JOB TITLE: Director, Quality, Risk and Chief Privacy Officer
START DATE: As soon as possible
STATUS: Permanent, Full-Time
REPORTS TO: Vice President of Home and Community Care Support Services
LOCATION: Vice President of Home and Community Care Support Services – Erie St. Clair Region (Chatham-Kent, Sarnia-Lambton or Windsor-Essex)
COMPETITION NO.: ESC 038/21
Background:
Home and Community Care Support Services Erie St. Clair is one of 14 Home and Community Care Support Services organizations in Ontario with a focused mandate to deliver local health care services such as home and community care and long-term care home placement. Home and Community Care Support Services is dedicated to ensuring the ongoing delivery of local services while Ontario makes changes to improve the health care system to give patients better connected care with health care providers working as one coordinated team in Ontario Health Teams.
Home and Community Care Support Services Erie St. Clair has a need for a Director, Quality, Risk and Chief Privacy Officer as described below. Home and Community Care Support Services Erie St. Clair is committed to supporting healthcare in a manner that is consistent with patient and family centred care. Applicants are required to have a demonstrated understanding and commitment to this care philosophy. This position understands the importance of quality and safety and requires a high degree of attention to detail and excellent time management skills. Preference will be given to candidates who are proficient in both official languages. The position will be located within the Erie St. Clair Region and travel is required between all three sites.
GENERAL ACCOUNTABILITY
NATURE AND SCOPE:
Reporting to the Vice President of Home and Community Care Support Services, the Director, Quality, Risk and Chief Privacy Officer is responsible for directing, managing, developing, implementing and monitoring matters relating to the quality, accessibility and reliability of patient information. This position will as serve as the Chief Privacy Officer of the organization and is responsible for a robust privacy framework. In addition, the Director, Quality, Risk and Chief Privacy Officer is responsible to support and monitor integrated quality initiatives and metrics including risk management and quality improvement plans with Home and Community Care Support Services and in collaboration with developing Ontario Health teams (as appropriate).
KEY RESPONSIBILITIES:
Quality and Performance Management
Functions as a key corporate resource for a range of quality-related programs and processes
Provides consultation and guidance for development and tracking of performance metrics related to the strategic directions of HCCSS
Develops and updates the HCCSSBalanced Scorecard
Monitors and trends event management through the Events Tracking Management System (ETMS) and recommend improvements as identified
Liaise with HCCSS Directors, regarding patient and/or service provider quality issues and event reporting process and outcomes
Provides support to various departments as they conduct quality improvement activiti
In collaboration with education services, provides training, education and support to other departments regarding continuous quality improvements
Collaborates with other West Region Quality Directors to ensure alignment with Quality initiatives and practices
Develops and keeps relevant policies, procedures and resource tools to identify and address areas of risk for patients, service providers, Home and Community Care Support Service staff and the organization as a whole
Acts as a resource to managers and staff for mitigating patient concerns/unusual patient situations involving an element of organizational risk
Leads organization review of publicly reported quality indicators and develops recommendations for Quality Improvement Plan (QIP)
Risk Management
Emergency planning: Responsible for emergency response plans, policies, contingency planning for organization and our vulnerable patient population
Organizational contact with HIROC (Insurer) for matters of potential litigation
Organizational resource for advice and counseling related to organizational risk
Ensure compliance with relevant Acts, Sector-Wide Policies and Campaigns
Develops policies, procedures and tools to identify and address areas of risk for patients, service providers, Home and Community Support Services staff and the organization as a whole
Manages Data Quality and Privacy Initiatives
Acts as the Chief Privacy Officer for HCCSS and must ensure adherence to legislative requirements
Provides support to senior management by identifying the impact of proposed changes to organization and patients from a data quality and privacy aspect
Provides leadership for the Privacy program across HCCSS and to our contracted service provider Ensures privacy education is recurring and relevant for all staff
Provides leadership and auditing framework for privacy breech management
Champion the need for and benefits of data quality to all divisions throughout the organization
Utilize data profiling and data quality tools, as well as with various data sources to uncover and determine root causes of data quality issues
Collaborate directly with business data owners to establish best practice business rules
Instills quality improvement and monitoring as an integral part of business activities
Health Information Management
Implements strategic goals and objectives for Health Information Management in accordance with HCCSS Strategic Directions
Achieves Health Information Management objectives by contributing information and analysis to strategic plans and reviews; writes and completes project/action plans; identifies, writes, approves and implements policy and procedures and reference documents to support best practice, legislative and professional College requirements
Directs data collection requirement and information needs pertinent to Health
Records, (electronic and paper based)
Reviews, consults and makes recommendations on research requests involving the collection of personal health information, inclusive of monitoring/audits to ensure appropriate access of all health records by employees
Provides recommendations to leadership when potential breaches have occurred
With department staff, responsible to educate, monitor for compliance and provides support for health record accuracy and appropriateness for documentation and International Classification of Diseases and Related Health Problems Version 9 (ICD-9) PSA coding/Care Coordinator diagnosis and surgical descriptions
Consults with department staff on the development and completion of audits (including follow up and action plans) on health records and data collections e.g. ICD coding to ensure standards are being met
Review and approve all HCCSS health record inventoried forms to meet HCCSS forms standards e. forms becoming part of the legal health record
