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Other Opportunities: Quality Improvement/Accreditation Specialist (Part-time)

Reference #00144
PostedFriday, February 7th, 2020 at 2:51pm
ScopePublic Applications Accepted
PositionQuality Improvement/Accreditation Specialist (Part-time)
Application DeadlineFriday, February 21st, 2020 at 12:00am

Reporting to the Director of Quality, Safety and Decision Support, the Quality Improvement/Accreditation Specialist is responsible for enabling and promoting a proactive, integrated and just culture approach to patient safety, quality and risk management throughout Northumberland Hills Hospital (NHH). This role has two distinct parts that support our (1) accreditation journey and (2) strategy development and deployment through Lean Thinking.


Quality Improvement (QI) Specialist

In collaboration with the Director of Quality, Safety and Decision Support, the incumbent will support the implementation of NHH’s decision support framework by providing a lead QI role in the organization and facilitation of key Lean events and process improvement initiatives. The incumbent will:

  • Facilitates assigned organizational quality improvement initiatives

  • Leads and facilitates patient safety/quality initiatives applying varying methods (i.e. Lean, PDSA, FMEA, project management, safeguards analysis, etc.)

  • Promotes the use of the quality improvement methods and tools for program-based projects and reinforcing alignment with strategic initiatives and corporate objectives

  • Acts as a resource and coach to the Leadership team

  • Assists teams with identifying measures, analysis and presentation of data

  • Trains teams and individuals on the use of basic quality improvement process and tools

  • Collaborates with decision support team to collect data from hospital systems to identify quality and patient safety issues and to analyze data for underlying causes

  • Delivers presentations and training programs meant to increase awareness of patient safety initiatives

  • Profiles and provides knowledge transfer for idea and success/huddle boards and the implementation of the patient safety priorities

  • Plays a key role in supporting program-based projects

  • Provides insight at the program level on what data is telling us and provide guidance on how to review and analyze data

  • Keeps current of trends and issues in quality and patient safety

  • Identifies strategies to improve quality and patient safety

  • Assists with policy and procedure development i.e. conducts review of the literature, guidelines, etc.

 Accreditation Specialist

In collaboration with the Director of Quality, Safety and Decision Support, the incumbent will by a co-lead in the Accreditation process and will work to ensure that accreditation becomes a mechanism for continuous quality improvement and patient safety. The incumbent will:

  • develop, execute and implement aspects of accreditation planning cycle, providing leadership, and expertise on the process.

  • prepare reports for various committees and meetings providing progress updates meeting standards with variance and action plans to address opportunities to improve.

  • will support and provide education and knowledge transfer related to accreditation standards of excellence, required organizational practices and the process to ensure organizational preparedness.

  • Assist/coach teams with interpretation of standards, ROPs, analysis and presentation of data

  • develops strategies to embed accreditation criteria into daily work and work of existing processes and systems

  • Keeps current on accreditation requirements i.e. standards, timelines, etc.


  • University degree in a health care discipline required

  • One to three years related experience in a patient safety, risk management or quality improvement capacity required

  • One to three years related experience with facilitating the Accreditation process or Regulatory process in a health care organization required

  • Membership in good standing with affiliated College or Association an asset

  • Lean certification and/or a combination of courses and experience in quality improvement tools and methods and/or risk management an asset

  • Demonstrated experience in quality improvement methods and tools i.e. LEAN, FMEA RCA, and the IHI model for improvement

  • Strong ability to lead change through others, including utilizing influencing and conflict resolution skills

  • Demonstrated experience using data measurement and analysis pertaining to risk, quality and patient safety

  • Demonstrated experience in project and change management

  • Superior verbal, written, listening and presentation communication skills

  • Ability to influence others and to establish credibility with all levels of the organization, challenging the status quo and being a catalyst for positive change.

  • Demonstrated ability to work independently and with multidisciplinary teams

  • Proficiency in the Microsoft suite of software, including MS Word, MS Excel, MS Project and PowerPoint.

Interested applicants are invited to forward their resume by February 21, 2020.













































Interested applicants are invited to forward their resume by February 21, 2020.

Applicants are invited to forward their resume by Friday, February 21st, 2020 using one of the methods below. Only those selected for an interview will be contacted. Thank you for your interest in Northumberland Hills Hospital.

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