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 Manager to work with our Patient Safety, Legal, Risk and Compliance Department to help us continue in our mission to serve our community with Kindness, Passion, Courage, and Teamwork.
Position Responsibilities: Reporting to the Director, Medicine, Emergency Department, ICU, Patient Safety, Legal and Risk will be responsible for the design, planning and implementation of key quality and patient safety initiatives across Headwaters Health Care Centre. The Manager of Patient Safety, Legal, Risk and Compliance will work with all units and departments, including front-line staff, managers, and directors, and provide assistance and input to the Senior Leadership Team and the Board of Directors as requested. The successful candidate will collaborate with all levels to foster an environment of minimizing risk and maximizing patient safety and quality care across the organization, to ensure continued organization-wide success. responsible for Headwaters legal requirements, enterprise risk management, business continuity & emergency preparedness, claims management and corporate insurance policy coverage. Patient Safety: - Build awareness and capacity with all staff, including clinical and non-clinical, physicians and volunteers on patient safety.
- Work collaboratively with teams and leaders to develop patient safety strategies to patient safety issues, address risks, and mitigate injury/harm to patients.
- Assist with the planning, design, and execution of Patient Safety Week activities in collaboration with others.
- Support the orientation of new staff on quality and patient safety.
- Design, develop and deliver content for e-learning modules for patient safety education/core curriculum.
- Contribute to professional rounds, e.g. medical/surgical rounds (arrange speakers relevant to topic)
- Collaborate with programs and other corporate support areas such as Enterprise Risk Management, Quality Reviews and Professional Practice etc.
- Proactively identify quality, patient safety and patient experience opportunities through data trending and analysis
- Develop patient safety toolkit and lead training.
- Provide input to content of annual Quality Improvement Plan, support the Accreditation process and corporate indicators.
- Routine review, analysis of patient incidents (as related to activities listed above)
- Monitor and communicate detailed feedback on quality improvement outcomes in collaboration with program leaders, medical directors, and various internal and external stakeholders.
- Identify and provide recommendations and solutions to executives on process improvement initiatives.
- Develop policies and procedures and reports pertaining to Quality and Safety
- Identify trends and implement changes based on metrics.
- Collaborate with key stakeholders to develop and implement key High Reliability Organization (HRO) tactics and initiatives.
- Plan, develop, implement, and monitor the Patient Safety Program across the hospital.
- Support and deliver in the preparation of data collection and analysis and prepare regular and timely reports related to Quality and safety indicators as required.
- Lead the organization through the Accreditation cycle including the onsite
Risk and Legal: - Oversight for the Enterprise Risk Management program, and approach problems and issues from both a detail-oriented and systems-wide perspective, including identification and implementation of best practices with respect to risk management.
- Coordinate and provide leadership for the enterprise risk management program across the organization. This includes supporting risk identification, assessment, and mitigation activities (including risk surveys, workshops, and reviews).
- Developing reports for staff, managers, senior team, and the Board of Directors on the Enterprise Risk Management program.
- Develop reports for staff, managers, senior team and Board of Directors on loss trends and mitigation strategies to inform decisions about risk management.
- Promote a knowledge of risk management on the units by engagement with managers and unit members (or other stakeholders as appropriate) at huddles, department meetings, quality committees etc.
- Offer expert assistance to quality-of-care reviews by facilitating root cause analysis, providing knowledge of risk management, quality improvement, and patient safety principles.
- Responsible for providing leadership during risk identification and risk mitigation activities. The incumbent also supports executive leadership and the board with information drawn from these risk management activities with respect to informing organizational priorities, strategic planning, and operational management.
- Provide leadership to managers, directors, and VPs during incident management by identifying risks, providing assistance with root cause analysis, and developing a culture of patient safety.
- Provide leadership with respect to sharing of best practices, policies, and procedures, supporting other leaders on risk management issues, and providing experience, guidance, and support to risk management issues as they arise.
- Liaise with legal on all corporate contracts; draft and prepare court documents, submissions, policies/procedures, review and proofread documents and correspondence to ensure compliance with legal procedures and grammatical usage.
