Manager, Patient Safety - Quality, Safety and Patient Experience

Scarborough Health Network - Toronto, ON (30+ days ago)

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Company Biography:
Across our three hospitals and eight satellite sites, Scarborough Health Network (SHN) is shaping the future of care. Our many programs and services are designed around the needs of one of Canada’s most vibrant and diverse communities. We are home to North America’s largest nephrology program, as well as the designated cardiac care and spine centre for Scarborough and surrounding communities to the east. We are proud to be a community-affiliated teaching site for the University of Toronto and partner with a number of other universities and colleges, helping to train the next generation of health care professionals. Learn more at

Position Overview:
The Manager, Patient Safety oversees the corporate responsibilities that align with the organization’s goals and strategic direction and maintains leadership management duties in the areas of patient safety, accreditation and tactics to become a High Reliability Organization (HRO). This position is also responsible for developing and enhancing the operational aspects of the Patient Safety Incident Management process, Quality Improvement Plan (QIP) management process, including the creation, oversight, management and operationalization of policy related to accreditation sustainability and the quality and patient safety plan. This position works heavily in collaboration with the Integrated Risk Management team to ensure optimal synergy between the Quality and Patient Safety Plan and the Integrated Risk Management Framework. Additionally, this position works heavily with all members of interdisciplinary teams (clinical and non-clinical).

The manager works with units and departments; including front-line staff, Managers and Directors. Provides assistance and input to the Senior Leadership Team and the Board of Directors as requested. Collaborates with all levels to foster an environment of minimizing risks and maximizing patient safety across the organization, to ensure continued organization-wide success.

This corporate position also manages non-union assigned staff and supports corporate-wide, all Scarborough Health Network (SHN) hospitals: Birchmount, General and Centenary.

Company Vacancy/Request for Transfer:
The completion of this online form serves as your application and will be used to determine if you meet the requirements of this position. Please ensure that you have provided all pertinent information necessary to be considered for this vacancy by the close date.

