Manager, Laboratory Medicine

Job No: CPSBC166
Location: Vancouver, BC

Position summary 

Reporting to the director, Diagnostic Accreditation Program (DAP), the manager, laboratory medicine is responsible for providing leadership and management for the overall development, maintenance and delivery of the laboratory medicine accreditation program. The manager provides leadership to laboratory medicine program staff to ensure planned assessment activities are conducted by qualified, trained personnel. The manager provides leadership to staff in conducting research and evaluating, maintaining and developing the DAP standards for the laboratory medicine program. The position also oversees the proficiency testing and quality control program (PTQC).

Duties and responsibilities

Duties include but are not limited to the following:

Assessment management

  • ensure the development, maintenance and accurate up-to-date listing of laboratory medicine facilities, services, accreditation status and contact information subject to DAP accreditation
  • ensure an accreditation schedule is developed for each laboratory medicine facility/service including reference to any regional/corporate structure models
  • ensure all components of the on-site assessment are completed in a timely fashion, e.g. technical, management and medical components
  • ensure knowledge of any significant issues arising during the on-site assessment is responded to and reported to the director in a timely fashion
  • ensure initial assessments of new services/facilities are performed and ensure the initial assessment process is completed in a timely fashion
  • ensure focused visits are conducted as required and the focused visit process is completed in a timely fashion

Assessing performance of facilities

  • evaluate the laboratory medicine facility/service’s level of actual performance to achieving the DAP accreditation standards as appropriate

Accreditation report and award

  • ensure accreditation reports are produced in a timely and prescribed manner
  • ensure reports identify best practices, opportunities for improvement, and follow-up actions required to address outstanding mandatory requirements and associated time frames for completion
  • ensure reports make recommendations to the DAP Committee on the appropriate level of accreditation award for the laboratory medicine facility/service assessed
  • monitor post-survey activities of the laboratory facility to address outstanding mandatory requirements; for those requiring action, work with the facility to ensure implementation

Assessor management

  • ensure the number and skill mix of assessors to deliver quality assessment services
  • select and appoint assessors in accordance with competency-based selection criteria and the programs requirements
  • define the laboratory medicine program peer assessor responsibilities and expectations through a contractor agreement for their signature
  • manage the ongoing education program for assessors and peer assessors

Client relationships and communication

  • establish and maintain effective relationships and ongoing communication with laboratory medicine facilities and organization leaders
  • respond to client enquiries and complaints under the direction of the director
  • develop a communication plan for the laboratory medicine program client organizations based on the framework of the DAP communications plan
  • develop the laboratory medicine communication tools and the  CSPBC website in collaboration with the other program managers, director and the College communications department

Educational program

  • identify learning needs of client organizations related to the accreditation standards, accreditation processes and cycle
  • develop, implement and evaluate education plans to address learning needs

Standards management

  • develop advisory committee agendas and meetings
  • ensure that a record of decisions made by the DAP laboratory advisory committees, minutes, agenda and briefing notes are maintained
  • ensure the DAP laboratory medicine advisory committees’ decisions are implemented in a timely and effective manner
  • identify time frames for standards development
  • ensure the DAP laboratory medicine standards, criteria, criteria descriptors, reference material, mandatory requirements timelines, and evidence submission documentation are maintained
  • ensure the development of surveyor protocols, and other assessment tools e.g. initial assessment and focused visit protocols
  • ensure the creation of associated educational and supporting material
  • ensure that transitional arrangements for implementation of revised standards are identified, implemented and followed
  • ensure organizations have access to the most recent edition of the applicable accreditation standards, tools and processes
  • ensure queries from laboratory medicine facilities/services related to the interpretation and the application of DAP accreditation standards are addressed in a timely and complete fashion
  • conduct formal review processes and identify the need for new or revised standards
  • identify objectives, parameters and time frames for new accreditation programs development

Proficiency testing and quality control (PTQC)

  • ensure the review and analysis of data from the proficiency testing and quality control program, leading to the development of reports indicating significant trends
  • review the external proficiency testing and quality control program for improvement opportunities
  • develop a plan for the further development of the program
  • implement the plan for the PT program

Human resource management

  • recruit and select laboratory medicine program staff
  • set performance expectations and oversee performance plans
  • coach and develop laboratory medicine program staff
  • report any human resource issues to the director

Quality improvement

  • participate as a member of the DAP Quality Improvement Program Committee
  • develop and implement policies procedures, standardized processes and templates for the laboratory medicine program activities under the direction of the director and working collaboratively with the other DAP programs
  • regularly track and report to the director on the status of the DAP laboratory medicine activities and on the status of meeting established performance indicators
  • ensure the timely delivery to the director of accreditation survey reports, recommendations, briefing notes and documents requiring review and decision by the DAP Committee
  • collect data from accreditation assessment processes for the purposes of review and analysis of data, leading to the development of reports indicating significant trends
  • identify and analyze issues regarding the accreditation standards, assessing significance and submitting recommendations for resolution 

General

  • facilitate meetings, forums, focus groups and workshops
  • attend meetings and functions at the direction of the director
  • perform related duties as assigned

Skills and qualifications

Required skills and qualifications include:

  • Medical Laboratory Technology (MLT) certification from the Canadian Society of Medical Laboratory Science (CSMLS)
  • graduation from a recognized post-secondary institution in a health-related discipline
  • management designation or additional education and experience in a related field
  • experience in human resources planning and management
  • knowledge and experience in accreditation programs, methodologies and quality systems
  • experience in delivering education programs
  • experience in identifying risk and acting to mitigate the consequence
  • knowledge of information systems applications tools
  • ability and willingness to travel as required to fulfill the responsibilities associated with the position
  • possess a valid driver’s licence and ability to drive as required to fulfill the responsibilities associated with the position
  • ability to collect data, review, and analysis the data
  • ability to deliver education and orientation programs utilizing a variety of recognized adult education methodologies
  • ability to evaluate performance and develop continuous improvement and development plans and goals
  • ability to implement or support various change management activities
  • ability to work cooperatively with others to produce innovative solutions

Click here to download the position 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.

 

 

 

Apply Now

Personal Details * Required field

  1. Digits only or add + for international numbers

  1. (Please click on your profile and copy the URL from your profile page.)

Questions

About Vancouver

Vancouver is a dream combination of stunning natural beauty, cultural diversity, and thriving job market. Vancouver is a bustling city located on the west coast of Canada, surrounded by mountains and the Pacific Ocean, making it an ideal location for outdoor enthusiasts. With a strong economy and a variety of industries, Vancouver offers plenty of job opportunities, particularly in the tech sector. The city's rich cultural scene is also a major draw, with numerous festivals, events, and world-class museums and galleries. Vancouver is a fantastic place to work and live, with something to offer for everyone.
College of Physicians and Surgeons of British Columbia