Coordinator, Quality Improvement

Detailed Overview

Supporting the Vision, Values, Purpose and Commitments of Fraser Health including service delivery that is centered around patients / clients / residents and families : Reporting to the Manager (NSQIP & Quality Improvement), the Coordinator works in collaboration with operational and clinical leaders by providing coordinative and administrative support / guidance in the application of Quality Improvement (QI) principles, practices, and tools both at point of care and in support of site program priorities.

Coordinates and documents site / program Patient Safety Reviews; provides QI information as a member of Site and / or Program Quality committees, promotes awareness of quality principles, and supports the implementation and sustainability of an integrated approach to analysis and resolution of QI issues for specific sites or programs.

Works in accordance with best practices, employing confidential and professional standards and regulatory requirements, in alignment with the strategic goals and priorities of Fraser Health.

Responsibilities Supports Site / Program Leadership by tracking and monitoring the development and implementation of quality improvement initiatives in alignment with Fraser Health's Safety Priorities.

Utilizes identified gaps from Accreditation results, Patient Safety Learning System occurrences and non-compliance of Operating Procedures.

Assists the Manager and Quality & Safety Consultants by coordinating the implementation of tools and resources to standardize processes (assessment, investigation and resolve of Patient Safety issues) for Patient Safety Reviews.

Supports Site / Program Leadership in the PSLS incident process by co-ordinating the intake, assessment, reporting, documentation and follow-up of safety incidents, claims, coroners' reports and related legal documents.

Duties involve awareness or involvement of QI changes or recommendations related to staff, staff schedules, risk management or highly confidential practice changes / restrictions.

As a member of the QI team, attends Patient Safety Review meetings related to confidential reviews on patient or staff injury, individual practice concerns or risk management / legal quality review meetings.

Prepares materials for presentations, workshops, FH orientation for new employees and new managers, as well as QI training sessions for FH Program / Site Leaders, site employees, physicians with site privileges and patient representatives.

Collaborates with QI Coordinators, Consultants and Leadership by proactively sharing information; provides timely and consistent information to Site Leadership and physicians as appropriate, contributes to the development of a culture of excellence within QI.

Coordinates the maintenance of websites, SharePoint sites and shared drives to ensure information is current and easily accessible by appropriate stakeholders.

Responds to requests for information within the department or by site leadership; provides data , findings or study documents related to the assessment, investigation and resolution of quality improvement and patient safety issues.

Duties involve awareness of areas which include access to data and analytics which are operationally sensitive, and may impact planning of QI activities being considered by the organization involving human resources planning and / or restructure.

Assists and participates in the development and updating of QI policies, procedures, guidelines, tools and methods by reviewing documents and providing input as appropriate in alignment with Site Leadership needs and Best Practices.

Provides administrative and coordinator support in the development of QI strategic plans and reports to FH Executives and Site Leadership.

Liaises with Infection Control in the coordination and implementation of QI practices; develops and maintains relationships with Professional Practice for support with clinical best practices.

Supports QI initiatives and knowledge by networking, fostering, and sustaining relationships with internal stakeholders, (Site Leadership, Clinical Nurse Specialists, Clinical Nurse Educators, Allied Health practitioners and frontline nurses, National Surgical Quality Improvement Program staff, and PSLS staff.

Qualifications Education and Experience Diploma in business, adult education, health care or related field, plus three years related experience in a healthcare setting, including knowledge / courses in Quality Improvement or QI methodologies, or an equivalent combination of education, training and experience.

Competencies Demonstrates the leadership practices of the Fraser Health Leadership Framework of Clear, Caring and Courageous and creates the conditions for people to succeed.

Professional / Technical Capabilities Broad knowledge of Canadian healthcare delivery practices and knowledge and / or education of QI principles and methodologies.

Ability to work independently and in an integrated multi professional team environment. Proficient in MS Office, including an ability to use Excel to create Quality charts and use Word / Excel or Visio to document basic flowcharting functions.