Accreditation Project Coordinator

Humber River Health. Lighting New Ways In Healthcare.

Since opening our doors in 2015 as North America’s first fully digital hospital and we remain unwavering in our belief that we can change the hospital where we work, the community where we live, and the world of healthcare beyond our borders. Serving a community of 850,000 residents in North West Toronto, Equity Inclusivity and active participation in the North West Toronto Ontario Health Team are key initiatives important to our Team.  At Humber River Health, we use a custom combination of technology and clinical expertise to rebuild elements of care. We make technology work for staff and physicians; giving them more time to spend with patients, to eliminate inefficiencies, and to reduce the chance of errors. Humber River Health is formally affiliated with both the University of Toronto and Queen’s University and committed to becoming a community academic hospital. Clinical Excellence, Optimizing Care through Technology and Community Connection frame our Research Strategy.   

At Humber River Health, we’re not hoping for a renaissance, we are making it happen. As part of our dynamic team, you can lead the way, as we continue our journey towards high reliability care!

We currently have an exciting opportunity for a Permanent Full Time Accreditation Project Coordinator to join our Quality & Patient Safety Department. 

Reporting Relationship: Director, Quality & Patient Safety

Location: Humber River Health - Wilson Site

Hours of work: Days, occasional evenings/weekends

Union:  Non-Union

Responsibilities:

• To conduct gap analysis, identify opportunities for improved compliance with Accreditation Canada standards and requirements, and develop strategies to mitigate gaps to recommend action plans for senior leadership decision-making
• Develop strategies to meet and exceed Accreditation Canada standards (e.g. risk management, patient safety, ethics, quality improvement program)
• Conduct gap analysis to identify opportunities to improve compliance with professional standards, policies and processes, and clinical and operational approaches; recommend action plans to close gaps for senior leadership decision making
• Coordinate and prepare for work of Accreditation Canada surveyors; coordinate accreditation activities with Accreditation Canada
• Develop and propose recommendations to improve compliance and meet or exceed Accreditation Canada requirements for SMT approval
• Audit and analyze policies, processes, professional standards, and patient safety requirements for evidence-based decision-making
• Influence how to close gaps in professional practices, policy and process compliance, and other Accreditation Canada requirements in collaboration with clinical and operational leadership teams; develop proposals for implementation for Accreditation Committee approval
• Lead accreditation projects in collaboration with Program Directors (i.e. project sponsors), leadership teams, and required organizational practice (ROP) leaders
• Lead teams for Accreditation Canada standards (Required Organizational Practices)
• Ensure organizational alignment with Professional standards arising from regulatory colleges for regulated health professionals and other regulated professionals
• Ensure organizational alignment with reporting requirements and legislation set out by the Ministry of Health and Long Term Care (MOHLTC)
• Ensure organizational alignment with Union collective agreements
• Accessibility for Ontarians with Disabilities Act (AODA), Occupational Health & Safety Act (OH&A), Workplace Hazardous Materials Information System (WHMIS)
• Freedom of Information and Personal Privacy Act (FIPPA), Personal Health Information Protection Act (PHIPA), Personal Information Protection and Electronic Documents Act (PIPEDA)
• Update corporate operational policies and procedures in partnership with departmental administrative and physician leaders

Requirements:

• Masters degree in Health Administration or related field
• Minimum 5 years of experience leading acute care operations and extension knowledge of hospital operation
• Experience with leading audit programs and physician education programs
• Experience leading complex organization wide projects with proven successful internal and external stakeholder engagement
• Proven ability to work with all levels of management including Program Directors, Senior Management Team and Chiefs of Services
• Knowledge and applied experience in Patient safety, patient experience, quality and risk, FMEAs, and project leadership
• Tact and diplomacy, negotiation, consultation, interpersonal, critical thinking, problem solving, analysis, organization, detail minded
• Advance MS Office (Outlook, Word, Excel, PowerPoint, etc.) skills

Why choose Humber River Health?

At Humber River Health, our staff, physicians, and volunteers are lighting new ways in healthcare. We are proud to be recognized as a part of Greater Toronto’s Top Employers by Mediacorp Canada Inc. We support employees by providing evidence-based leadership and cultivating a culture that consistently wows as a Huron Consulting hospital. We are a member of the Toronto Academic Health Science Network (TAHSN) and are deeply involved in research and academic collaboration. We are dedicated to high-quality patient care and demonstrate our values of compassion, professionalism, and respect.

Attracting and retaining a workforce that represents the diverse communities surrounding Humber River Health, is a priority.  We encourage applicants from all equity-deserving groups, including but not limited to, individuals who identity as Indigenous, racialized, seniors, persons living with disabilities, women, and those who identify as 2SLGBTQ.

Applicants will not be discriminated against on the basis of race, creed, sex, sexual orientation, gender identity or expression, age, religion, disability, medical condition, or any protected category prohibited by the Ontario Human Rights Code and Accessibility for Ontarians with Disabilities Act.

Accommodations are available throughout the recruitment process as well as during employment at Humber River Health. Please direct any accommodation requests to our recruitment team.

Please be advised that in order to be eligible for employment at Humber River Health, all new hires must have received a complete COVID-19 vaccination series approved by Health Canada AND have received their most recent dose of the COVID-19 vaccine at least 14 days prior to their first date of employment. Medical exemptions or any other kind of requested exemption based upon the Hospital’s obligations pursuant to the Ontario Human Rights Code will be considered on a case-by-case basis.