Southlake is building healthy communities through outstanding care, innovative partnerships, and amazing people. We deliver a wide range of healthcare services to the communities of northern York Region and southern Simcoe County. Our advanced regional programs include Cancer Care and Cardiac Care and serve a broader population across the northern GTA and into Simcoe-Muskoka.

Our team of nearly 6,000 staff, physicians, volunteers, students and Patient and Family Advisors are committed to creating an environment where the best experiences happen. As a recognition of our commitment to quality and patient safety, we have received the highest distinction of Exemplary Standing from Accreditation Canada.

Job Summary

Reporting to the Director of Risk Management, Quality, and Privacy, the Quality Manager is responsible for overseeing the hospital's Quality Program activities. The Quality Manager will be instrumental in developing, implementing, and overseeing quality management tools and systems to optimize patient care outcomes and enhance operational efficiency. This role will oversee and support the Lean Management Project, and contribute to the development of a new quality program structure, while managing day-to-day operational activities such as Accreditation readiness, Quality Improvement Plan (QIP) development and implementation, patient safety initiatives, and various other quality improvement initiatives.

Primary Responsibilities

• Lead the development and implementation of the Quality and Patient Safety Plan
• Oversee and support various quality improvement initiatives
• Champion a a Safe and Just Culture
• Provide staff education and training in quality
• Establishe performance metrics and benchmarks to monitor key quality indicators, analyzes data trends, and generates reports for senior management and regulatory agencies
• Stay abreast of current issues and practices in quality, and patient safety
• Manage and maintains quality and patient safety policy and procedures
• Assist teams with interpretation, analysis and presentation of data
• Prepare reports, briefing notes and presentations for all levels of the organization
• Oversee, manages, and develops the role of the Quality and Patient Safety Specialists
• Oversee the implementation of quality assurance processes, including peer review activities, root cause analysis, and incident reporting system
• Continuously assess the effectiveness of quality improvement initiatives and to identify opportunities for further enhancement to achieve organizational goals
• Serve as a quality expert at key organizational committees, applying quality improvement principles to drive change, increase efficiency and improve quality and safety.
• Partner in the development, management and analysis of the operational and capital budget
• Coordinates and facilitates organizational quality initiatives and coordinates the Accreditation Canada process
• Oversees the investigation of serious safety events
• Oversees the incident reporting system and facilitates the development of improved systems for tracking, analysis, evaluating, reporting and communicating patterns of care and clinical outcomes with a focus on system/process improvement
• Builds capacity for Quality improvement
• Facilitate the management of the hospital and program quality score cards
• Performs other duties as required

Qualifications

• Master’s degree (or in-progress) in Health Administration, Business, or Engineering
• Certification in healthcare quality management (e.g., Certified Professional in Healthcare Quality – CPHQ) is highly desirable
• Lean Six Sigma certification required (green or black belt)
• Completion of data analytics training, an asset
• PMP certification is an asset
• 10 years experience in relevant field required
• 5 years of Leadership experience (formal and informal experience will be considered)
• 5 years’ experience with quality improvement tools and methods including application of QI improvement models, root cause analysis and other standardized tools in a healthcare environment
• Experience managing a high-performing team
• Demonstrated leadership capabilities in driving organizational change, fostering a culture of quality and safety, and inspiring teamwork among staff members
• Expertise with using Microsoft Office (Outlook, PowerPoint, Excel, Word)
• Proficiency in data analysis to identify trends, patterns, and areas for improvement
• Excellent verbal, written and presentation communication skills
• Excellent critical thinking skills
• Group facilitation skills
• Organized and able to multi-task and prioritize effectively
• Deep Uunderstanding of systems, systems analysis techniques, values analysis process and continuous improvement principles and tools
• Superior decision-making and organizational skills
• Ability to provide leadership, support and critical analysis in stressful, highly complex clinical and often emotional situations
• Able to build relationships internally and externally
• Up to date knowledge of current accreditation and regulatory landscape
• Models behaviour that is aligned with the values of Southlake Regional Health Center.

• Always with compassion
• Power of many
• Serve with purpose
• Every voice matters
• Courage to think differently

As a condition of employment, you are required to submit proof of COVID-19 vaccination to the Hospital’s Occupational Health and Safety department. Successful candidates will be required to submit proof of COVID-19 vaccination (two doses) from the Ontario Ministry of Health website or other authorized source directly to the Occupational Health and Safety department. In the event that you are unable to be vaccinated as a result of a ground protected under the Human Rights Code, you may submit a written explanation of the ground and any supporting documentation to determine if you are exempt from this requirement to the recruitment team. A recruitment representative may follow up with you for further information if necessary.

At Southlake, we are committed to fostering an inclusive and accessible environment. We are dedicated to building a workforce that reflects the diversity of the community in which we live and serve, including those with disabilities. Southlake is committed to providing accommodations in all parts of the hiring process. If you require an accommodation, we will work with you to meet your needs.

It is the responsibility of all Southlake employees to work in a safe manner and promote health and safety in the workplace.