Manager, Patient Safety, Quality and Accreditation

 

Quality Safety & Risk Management

Vancouver, BC

 

In accordance with the Mission, Vision and Values, and strategic directions of Provincial Health Services Authority patient safety is a priority and a responsibility shared by everyone at PHSA, and as such, the requirement to continuously improve quality and safety is inherent in all aspects of this position.

 

Reporting to the Senior Director or designate, the Manager is responsible for the leadership and project management of strategic quality, population based system redesign and patient safety site wide initiatives across Children’s and Women’s. These initiatives or projects may involve reviews of practices, procedures and systems leading to the enhanced integration of services, better service delivery, improved patient/family satisfaction and the development of new programs and their evaluation.

 

The Manager works collaboratively with a variety of internal and external stakeholders to plan, implement, coordinate and monitor program-specific, population based quality and performance improvement programs, focusing on maintaining an environment of continuous improvement to ensure cross-site alignment with PHSA vision, mandate and strategic directions.

What you’ll do

• Facilitates program specific and cross program Value Stream Mapping to develop a strategic vision and future plan and the identification of key strategic priorities.
• Provides leadership, mentorship and facilitation in agency identified process improvement initiatives, utilizing appropriate QI Methodologies such as Lean, Quality Improvement Science, Design Thinking and Change Management skills. Oversees the development of project charters, budgets plans monitoring timelines and key deliverables. Consults with stakeholders.
• Collaborates with identified stakeholders, community partners, staff, physicians and patients/families on identified agency and site wide initiatives. Manages a diversity of programs / related projects of varying scope in a complex and changing multidisciplinary environment and with a diversity of stakeholders. Maintains responsibility for ensuring that programs and related projects are completed in adherence to project protocols/ charters/ agreements, timelines, applicable institutional and ethical policies and procedures, and pertinent privacy legislation.
• Provides mentorship within the Developmental Pediatrics Resident’s Quality Improvement/Patient Safety project (a requirement of graduation from the Dev Peds Residency Program).
• Leads and directs staff assigned to support various quality, safety, risk, and performance improvement activities, initiatives and programs. Provides leadership to staff and team members through coaching, guiding and modeling key behaviours/strategies, encouraging dialogue and providing guidance and advice to facilitate resolutions to work issues.
• Works with program and corporate staff to develop, implement, and evaluate indicators of quality outcomes and performance; prioritize quality initiatives based on detailed analysis, program functions, needs and performance measurement system; plan, develop and implement Patient Safety and Quality Improvement (PS&QI) education, initiatives and materials including evaluation and PS&QI sustainment tools.
• Ensures C&W program-based quality and safety activities are in alignment with accreditation requirements. Provides or facilitates accreditation education to program staff as required. Leads program level actions to respond to recommendations arising from accreditation surveys, and to address new accreditation requirements. Leads site-wide initiatives to address identified gaps within the current system.
• Leads retrospective (e: Root Cause Analysis) and/or prospective reviews (e.g. Failure Modes Effect Analysis) necessitated by safety events, critical incidents or process issues related to the program; monitors program staff and physician perceptions of safety, risk and quality improvement.
• Proactively ensures program staff are educated regarding regulatory issues, new statutes and/or guidelines, and safety, quality, and risk management activities.
• Provides mentorship within the Developmental Pediatrics Resident’s Quality Improvement/Patient Safety project (a requirement of graduation from the Dev Peds Residency Program).

What you bring

 

Qualifications

• Master’s Degree in Nursing, Health Administration, related health discipline or other relevant area and a minimum of five years of clinical practice in the program area or an equivalent level of education, training, and experience. Additional experience in leadership and quality and safety.
• Demonstrated knowledge of the historic and ongoing impacts of settler colonialism on Indigenous Peoples in social and health contexts, including supported by significant knowledge of Indigenous-specific mandates, including clear understanding of and commitment to eradicate Indigenous-specific racism and discrimination and embed Indigenous Cultural Safety and Humility.
• Demonstrate comprehensive knowledge of the historic and ongoing impacts of settler colonialism and systemic racism on Indigenous Peoples within social and health contexts. This includes understanding how these factors contribute to current health disparities and barriers to care. Show a clear commitment to identifying, challenging, and eradicating Indigenous-specific racism and all forms of discrimination impacting equity-deserving groups within health care settings. This involves familiarity and understanding Indigenous Cultural Safety and Humility recognizing personal biases, institutional barriers, engaging in anti-racism education and training and advocating for systemic change.
• Demonstrated knowledge and understanding of legislative obligations and provincial commitments within Quality Safety & Risk Management contexts found in the foundational documents including Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan: A First Nations Case Study - BC Human Rights Code, BC Anti-racism Act and how they intersect across the health care system.

Core Competencies

• Brings an understanding of the Indigenous specific racism and the broader systemic racism that exists in the colonial health care structure, and has demonstrated initiatives in breaking down barriers and ensuring a safe environment ensuring a sense of belonging to all and informed by Indigenous Cultural Safety.
• Awareness of social, economic, political and historical realities of settler colonialism on Indigenous Peoples and familiarity with addressing Indigenous-specific anti-racism, anti-racism and Indigenous Cultural Safety and foundational documents and legislative commitments (the Declaration Act, the Declaration Action Plan, TRC, IPS, Remembering Keegan, etc.).