Reviews with department staff to approve all patient/SDM requests for restricting their personal health informatio This includes granting/denying staff access in CHRIS e.g. consultation with patient/SDM, review request, approve, restrict information
Ensures appropriate standards are in place to manage patient health records (g. Documentation standards)
Participates in provincial committees and other local, regional and provincial committees as necessary to support the organization and to improve processes and data quality throughout the continuum of care
Privacy/Security
Responsible for privacy related policies, procedures and tools ensuring adherence to Privacy Legislation, Information Privacy Commissioner (IPC), professional practice guidelines and professional college standards
Accountable for HCCSS reviews and provides feedback/recommendation on Privacy Impact Assessments, Threat Impact Assessments, Data Sharing Agreements and Contracts for HCCSS, and various HCCSS partnerships
Responsible to ensure staff are trained in regards to privacy related policies and procedures
Initiates, facilitates and promotes activities to foster information privacy awareness within the organization
Responsible and accountable for organizational response to privacy breaches and events accordingly and appropriately by ensuring the appropriate staff are notified both internally and externally including the IPC office if required, addressing the priorities of containment and notification to patient(s), investigating and providing remediation as necessary
Monitoring the effectiveness of privacy-related risk mitigation and compliance measures
Corporate Record Management
Responsible to oversee department staff to ensure corporate records are maintained in accordance to legislative requirements and in a manner that protects them from loss, corruption or tampering, and identifies risk areas and proposed solutions
Leadership
Provides ongoing leadership, direction and support to department staff in the delegation of functions, planning and completion of work as needed to ensure maximum operational functioning
Provides advice, recommendation and proposed solutions to the management team regarding areas for improvement and areas of high risk
Participates in the implementation, monitoring and evaluation of the strategic plan, goals and achievements
Provides direction, mentors, advises management and front line staff in regards to day-to-day operations and strategic directions for portfolio
Collaborates with staff to develop orientation and training programs for all staff regarding health information and privacy including any associated system applications g. CHRIS and HPG
Provides leadership support to local implementation of the Family Managed Home Care (FMHC) contracts
In collaboration with Patient Service Managers, and HIM staff, develops documentation audit tools to measure quality of and adherence to documentation standards assist in staff performance reviews
Develops policies, procedures and tools for areas of responsibility
Ensures oversight on research requests
Other duties as assigned
QUALIFICATIONS:
Post-secondary degree in health administration, public administration, business administration or related health discipline
Certification as a Certified Information Privacy Professional (CIPP) or Certified Information Privacy Manager (CIPM) considered an asset
Minimum 7-10 years of experience in quality and risk management in healthcare industry
Extensive knowledge of performance metrics/measurement and reporting systems
Extensive experience with risk management and emergency response planning
Superior interpersonal, communication and facilitation skills, with a patient-centered focus
Strong analytical, problem solving and research skills
Experience in managing/implementing quality and risk management projects and initiatives in healthcare industry
Extensive experience in managing organizational policies, procedures and data governance
Extensive privacy-related awareness and experience in training employees
Experience in leading incident response, including data breach preparedness
Communicating privacy goals and values both internally and externally
Experience in designing controls for managing privacy compliance
Experience in assessing privacy-related risks arising from existing products (i.e. technology) and services
Experience in conducting Privacy Impact Assessments to identify risks in new or changed business activities
Demonstrated procedural knowledge of Request Of Information and FOI requests and legislation governing this
Knowledge of and ability to interpret and apply legislation and government regulations guiding privacy protection and access to information (e.g. Freedom of Information and Protection of Privacy Act (FIPPA), Freedom of Information Act (FOI), the Personal Information Protection and Electronic Documents Act (PIPEDA), Personal Health Information Protection Act (PHIPA), etc.
Effective planning, organizing and evaluation skills to manage the delivery of quality service, provide information reports and take corrective action as required
Good knowledge of quality improvement tools, strategies and supporting systems
Excellent organization and prioritization skills and demonstrated skill to identify and respond quickly to emerging issues and priorities
Ability to analyze complex information and to relate it to others at their level of understanding
Demonstrated flexibility, emotional intelligence and conflict management skills
Superior oral and written communications skills
In-Depth understanding of the Ontario health-care system, its stakeholders, programs and issues
Advanced knowledge of Microsoft Office, Excel, Outlook, Adobe Acrobat, and PowerPoint
Valid driver’s license
French language is an asset
Application Process:
If you are interested in this position, please submit a cover letter, along with a detailed resume, outlining how your skills, qualifications and experience meet the position requirements, quoting Competition No. ESC 038-21 before midnight on Thursday, May 20, 2021 to Human Resources (e-mail: [email protected]). We thank all applicants in advance; however, we will be communicating only with those selected for an interview.
*** PLEASE NOTE*** Cover letters and resumes need to be submitted as a single file, acceptable files are: doc, docx, and pdf. Please include your first name, last name and job title in the file name when applying, example JohnSmith_Recruiter.
Accommodation and Diversity
Home and Community Care Support Services Erie St. Clair is an equal opportunity employer. Individuals with a disability requiring accommodation during the application and/or the interview process should advise the recruitment contact so arrangements can be made.
We thank all applicants for their interest, but advise that only those selected for an interview will be contacted.
Apply Now
To help us with our recruitment effort, please indicate your email/cover letter where (vacanciesincanada.ca) you saw this job posting.