Job Description

Job Number:
J0925-0717
Union:
NON-UNION
Salary:
$59.87 - $70.43/Hour
Job Title:
Manager, Quality and Risk
Job Status:
Full Time
Department:
QUALITY ASSURANCE
Site:
Multi-site
Home Site:
Belleville General Hospital
Secondary Site:
Trenton Memorial Hospital, Prince Edward County Memorial Hospital, North Hastings Hospital
Job Category:
Management & Supervisory Careers
Number of Positions:
1
Hours:
37.5 hours per week. Mostly weekday office hours, with flexible hours required to support program needs.
Position Summary
Quinte Health is committed to providing a safe and secure environment for all patients, visitors, physicians, students and volunteers, and is committed to providing high quality care.
The Manager of Quality and Risk is responsible for maintaining oversight of clinical risk within the organization and supporting Quinte Health with risk management activities including assessment, analysis and mitigation of risks to minimize likelihood of consequences of identified risks. This role works with Quinte Health senior leadership, management, physicians and staff to determine whether identified risks are significant and whether sufficient controls and/or contingencies are in place. The Manager of Quality and Risk supports the leadership team to develop and implement a risk management framework to ensure consistency in approach to risk assessment, risk management and risk mitigation.
The results of decisions, actions or advice by the Manager of Quality and Risk could have significant consequences typically affecting the long-term performance and reputation of the hospital.
The mandate of this position is achieved by working collaboratively with both internal and external stakeholders, and through planning, development, implementation, integration and evaluation of organizational processes.
Required

• Undergraduate Degree in Health Sciences field of study
• 3-5 years of experience in quality improvement in health care
• 3-5 years of experience in a healthcare/clinical environment with knowledge of hospital operations
• Patient Safety Officer Certification (or commitment to complete within a year)
• Canadian Risk Management Certification is an asset
• LEAN/Six Sigma Black Belt certification is an asset
• Knowledge of legislation and regulatory environment applicable to hospitals and healthcare including the Excellent Care for All Act, Quality of Care Information Protection Act and Privacy Act, and The Public Hospitals Act
• Familiarity and demonstrated commitment to Just Culture
• Demonstrated experience with data/performance measurement, indicator development and analysis pertaining to risk, quality and patient safety
• Demonstrated knowledge and experience of the application of quality improvement tools such as process mapping, performance and change management, and rapid cycle improvement
• Experience with reviewing and interpreting health records
• Knowledge and demonstrated experience with policy and procedure development
• Demonstrated effective communication with the healthcare team, patients & families
• Demonstrated ability to function effectively and independently
• Familiarity with Accreditation Canada mandate and standards
• Proven interpersonal and conflict management skills
• Demonstrated analytical, problem-solving, critical thinking/decision-making knowledge/skills with the ability to identify trends, establish benchmarks and provide analysis and recommendations
• Experience and knowledge with electronic clinical incident management systems
• Program design, development and presentation skills
• Exceptional computer/ technology skills

Duties
Supervisory:

• In conjunction with the Director, select, hire, promote, transfer, discipline, terminate and manage all staff members within the service;
• Use the performance appraisal program in order to evaluate and improve the performance of staff members;
• Support the professional development of staff including the provision of educational programs and participation in continuing education sessions;
• Determine the orientation needs of staff and coordinate the orientation program;
• In conjunction with the Director, determine the appropriate resource requirements to meet the needs of the service through appropriate benchmarking & utilization management.
• When required; participate with the Director to develop corresponding operating budgets and monitor resource utilization and financial performance.

