Bayshore HealthCare is one of the Canada’s leading providers of home and community health care services and is a privately owned company. Bayshore HealthCare is proud to showcase its achievement as a Platinum member of Canada’s Best Managed Companies Program every year since 2006.  Bayshore Healthcare is also recognized as Canada’s Best Employers in Forbes 2023 list. 

The Lead, Client Safety, Quality & Accreditation (CSQA), in collaboration with Manager, Quality & Patient Experience provides leadership and support in the implementation, sustainability and integration of an enterprise Quality Framework and Client Safety Strategy. Working with various business divisions, the main priority of the Lead, CSQA will be to advance a culture of safety, quality and people-centred care. The Lead, CSQA is responsible for monitoring the enterprise Client Safety Incident Reporting System, and for leading Quality of Care Reviews. The Lead, CQSA will coordinate the development, implementation and ongoing evaluation of systems and processes to integrate continuous improvement, quality assurance and client safety principles and practices throughout the organization. Additionally, the incumbent will provide support to the internal quality audit program and support teams in their quality assurance journey with Accreditation Canada, lead quality improvement projects, including the development and revision of enterprise-wide quality/risk policies, procedures and training materials. 

DUTIES AND RESPONSIBILITIES

Primary Accountabilities:

• Strong understanding of an integrated approach to quality, risk, client safety and experience.

• Ensures quality and safety activities are in alignment with accreditation requirements. Provides accreditation education to staff as required. Lead program level actions to respond to recommendations arising from Accreditation surveys, and to address new Accreditation requirements. Support teams in their continual Accreditation readiness
• In collaboration with the Manager, Quality & Patient Experience, provides leadership and supports the continued implementation of a robust incident management approach and sustainability of a just reporting culture, including but not limited to facilitating critical incident management and clinical chart reviews, quality of care reviews, FMEAs and reporting of Client Safety trends
• In collaboration with the Manager, Quality & Patient Experience, lead and support the implementation of a robust enterprise Client Safety Strategy, and serve as the primary liaison for organizational Client Safety related requirements
• Collaborate with the Clinical Practice Leaders to promote a high reliability learning culture by aligning the quality and Client Safety principles with the organizational and departmental goals and objectives
• Raise awareness and understanding of Quality & Client Safety principles and priorities throughout the organization.
• Lead the development and delivery of Quality and Client Safety related educational and communication materials.
• Support the implementation of an enterprise Quality Framework and all of the related tactical activities

• Lead corporate Quality Improvement initiatives as required.

• Internal Quality Audit Team (IQAT) coordination and support as required

Secondary Accountabilities:

•   Builds capacity for quality improvement through coaching, mentoring and enabling staff throughout the organization.

•  Supports committees and working groups related to Quality, Client Safety and Experience activities as required.

• Supports the policy and procedure management process in partnership with the Clinical Quality and Risk Team and other key stakeholders.

•  Prepare weekly, monthly and quarterly Q/R Team reports as required.

•  Prepare monthly presentation for monthly department meetings as required.

•  Participate in ongoing internal and/or external continuing education activities.

• Adhere to Bayshore Policies and Procedures.
• Participate in quality activities and continuous improvement initiatives aligned to the goals of the Clinical Quality and Risk portfolio.
• Participates in proactive Health & Safety activities while performing all duties. Is responsible to notify immediate Supervisor of any Health & Safety risks or concerns.
• Active leadership role in the design, implementation, adoption and sustainability of integrated digital health systems (e.g. electronic medical records, portals, etc.), for professionals and paraprofessionals, resulting in greater efficiency in the utilization of digital health systems for the delivery of safe, high quality evidence-based care.

• Maintains confidentiality of client and corporate information and discusses same only with appropriate Bayshore personnel.

• Complete other tasks as requested.

REPORTING RELATIONSHIP

• The Lead, Client Safety, Quality & Accreditation reports to the Manager, Quality & Patient Experience.