including LOS, case mix, clinical volumes, patient throughput, resource utilization and financial goals).
  • Works with program providers to improve performance, clinical outcomes, and patient experience.
  • Directs the thorough investigation and resolution of patient complaints, adverse events, and patient incidents, as well as identification of trends and response development
  • Fosters collaborative relationships, partnerships to advance system approaches to care with appropriate agencies and organizations to advance care within its community, the Hills of Headwaters Collaborative Ontario Health Team and other provincial health care networks



  • Participates with personnel in the development of written philosophy, objectives, and standards compatible with the vision, values, and mission of the Corporation.
  • Sets plan for personal objectives.
  • Participates in the development of position descriptions, work assignments and schedules.
  • Promotes ways to solve problems and make improvements in the delivery of patient care.
  • Liaison with partner hospitals and external organizations such as professional colleges, RNAO, PPNO, HQO, HIROC, CPSI, Patient Ombudsman and more;
  • Participation in the on-call responsibilities for the organization as assigned.


  • Promotes the Corporate objectives and ensures that Standards are implemented and monitored.
  • Assess and identify challenges within the department and develops and implements strategies for improvement
  • Acts rapidly and effectively, follows hospital policies and procedures in any emergency situation, and utilizes principles of management in any emergency situation.
  • Development and management of direct reports
  • Provides direct leadership including development/assessment of an annual performance plan, identification of learning opportunities, career coaching and on-going mentoring
  • Accountable for Employee Performance Appraisals of individual staff members and follows up on objectives.
  • Promotes harmonious relationships and favourable attitudes among the health care team.
  • Interprets, supports, and recommends policies and procedures for employees, and ensures compliance. Applies knowledge and skills of management.
  • Serves as a resource in technical and professional matters for personnel.
  • Provides feedback to Department Chiefs regarding credentialed staff as requested for human resource plans, credentialing, and privileges.
  • Leads development of function-specific policies and procedures; ensures compliance, and supports the development of policies and procedures throughout the organization
  • Oversees / monitors the implementation of programs/services, and reviews performance indicators to ensure programs/services are effective
  • Provides subject matter advice and guidance to the executive team and Board /Board Committee as required
  • Participates and/or leads internal and external committees and initiatives, including partnerships with other organizations.
  • Provides leadership in Quality and Risk Management to the Senior Management Team with a focus on engagement and culture through, meetings, communications, and learning/team building activities
  • Keeps the VP, Patient Experience, Health Integration, and Chief Nursing and Health Disciplines Executive informed on reportable situations and unit needs.



  • Continually evaluates the Standards by reviewing care plans, assessing patients, reviewing charts, interviewing, observing, participating in Quality Service/Risk activities, and employing other means of evaluation. Revises standards as appropriate in collaboration with the Chief Nursing Executive.
  • Leads the development of the organization wide quality and risk management strategy; ensures alignment with strategic and operational plans; ensures there are effective avenues to receive and manage issues from patients, families and providers
  • Directs the organization in driving continuous quality improvement methodology and change management focus.
  • In collaboration with the Ethicist, leads the Ethical Framework practice
  • Supports as needed the clinical programs and patient experience office in management of patient/family concerns when they are high urgency or escalating and identifies/report to HIROC any cases of potential or actual risk management concern
  • Creates, evolves and evaluates strategy and framework for Quality Improvement Plan, Risk Oversight and Management and supports the alignment of care delivery with standards of Interprofessional Professional Practice
  • Evaluates clinical orientation policies and procedures and recommends revisions.
  • Provides oversight and evaluates the clinical in-service education programs.
  • Provides oversight and evaluates new clinical projects, developments and technological changes in our CARE-4 system.
  • Provides oversight for the Spiritual Care and Auxillary (volunteer) Program


Strategic/Program Planning:
  • Responsible for leading the development of a function-specific strategy that is aligned with the organization’s strategic priorities
  • Determines efficient and effective service delivery model including partnerships and technology requirements
  • Provides leadership to the annual planning (operational and strategic) and related risk management planning
  • Develops annual workplans including determining priorities and performance indicators
  • Evaluates the achievement of the department's objectives in collaboration with the VP, Patient Experience, Health Integration, and Chief Nursing and Health Disciplines Executive
  • Works closely with other Directors on intra-organization and cross-functional strategy
  • Accountable for efficient, effective utilization of approved physical, financial, and human resources; for guiding and coordinating activities of the area in accordance with professional standards and supporting the goals and strategic direction of Headwaters Health Care Centre.
  • Collaborates in the evaluation of emergency and any hospital disaster plans and recommends revisions in policies and procedures.



Interprofessional Practice:
  • Drives the commitment to, and supports the implementation of, evidence-based care
  • Through external networking and research, the Director will conduct ongoing environmental scanning for emerging best practices in patient safety, patient experience, and quality improvement
  • Supports the alignment of care delivery with standards of Interprofessional Professional Practice
  • Evaluates orientation policies and procedures and recommends revisions.
  • Evaluates in-service education programs



Quality & Risk:
  • Establishes a quality framework and improvement plan, in partnership with Senior Management Team, complete with evaluation components
  • Leads the development of annual Quality Improvement foci, metrics and ensures all reporting requirements are met
  • Responsible for the organization’s successful participation in Accreditation processes
  • Continually evaluates the Standards by reviewing care plans, assessing patients, reviewing charts, interviewing, observing, participating in Quality Service/Risk activities, and employing other means of evaluation. Revises standards as appropriate in collaboration with the Chief Nursing Executive.
  • Responsible for Integrated/Enterprise Risk Management Framework
  • Manages any patient-related litigation files including supporting investigation and responses. Coordinates legal counsel as required. Supports front-line staff and managers in understanding and participating in the process as required. Conducts case reviews and makes recommendation for service improvements.
  • Leads the Ethical Framework practice
  • Evaluates appropriate opportunities for participation in research or projects desirable and appropriate for the Corporation.
  • Participates in patient safety initiatives and takes action to address unsafe conditions and procedures to ensure a healthy and safe environment.



Patient Experience:
  • Fosters person-centered philosophy.
  • Identifies themes arising from complaints that provide quality improvement opportunities
  • Evaluates new developments and technological changes and evolving needs of patients and community. 


Hours of Work: 37.5 hours per week
  • Eligible for HOOPP Pension
  • 100% Employer Cost Benefits
  • Flexible Work Arrangements
Hiring Salary Range: Compensation is commensurate with experience


Why Headwaters?

Our values are more than words, they are what define and connect us. They determine how we work, how we behave, and how we relate to our patients, their families, and caregivers as well as to everyone who is part of the Headwaters community

We offer a wide range of employee perks, for information on our comprehensive benefits package, please visit Headwaters Health Care Centre - Careers at Headwaters


Extra Information

We thank all those who apply but only those individuals selected for further consideration will be contacted.

Headwaters Health Care Centre is an inclusive and equal opportunity employer and supports the compliance of the Accessibility for Ontarians with Disabilities Act (AODA). If you have a need for an accommodation, please contact Human Resources so that appropriate arrangements can be made.

Headwaters Health Care Centre is a smoke free facility. Smoking is not permitted on hospital properties. We thank everyone who works at or visits our hospitals for respecting this healthy initiative. We are also a scent-free environment for all employees and visitors.

All job offers will require compliance with our COVID-19 Vaccination Policy for proof of full vaccination unless provided with a medical exemption or an accommodation under the Ontario Human Rights Code.

We are processing your submission.
Please do not press back or refresh.