Director, Accreditation Programs
Job No:
CPSBC147
Location:
Vancouver, BC
POSITION SUMMARY
Reporting to the deputy registrar, the director is responsible for the oversight, administration, management, budget and delivery of all aspects of the Diagnostic Accreditation Program (DAP) and Non-Hospital Medical and Surgical Facilities Accreditation Program (NHMSFAP) in compliance with the Bylaws pursuant to the Health Professions Act (HPA).
The director supports the DAP and NHMSFAP committees and facilities through the accreditation cycle. The director is accountable and responsible for the design and development of appropriate plans, change management strategies, activities, and tools to ensure the effective implementation and ongoing maintenance of the programs and continuous quality improvement.
DUTIES AND RESPONSIBILITIES
Duties include but are not limited to the following:
Administration
- in collaboration with the deputy registrar and other College staff, formulate the strategic goals of the DAP and NHMSFAP for approval by appropriate committees and the Board
- develop and maintain an effective organizational structure and network that supports the achievement of the operational and educational goals of the programs
- establish, maintain and evaluate accreditation programs related to the sub specialities of diagnostic imaging, laboratory medicine, pulmonary function, polysomnography, neurodiagnostics and non-hospital facilities through standards research, development, testing and evaluation
- develop a surveyor recruitment, development and evaluation program to support surveyors in conducting assessments according to program policies, procedures, processes and protocols
- oversee the implementation of the eAccreditation platform for the management of facility information, planning of surveys, generation of accreditation reports and management operational reports and setting a foundation of a research database to analyze data
- monitor the performance of facilities and services through the establishment of external proficiency testing programs and other robust quality indicators of performance
- provide leadership to improve the quality of services provided through a coordinated quality improvement program
- oversee and provide leadership for the planning and development of policies to provide guidance and framework for the integration and standardization of the programs
- establish and implement key performance indicators (KPIs)
- monitor and report to the deputy registrar, senior management team and the Board on KPIs, issues and risks and promptly escalate where appropriate
- develop policies, procedures, tools and internal controls designed to support the programs
- participate in strategic and department business plan development
- initiate, develop and manage projects that support the DAP and NHMSFAP
- ensure proper systems and tracking are in place to fulfill College obligations
- prepare regular reports for the deputy registrar and senior management team on current activities and priorities
Communication
- interact with physician and administrative service leaders, the Medical Services Commission, the Ministry of Health and accreditation bodies both nationally and internationally
- foster the development, implementation and evaluation of the DAP and NHMSFAP through collaborative partnerships with client organizations in all sectors of BC
- ensure organizations have access to the most recent edition of the applicable accreditation standards, tools and processes
- identify learning needs of client organizations related to the accreditation process and cycle
- report to government stakeholders and the public on the performance of the BC diagnostic health-care system and non-hospital facilities as assessed through accreditation
- represent the programs on community, provincial, and national committees as appropriate
Human resource management
- complete probationary and semi-annual performance evaluations for program managers and other applicable staff
- coach and develop staff members to their full potential
- support the growth and development of staff through continuing education
- promote teamwork and share appropriate information with staff in a timely manner
- conduct regular department and team meetings to inform staff and ensure timelines are met
Planning and organizing
- the workload of the director will be a mixture of self-directed and planned activities (driven by operational objectives and the DAP and NHMSFAP’s strategic plan)
- the director is required to plan independently and manage under time constraints, ensuring consistent quality and attention to detail
- provide input into the development of the programs operational plan, which will outline the key priorities over a one-year period
General
- implement, oversee and continuously review the management and operational structure for the programs
- develop annual departmental goals and objectives, and establish support structures to enable the achievement of goals and objectives
- identify, implement and evaluate initiatives and activities
- ensure departmental budgetary compliance
- participate and collaborate in the development and management of cross-department, College-wide operational issues
- establish systems for tracking/monitoring departmental and College issues as they relate to the programs
- perform such other duties, functions, and responsibilities as assigned by the deputy registrar
The director must demonstrate the ability to:
- motivate and develop individuals and a team, enable continuous change and improvement in accordance with College policies and department procedures/systems
- plan workload independently and prioritize conflicting demands in order to achieve objectives
- appreciate the need for inclusive and interactive practice to enable the viewpoints and ideas of the Board, physicians and staff to be utilized to best effect
- be responsive, identifying solutions to problems that arise
- demonstrate capability to multi-task within own area of responsibility and in support of other departments as required
- maximize use of management information systems, including specific IT requirements in line with the College IT policy and improvement plan
- use initiative and take appropriate action when unforeseen circumstances arise
- pay diligent attention to detail
DECISION-MAKING
- high level of responsibility for implementing program policy and operational decisions
- knowledge of the College Bylaws pursuant to the Health Professions Act (HPA) must be applied to decisions taken
SKILLS AND QUALIFICATIONS
Required skills and qualifications include:
- master of business/health administration or similar management education
- five or more years of management experience, with direct responsibility for the supervision of more than five members of staff
- ten or more years of relevant experience or equivalent combination of education and experience
- knowledge of the HPA and other relevant legislation is essential
- project management experience
- solid understanding of medical regulation and processes
- excellent leadership and communication skills
- proven ability to mentor, motivate and develop staff
- ability to work collegially and collaboratively in a multidisciplinary environment
- organization and planning, managing multiple demands, and achieving results
- ability to use initiative and take appropriate action when unforeseen circumstances arise
- advanced technology skills including word processing, telecommunications, database, and software
- analytical reasoning, interprets and evaluates complex information, while identifying patterns and essential issues
CORE COMPETENCIES
- Leadership skills – builds passion and commitment, and guides individuals and groups towards desired outcomes by delegating and empowering; thinks and plans strategically; demonstrates a sincere interest in employee well-being; builds and leads effective work teams; builds trust with others through personal authenticity; leads by example; is flexible; generates results.
- Change agent – is a change agent, effectively leading and managing change.
- Communication skills – expresses verbal and written ideas effectively in individual and group situations; creates clear, concise and informative reports and correspondence; proactively builds and aligns stakeholders and resources to achieve goals.
- Risk management skills – anticipates, identifies and manages risk.
- Self-awareness – actively practises self-evaluation, self-reflection and growth.
The College of Physicians and Surgeons of British Columbia has been recognized as one of BC’s top employers since 2011 and one of Canada’s top 100 employers since 2014. Our goal is to attract, develop and retain highly talented employees. We offer an excellent working environment, opportunities for personal and professional growth, and a comprehensive benefits package.
All applications for this position must be submitted online at https://www.cpsbc.ca/about-us/careers. Closing date is December 12, 2017. Interviews to be held December 14 or 15, 2017.
We thank all applicants for their interest; however, only those selected for interview will be contacted
Click here to download the job description.
How To Apply
All applications for this position must be submitted via this page.
Please read through all of the questions; you may wish to prepare your responses in a Word document before you start filling out the fields below.
To begin the application process, complete the questions below. You will have the opportunity to attach your resume and other documents on the next page. Note: You must submit your resume online. Ensure you have your resume ready to attach.
We thank all applicants for their interest; however, only those selected for interview will be contacted.