Director, Clinical Quality & Patient Safety

Fraser Health•Surrey, BC

1d•Onsite

About The Position

We are seeking an innovative and engaging Director, Clinical Quality & Patient Safety (CQPS) to champion a sustainable quality health care system that empowers teams to deliver exceptional people-centred care, safety and experiences. The Director will be a passionate thought leader with operational expertise and a focus on clinical quality and patient safety initiatives. By expanding and strengthening partnerships, the Director will work collaboratively to drive forward departmental priorities and key objectives to ensure that all initiatives are focused and timely while adhering to the highest quality standards. As an expert in quality improvement and patient safety, the Director will be clear, caring, and courageous leader who cultivates a motivating and respectful work environment where individual competencies and team capabilities can thrive. Reporting to the Executive Director, Clinical Quality & Strategic Priorities, the Director will be knowledgeable in Quality Improvement (QI) methodologies and clinical operational experiences. The Director will strengthen and prioritize best practices and standards around CQPS improvements in the advancement and continuation of excellent clinical care in the Fraser Health region. The Director, Clinical Quality & Patient Safety is accountable for: Providing strategic leadership in the integration, implementation, evaluation, reporting, sustainment and spread of CQPS initiatives across FH; Fostering the creation and use of high quality and meaningful QI strategies to support and drive impactful organizational decision-making and improvements; Leading the overall information architecture for the development, implementation, sustainment and ongoing evaluation of a comprehensive, interactive Quality Performance Management System; Co-developing a new service delivery model with CQPS Leadership that supports the evaluation and implementation of recommendations stemming from quality reviews, as well as the use and function of the Patient Safety and Learning System (PSLS); Engaging in regular connections with site and program leadership and staff to ensure excellence of service and to identify any gaps in quality and safety that can be supported; Leading the development of quality indicators for Expanse aligned with patient safety priorities and select regional quality priorities.

Requirements

Master’s Degree in Health Administration or other relevant discipline.
Ten (10) to fifteen (15) years’ progressively responsible experience working in a health care environment including five (5) years' experience in a management/leadership role in quality improvement and patient safety development, implementation and evaluation.
Demonstrated knowledge of application and evaluation of quality improvement and patient safety methodologies and best practices.
Demonstrated knowledge of Accreditation Canada's Qmentum program and required organizational practices and processes.
Comprehensive understanding of data collection analysis and interpretation methodologies in a healthcare environment.
Demonstrated ability to lead and foster a motivating and respectful work environment for leadership and staff, where individual competencies can thrive.
Strong understanding of effective methods for identifying and addressing various stakeholder needs and an acute awareness of the impact of actions.
Demonstrated ability to lead analytical teams through implementation of new analytical models, tools, and techniques.
Proven skills in critical thinking, and business analysis methods.
Excellent written and verbal communication skills including the ability to write technical and management reports and communicate in a clear, engaging and convincing manner to translate and present complex information to a variety of audiences.
Ability to develop and maintain strong relationships with key internal and external stakeholders including management and staff at all levels, within government agencies and other health authorities.
Demonstrated skills in surfacing key insights from large, complex, high dimensional data from various data sources.
Comprehensive knowledge of management principles and methodologies, and the ability to coach, mentor team members on these skills.
Well-developed leadership, client relations and problem resolution abilities in order to lead a variety of complex and integrated services initiatives and to achieve desired results within critical timeframes.

Nice To Haves

Clinical Manager and/or Director experience in leading regional initiatives and teams
An equivalent combination of education, training and experience.

Responsibilities

Provides strategic leadership for the integration, implementation, evaluation, reporting, sustainment, and spread of clinical quality, patient safety, and care experience initiatives across FH, aligned with FH’s vision, strategic priorities, and accountability frameworks.
Advances a culture that promotes collaboration, evidence informed practice, learning, and psychological safety, emphasizing the role of all service providers-including physicians-in delivering exceptional, person centred care experiences.
Partners with medical staff, physician leaders, and clinical programs to co lead quality and patient safety initiatives, ensuring strong physician engagement, clinical relevance, and alignment with professional practice standards and care delivery priorities.
Identifies, evaluates, and drives the adoption of best practices, evidence, and standards related to clinical quality, patient safety, patient experience, and evaluation methodologies to enable systematic improvement and informed decision making.
Leads the development and sustainment of an enterprise Quality Performance Management System that promotes accountability at all organizational levels and supports Board oversight of quality, patient safety, and care experience performance.
Provides strategic, operational, and practical leadership for CQPS priorities, including the development of actionable indicators, dashboards, and multi year plans in collaboration with senior leaders, physicians, and key stakeholders.
Accountable for IHSA wide quality and patient safety leadership as a Fraser Health Lead for Integrated Health Service Area (IHSA) Quality Committees, partnering with Executive Directors and Medical Staff co chairs to advance quality governance, alignment, and system level improvement.
Oversees CQPS consulting services for programs, operational leaders, and physicians by identifying challenges, mobilizing subject matter expertise, applying improvement methodologies, and embedding continuous improvement practices.
Builds organizational capacity in quality, safety, and experience improvement by strengthening systems, developing business cases, and overseeing project teams that address strategic gaps and emerging priorities.
Directs the development and implementation of service priorities informed by client, patient, and provider input. Evaluates policies, programs, and systems and identifies opportunities to enhance quality, safety, experience, and efficiency.
Enables the effective use of CQPS processes across the organization, promoting integration of improvement methodologies, reporting systems, patient safety learning processes, and actionable insights.
Leads CQPS timelines and deliverables including unit based improvement, NSQIP activities, PQI education, accreditation preparedness, patient safety reporting and review, quality education programs, and innovative data analysis initiatives.
Leads quality review and patient safety analysis processes, including root cause analysis and failure modes and effects analysis, to drive learning, system improvement, and the elimination of preventable harm.
Promotes the profile of CQPS services internally and externally, developing strategies to communicate, brand, and disseminate high value quality, safety, and experience insights.
Provides overall direction, mentorship, and performance management for CQPS staff, supporting leadership development, engagement, and succession planning.
In partnership with the Executive Director, determines resource allocation and manages departmental budgets, including expenditure monitoring, variance analysis, and reporting.
Maintains expert knowledge in quality improvement, patient safety, care experience, and accreditation standards, and leads strategies that translate evidence and insights into practice change across the organization.
Works collaboratively with external organizations including the Ministry of Health, Accreditation Canada, Healthcare Excellence in Canada, and the BC Patient Safety & Quality Council to improve quality, safety, and patient outcomes across the health system.