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Director, Quality, Risk, Patient Safety and Interprofessional Practice (Full Time)

Competition:

090-25

Department / Unit:

Administration

Position Type:

Full Time

Bargaining Unit:

Non-Union

Posting Date:

2025-04-08 15:15

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, Quality, Risk, Patient Safety and Interprofessional Practice to help us continue in our mission to serve our community with Kindness, Accountability, Respect, and Teamwork.

Reporting to the Vice President Patient Experience, Health Integration, Chief Nursing & Health Disciplines Executive, the Program Director provides leadership for the Quality, Risk, Patient Safety and Interprofessional Practice. 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, Legal, Ethics, Research, Patient Safety, Clinical Informatics and Interprofessional Professional Practice.

 

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, Patient Safety & Risk and Legal

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 providing oversight for potential and actual claims through relationship management with HIROC as well as tracking and learning from patient safety events, conducting structured quality of care reviews, as well as supporting mitigation strategies/ recommendations.

 
Position Responsibilities:

 

Planning

  • Assures the organizational approach that is focused and facilitates team collaboration and continuance of the Interprofessional Model of Care.
  • Develops in collaboration with program directors and other stakeholders, the annual operating and capital budget submissions for the program based upon patient activity, objectives, and other workload measures and, once approved, administers same.
  • Reviews the budget performance monthly and ensures the appropriate actions for the delivery of services within approved budget.
  • Develops new or expanded programs and services, including proposal/briefing notes/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.
  • Works with stakeholders to develop, improve performance, clinical outcomes, and patient experience through the Quality Improvement Plan (HQO).
  • Directs the thorough investigation of adverse events, and patient incidents, as well as identification of trends and learnings for the organization.
  • 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
 
Organizing

  • Participates with personnel in the development of written philosophy, objectives, and standards compatible with the vision, values, and mission of the Corporation.
  • Promotes ways to solve problems and make improvements in the delivery of patient care through Quality of Care reviews.
  • Liaison with partner hospitals and external organizations such as professional colleges, RNAO, PPNO, HQO, HIROC, CPSI, and more;
  • Participation in the on-call responsibilities for the organization as assigned.

 

Leading

  • Provides leadership for Academic partnerships, student placements and Ministry initiatives including the Extern program, Clinical Scholar, New Grad Initiative, ED education, International Education Nursing and others as required.
  • Provides subject matter advice and guidance to the executive team and Board /Board Committee with quarterly reports and as required.
  • Provides leadership for Clinical Informatics by participating on the relevant CARE-4 regional committees as required and leads the Expanse Committee at Headwaters. Evaluates new developments and technological changes and evolving needs of patients, staff and community.
  • Assess and identify challenges within the department and develops and implements strategies for improvement
  • Provides direct leadership including development/assessment of an annual performance plan, identification of learning opportunities, career coaching and on-going mentoring
  • 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 as requested.
  • Oversees/monitors the implementation of programs/services, and reviews performance indicators to ensure programs/services are effective
  • Participates and/or leads internal and external committees and initiatives, including partnerships with other organizations.
  • Provides leadership in Quality, Risk Management, Legal and Patient Safety to the Executive Leadership 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.
 
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
  • Provides oversight, collaborates and cochairs the Emergency Planning Committee which includes the evaluation of emergency and any hospital disaster plans and recommends revisions in policies and procedures. Acts rapidly and effectively, follows hospital policies and procedures in any emergency situation, and utilizes principles of management in any emergency situation.
 
Interprofessional Practice

  • Drives the commitment to, and supports the implementation of, evidence-based care and best practices.
  • Through external networking and research, the Director will conduct ongoing environmental scanning for emerging best practices in patient safety, patient experience, and quality improvement.  Interprets, supports, and recommends policies and procedures for employees, and ensures compliance. 
  • 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 including the oversight of the simulation program
  • Leads and provides oversight for the document management including the development of policies and procedures; ensures compliance, and ensuring there is a hospital wide standardized system for accessing policies and procedures.
  • Oversight for the educators who support the programs across the organization
  • Oversight for the wound care support within the organization
 
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 Plan (HQO) 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.

 

Qualifications:

  • Masters prepared in relevant field.
  • Registration in good standing from the healthcare regulatory college representing their profession.
  • Minimum 5 years progressive management experience
  • Minimum 5-7 years’ hospital experience relevant to the program(s), in a hospital setting where you have demonstrated ability in managing the interpersonal and fiscal challenges of a highly demanding clinical setting.
  • Experience with quality, safety and risk within an acute care hospital setting preferred.
  • Experienced in the LEAN philosophy and have a proven track record of generating continuous improvement preferred
  • Experience with clinical practice projects, and interprofessional leadership are preferred;
  • Possess strong and effective communication and team-building skills and use them successfully to motivate and engage staff.
  • Demonstrated experience with envisioning and supporting large scale change
  • Ability to create a collaborative multidisciplinary working environment which fosters high morale and effective staff relationships and participation
  • Knowledge and understanding of Employer responsibilities in accordance with the applicable collective agreements.
  • Experience at forging partnerships with stakeholders from across the spectrum of health care enables you to see the “big picture” and anticipate opportunities that continually lead to best-in-class patient care.

 

Hours of Work: 37.5 hours per week, Monday to Friday

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 .

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.
 


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