• Risk Management
• Co-design the risk management framework for the organization which includes HIROC Risk Assessment and Legislation compliance
• Establish, communicate and facilitate the use of appropriate risk management methodologies, tools and techniques
• Co-ordinates risk management support to the organization, programs and individuals by facilitating external legal counsel, ensuring regulatory and policy compliance, consulting and providing direction on emerging and evolving risk issues, participation in law enforcement matters where appropriate, oversight of routine reporting
• Collaborate with the Manager of Planning and Performance to design risk management programs within their areas, including risk related performance measures
• Insurance claim management: oversight and centralized administration of liability, receive notification of claims, identifies and reports actual/potential clinical claims to the hospitals insurer, distribute notifications, coordinates internal and external support resources, supports the investigation of claims, oversee and monitor claims activity and maintains a claims database for the organization
• Manage communication to appropriate parties of liability claims, provide support during interviews with claims adjuster and preparation for examination for discovery
• Respond to requests for information to support the defense of Quinte Health in liability claims
• Provide regular updates to Quinte Health leadership on status of claims and potential claims
• Oversight of Quinte Health's reporting obligations through Vanessa's Law
• Oversight of Quinte Health's event reporting system
• Monitors process for management and notification of product/equipment alerts and recalls not associated with routine product supply chain management, maintains database of alerts and recalls

• Quality of Care
• Leads and supports physicians and staff through the quality review process, including establishing a safe environment/milieu for physician & staff participation in the quality review, information gathering, interview techniques, development of the timeline, root cause analysis (RCA), developing recommendations, and post-implementation evaluation of recommendation efficacy; facilitating information sharing with insurance companies and legal counsel as appropriate and as required
• Collaborate with key internal stakeholders to provide support in ensuring Quinte Health's internal quality and patient safety activities are aligned with external quality/patient safety initiatives and obligations (e.g. Healthcare Excellence, MOHLTC, Canadian Patient Safety Institute)
• Research current evidence and best practices and consult with experts on patient safety and quality improvement tools, methodologies and practices and integrate new knowledge into improvement activities.
• Works with the Patient Safety Specialist and Patient Experience Specialist to identify and mitigate patient experience and patient safety issues arising from medical and legal processes
• Share knowledge and achievements with external partners
• Promote a culture of safety and quality improvement through strong leadership and ongoing coaching and mentoring to all levels of the organization

Accreditation Support for Organization

• Provides coaching and oversight for Quinte Health's Accreditation Coordinator ensuring compliance with Accreditation Canada standards and Required Safety Practices (RSPs)
• Supports Accreditation Coordinator to execute Accreditation Canada survey logistics (e.g., overall project management, team coordination, meeting all accountabilities and information submission deadlines)
• Monitors and supports teams in the implementation of new processes and practices to maintain organizational compliance with Accreditation Canada standards and Required Safety Practices (RSPs)
• Supports the development and integration of Accreditation Canada standards into operational planning of the organization
• Supports directors, managers and direct care physicians & staff to integrate Accreditation Canada standards by addressing the patient experience and safety issues identified through self-assessments

At Quinte Health, our four hospitals unite under the core values of Imagine It's You, Value Everyone, We All Make a Difference, and Stronger Together. We work as one team to enhance lives, improve access to high-quality care, and build healthier communities-right where people need it most.
Quinte Health's four hospitals are the heart of our communities, delivering exceptional care close to home. As one unified team, we're passionate about improving lives and expanding access to high-quality healthcare. Our staff, physicians, and volunteers don't just work here-we live, grow, and thrive here. If you're compassionate and driven, we have exciting opportunities across our hospitals. Join us and make a real impact!
Physical Demands Analysis
Strength

• Required Rarely - lifting average 5-10 pounds' maximum 15 pounds, carrying, pushing/pulling.

Mobility

• Required Often - prolonged sitting; and
• Required Occasionally - standing and walking on hard surfaces, bending/stooping.

Dexterity

• Required Often - prolonged fine finger movements;
• Required Frequently - gripping/grasping, eye/hand coordination; and
• Required Briefly - reaching with both hands.

Equal Opportunity
We thank all interested candidates for their response, however, only those chosen for an interview will be contacted. Quinte Health is an equal opportunity employer committed to meeting needs under the Canadian Charter of Rights and Freedom and the Ontario Human Rights Code. Our Recruitment process follows the Accessibility for Ontarians with Disabilities Act in order to provide a fair and equitable process for all candidates. Applicants requiring accommodation through the recruitment/interview process are encouraged to contact the Human Resources Department at 613-969-7400 x2577 or for assistance.

Skills Required