- Draft and distribute notifications of legal claims to insurer; investigate legal claims to obtain and provide relevant evidence to insurance adjuster and outside counsel; gather and provide answers to requests for information from the insurance adjuster and outside counsel.
- Manage medical malpractice, slip & falls and Human Rights Tribunal claims and files, (potential and active legal claims); collaborate with outside counsel in defending lawsuits from inception to dismissal or settlement, with a focus on mitigating risk; assist outside counsel with coordinating witnesses for discoveries and/or trial.
- Maintain Claims Management database: input key information, claim details, summary description, parties involved, contact information, key dates, financial information, status, documents, and correspondence.
- Conduct investigative and/or support meetings/interviews with staff (witnesses) from all levels and areas of hospital, which includes all units/programs/departments, including third party contractors as needed.
- Conduct examination for discovery prep meetings and assist outside counsel with preparing witnesses for discoveries and/or trial.
- Review legal documentation, such as statements of claim, motions, notices, discovery transcripts and approve some legal documentations such as an affidavit of documents.
- Obtain approvals from reporting Director and ELT for settlement of legal claims and provide instructions re settlement to outside counsel.
- Act as the key contact for accepting service of legal documents and facilitating service on staff; outside counsel and insurance partners (HIROC); handle inquiries and/or provide guidance regarding service of legal documents (summons, subpoena); handling police inquiries/request from either staff or police regarding the release of information; and for staff and liaison between staff/witnesses and outside counsel throughout litigation process.
Qualifications: - Master's degree in a health-related discipline an asset
- Must have an undergraduate degree in a health-related discipline from a recognized institution.
- Experience as a system and incident management administrator an asset.
- Experience maintaining and updating policies, procedures, and standard work documents.
- Lean methodology training and monitoring QI initiatives preferred.
- Knowledge of High Reliability Organization (HRO) tactics and initiatives an asset
- Minimum (5) years’ experience in a healthcare setting
- Minimum (3) years’ experience in patient safety, risk management, Incident investigation and analysis, and project management
- Must be a regulated health professional with certification or experience in a health care discipline/healthcare setting.
- Certification in Patient Safety Trainer, Canadian Patient Safety Officer, Critical Incident Analysis and Patient Safety from an applicable program, e.g. Ontario Health Association or Canadian Patient Safety Institute/Healthcare Excellence Canada is an asset.
- Advanced computer knowledge and skills in applications such as, but not limited to, Microsoft Office 2016 (Excel, Word, PowerPoint, and Access) and Adobe Acrobat, Visio and Project and RL6 solutions.
- Excellent use of healthcare-related e-software {e.g. Incident reporting system, medical records)
- Experience and knowledge with Patient Safety and Quality projects or initiatives, electronic clinical incident management systems, performance measurement, data reporting analysis, quality improvement principles and Quality of Care Reviews
- Proficient knowledge of legislation and regulatory environment applicable to hospitals/ healthcare, including Excellent Care for All Act, Quality of Care Information Protection Act and Privacy Act
- Superior knowledge of patient quality and safety principles
- Outstanding knowledge of quality and safety, including experience working with risk/patient safety related tools, practices, methodologies, and frameworks
- Highly organized multitasker and detail-oriented professional with ability to work well under pressure and meet deadlines in a fast-paced and unpredictable environment.
- Strong critical thinking, analytical and problem-solving skills with ability to proficiently interpret clinical documentation.
- Demonstrates excellent effective objective interpersonal and communication skills along with investigative, teaching and facilitation skills.
- Demonstrates a commitment to customer service when dealing with patients, colleagues and volunteers and other members of the community and public.
- Demonstrates values consistent with Headwaters Code of Conduct and is committed to fostering a healthy and positive work environment in accordance with Health & Safety policy and legislation.
- Excellent time management skills
- Proficient in Microsoft Office, Outlook, and medical software systems.
- Impeccable performance and attendance required.
- Outstanding decision making and problem-solving skills.
Hours of Work: 37.5 hours per week; Monday - Friday
Hiring Salary Range: Compensation is commensurate
with experience. - Entitled to HOOPP Pension
- 100% Employer Cost Benefits
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
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