  • Manages the monitoring and investigation process of patient safety incidents reported through the electronic incident reporting system.
  • Oversees the preparation/facilitation or at times, leads quality of care reviews (also under the Quality of Care Information Protection Act as required) with relevant programs.
  • Manages awareness and capacity with all staff (clinical and non-clinical), midwives, physicians and volunteers on patient safety concepts and initiatives.
  • Provides managerial feedback on patient safety key metrics and discusses with relevant programs and departmental Managers and Directors on ways to increase patient safety awareness and actions at the program and corporate level.
  • Reviews collection of data and routine reports to analyze the frequency and trends of adverse patient events and summary information in statistical trend reports for various working committees/task forces and presentations.
  • Oversees support to the electronic incident reporting system (changes to workflow reporting) and involvement in government legislation on reporting adverse outcomes (i.e. Vanessa’s Law).
  • Lead the assessment, planning, implementation, and evaluation of the patient safety programme within the High Reliability Organization [SHN HRO/S.A.F.E.T.Y.] with specified organization-wide, program based and department specific patient safety initiatives in collaboration with the inter-professional teams.
  • Manages the patient safety strategic plan deliverables based on the timeframes as identified in the 5-year plan (i.e. education, communication, critical incident management, HRO framework.)
  • Manages patient safety initiatives, which include the 24-hour critical incident review/notification process, patient safety walkabouts/rounding; includes analyzing trends and implementing evidence-based approaches to improving patient safety.
  • Manages and supports aspects of the patient safety education process, such as corporate awareness on corporate bulletins, clinical projects (FMEAs, patient safety expertise on non-conformity to compliance (i.e. two patient identifiers), building capacity through front-line, leaders, physicians and volunteers.
  • Works collaboratively with teams and leaders to develop patient safety strategies to patient safety issues, address risks and mitigate injury/harm to patients.
  • Manages creation, oversight, and operationalization of policy related to the quantitative and qualitative aspects of Patient Safety Plan.
  • Assists in the development of the Quality Improvement Plan to ensure the organization meets the commitments as aligned to the province’s health care improvement priorities. Manages the change ideas as set out by each indicator team lead, providing input, including scorecard metrics.
  • Manages improvement initiatives and Accreditation principles by focusing on patient safety, quality and risk through the development of unit audits, education and communication tools and summary reports to several forums and leadership committees to ensure continuous support across the organization.
  • Monitors and communicates detailed feedback on quality improvement outcomes in collaboration with program leaders, medical directors and various internal and external stakeholders to identify and provide recommendations and solutions to executives on process improvement initiatives.
  • Provides leadership and evaluate hospital-wide compliance and alignment to required organizational practices, team standards, frameworks, policies, indicators, best practices and guidelines.
  • Develops and applies sound project management principles to the current Accreditation process and future sustainability plans and acts as a leader in the planning and monitoring of improvement requirements.
  • Establishes solid relationship management with Accreditation Canada and the organization to ensure continued momentum and ongoing facilitation and coaching of improvement work with various teams.
  • Manages and chairs an Accreditation Forum by hosting bi-weekly speakers and educating all staff by focusing on Accreditation requirements, and how to prepare for an external review process.
  • Provides advice and consultation to leaders by identifying the impact of proposed solutions and changes to the organization and clients from a quality, safety and risk perspective.
  • Reviews, provides feedback and approval on tasks and duties assigned to direct reports.
  • Sets goals for the department and monitors status and completion of assigned workload.
  • Monthly reviews of portfolio budget and approval of expenditures for department.
  • May perform other related duties as assigned.
  • Minimum five (5) years’ experience of progressive professional management/leadership in healthcare, including leading a diverse non-unionized team.
  • Must have an undergraduate degree in healthcare or related discipline.
  • Must have a Master’s degree in healthcare administration or nursing.
  • Must have Lean Training, Project Management Training/PMP.
  • Certification or experience in nursing, other healthcare disciplines or healthcare setting.
  • Certification in Patient Safety from an applicable program completed or in progress (E.g. Accreditation Canada, Ontario Health Association, Canadian Patient Safety Institute.)
  • Experience leading corporate patient safety initiatives and managing complex projects using lean/process improvement, quality and continuous improvement/change management methodologies.
  • Experience maintaining and updating policies, procedures and standard work documents.
  • Experience leading or assisting with at least one Accreditation cycle.
  • Expert in performing high-level business and financial analyses and involvement in performance measurement, quality improvement initiatives/projects, data reporting and ability to analyze numbers and make sound judgment recommendations and/or decisions on behalf of the organization.
  • Profound knowledge of healthcare regulatory compliance in areas such as Accreditation Canada standards and required practices, Quality of Care Information Protection Act, and Excellent Care for All Act.
  • Demonstrated outstanding knowledge in patient safety, including experience working with risk/patient safety-related tools, practices, methodologies and frameworks.
  • Demonstrated superior experience in strategic management and full competency in the ability to provide leadership in the planning for Accreditation, monitoring budgets, quality improvement and Lean requirements.
  • Excellent problem solving and critical thinking abilities to solve problems in straightforward situations, displaying solid analytical abilities and provide solutions to issues identified.
  • Solid communication, relationship-management, decision-making, negotiation, influencing, presentation, consultation, coaching, mentoring, leading and facilitation skills.
  • Demonstrated pattern of good attendance and performance.
  • Demonstrates an understanding of and commitment to SHN’s comprehensive safety programs and practices including staff safety, patient safety, and environmental safety and participates in regular in-service education in this area.
  • Must demonstrate a commitment to customer service when dealing with patients, colleagues, volunteers and other members of the community and public.
  • Chairing committees and forums.
  • Experience working with healthcare electronic systems such as Meditech, Onbase, Feedback Monitor, and/or RL Solutions/electronic incident reporting system.
Physical Demands:
  • Sitting, Keyboarding, driving, and carrying laptop and other work materials
  • Computer screen vision and reading/interpreting complex documentation
  • Walking and standing
  • Talking and listening
  • Periods of intense concentration and attention to detail
  • Variable pace and/or uncontrolled work pace
Accommodation Statement:
Scarborough Health Network (SHN) embraces and celebrates our community’s unique multicultural heritage and diversity. SHN is an equal opportunity employer, dedicated to a culture of inclusiveness and diversity reflecting our diverse patients, staff and community alike. We are committed to providing barrier-free and accessible employment practices in compliance with the Accessibility for Ontarians with Disabilities Act (AODA). Should you require accommodation through any stage of the recruitment process, please make them known when contacted and we will work with you to meet your needs.