Skills & Knowledge

• Knowledge and expertise in Quality Management, Performance Improvement, Patient Safety and Accreditation standards preferred. Working knowledge of legal, ethical, and clinical issues associated with standard of care practices, and Accreditation Canada requirements. Expertise in the Application of Quality Improvement Methodologies, Program Evaluation, Change Management and Strategic Deployment.
• Working knowledge of evaluation techniques and methodologies including statistical analysis methods and presentation of information. Demonstrated analytical and problem-solving skills with a global perspective in order to incorporate the organization’s systems and strategies when developing viable solutions to program problems. Excellent communication skills with the ability to facilitate, negotiate, and influence others to achieve resolutions. Ability to supervise and lead staff.
• Demonstrates a commitment to beginning and/or continuing their personal learning journey related to Indigenous-specific racism and dismantling systems of oppression, as well as addressing racism more broadly. Shows willingness to articulate and share their learning experiences to contribute to a culture of motivation and inspiration among peers.
• Demonstrates foundational knowledge of the social, economic, and political realities of settler-colonialism and its impacts on Indigenous peoples and equity-deserving groups within social and health contexts. Understands the impact of social determinants of health-on-health outcomes. Shows a commitment to learning about and upholding legislative obligations and provincial commitments outlined in foundational documents such as the Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place: Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan, Remembering Keegan: A First Nations Case Study, the BC Human Rights Code, Anti-Racism Data Act, and the Distinctions Based Approach.

 

What we bring

 

Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future. That’s why we’re focused on your care too – offering health, wellness, development programs to support you – at work and at home.

• Join one of BC’s largest employers with province-wide programs, services and operations – offering vast opportunities for growth, development, and recognition programs that honour the commitment and contribution of all employees.
• Access to professional development opportunities through our in-house training programs, including +2,000 courses, such as our San’yas Indigenous Cultural Safety Training course, or Core Linx for Leadership roles.
• Enjoy a comprehensive benefits package, including municipal pension plan, and psychological health & safety programs and holistic wellness resources.
• Annual statutory holidays (13) with generous vacation entitlement and accruement.
• PHSA is a remote work friendly employer, welcoming flexible work options to support our people (eligibility may vary, depending on position).
• Access to WorkPerks, a premium discount program offering a wide range of local and national discounts on electronics, entertainment, dining, travel, wellness, apparel, and more.

 

Job Type: Regular, Full-Time

Salary Range: $106,026 - $152,413 /year. The starting salary for this position would be determined with consideration of the successful candidate’s relevant education and experience, and would be in alignment with the provincial compensation reference plan. Salary will be prorated accordingly for part time roles.
Location: BC Women's and BC Children's Hospital - 4500 Oak St, Vancouver, BC V6H 3N1
Closing date: Applications accepted until position is filled
Hours of Work: 0800 – 1600 (Monday to Friday)
Requisition #: 193952E

 

 

What we do

 

The Provincial Health Services Authority (PHSA) plans, manages and evaluates specialized health services with the BC health authorities to provide equitable and cost-effective health care for people throughout the province. Our values reflect our commitment to excellence and include: Respect people – Be compassionate – Dare to innovate – Cultivate partnerships – Serve with purpose.

 

Learn more about PHSA and our programs: jobs.phsa.ca/programs-and-services

 

PHSA is committed to equity in our hiring and employment practices. With learning and compassion, we are addressing existing inequities and barriers throughout our systems. PHSA is seeking to create a diverse workforce and to establish an inclusive and culturally safe environment. We invite applications and enquiries from all people, particularly those belonging to the historically, systemically, and/or persistently marginalized groups identified under the B.C. Human Rights Code.

 

One of PHSA’s North Star priorities is to eradicate Indigenous-specific racism, which includes dismantling barriers to health care employment at every level. We welcome Indigenous individuals to apply and/or contact the Sanya'kula Team (Indigenous Recruitment & Employee Experience) for support at indigenous.employment@phsa.ca.

Indigenous-specific anti-racism initiatives are rooted in addressing the unique forms of discrimination, historical and ongoing injustices, and marginalization faced by Indigenous peoples. These initiatives align with an Indigenous rights-based approach, recognizing the inherent rights and self-determination of Indigenous communities. PHSA must uphold legislative obligations and provincial commitments found in the foundational documents such as including Truth & Reconciliation Commission’s Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan: A First Nations Case Study.

 

ATTN: PHSA Employees:

 

To be considered as a PHSA employee (internal applicant) for this position, you must apply online via your internal profile at internaljobs.phsa.ca

 

Please note the internal job posting will no longer be accessible after the expiry date of January 27, 2026. If the internal job posting has expired, please contact the Internal Jobs Help Desk and advise that you would like to be considered as a late internal applicant for this position. Please do not apply for the external job posting.

 

If you have not registered your internal profile, a password is required to log in for the afirst time. To obtain your password, please contact the Internal Jobs Help Desk at internaljobshelpu@phsa.ca. Please note regular business hours are Monday – Friday (excluding stats), 8:30am to 4:30pm. For inquiries outside of regular business hours, please email the Internal Jobs Help Desk at internaljobshelpu@phsa.ca and a Help Desk Representative will contact you the next business day.