Quality Improvement and Accreditation Specialist, System Performance

CMHA Thames Valley Addiction and Mental Health ServicesLondon, ON
CA$29 - CA$37Onsite

About The Position

This position is responsible for supporting the accreditation, quality improvement initiatives, and client record support activities. The Quality Improvement and Accreditation Specialist assist with accreditation and other performance measurement tasks. Working with program leadership, this position supports data quality and person-centered care through oversite of the implementation of the Ontario Perception of Care (OPOC) tool. Quality improvement initiatives range from the Board of Director’s Quality Improvement Plan to data classification in CMHA’s electronic health records.

Requirements

  • Post-secondary education in Healthcare Administration, Health Information Management, Health Informatics, Epidemiology, Statistics or relevant combination of education and experience (primary proof of credentials will be required during the hiring process i.e. original degree/diploma or official transcript)
  • Quality Improvement training / certificate(s)
  • A minimum of two years’ experience with data collection, information management, statistical analysis and/or information systems
  • A minimum of two years’ experience in a community-based healthcare setting in a senior administrative role
  • Excellent administrative and organizational skills
  • Proficiency in the use of Windows based applications and other required reporting tools, such as: MS Excel, Power BI
  • Knowledge of applicable legislative compliance standards with respect to privacy, and the collection, use, and disclosure of personal health information (Personal Health Information Protection Act)
  • Strong oral and written communication skills
  • Ability to work collaboratively with staff and leaders at all sites within the branch
  • Proven ability to perform well under pressure, meet deadlines, and adjust to changing priorities
  • Ability to self-manage on a day-to-day basis
  • Valid Driver’s Licence: minimum G2 class required
  • Access to vehicle for personal transportation
  • Current, satisfactory Criminal Record Check (CRC)
  • Demonstrated ability to attend work regularly

Nice To Haves

  • Working knowledge of relational databases and SQL
  • Knowledge of MIS/OHRS and CDS reporting requirements
  • Bilingual in both official languages, preferred; Une préférence sera accordée aux personnes possédant des compétences dans les deux languages officielles du Canada

Responsibilities

  • Support Quality Improvement Plan (QIP) and process
  • OPOC implementation lead
  • Clinical Connect implementation lead
  • Support and/or facilitate QI initiatives
  • Support program outcomes analysis and resulting QI initiatives
  • Support and/or facilitate implementation and spread of new initiatives/projects
  • Quality Record Review lead for Client Record Review process
  • Supports the accreditation process
  • Member of accreditation team and committee
  • Annually review with programs compliance with standards
  • Supports reporting and the Accreditation Lead during the accreditation preparation cycle (currently 18 months every 4 years)
  • Run audits and report including Clinical Connect, Client Record Reviews, and Privacy support
  • Supports Quality Improvement and Accountability Lead and backs up when needed
  • Coaches employees on best practice standards, policies, and procedures regarding Health Information Management to support high data quality
  • Provides training and support to employees in the consistent and effective utilization of the electronic client record as it pertains to data quality
  • Actively engage in learning opportunities, events, meetings, and team building activities scheduled by the organization for staff members
  • Act as a resource to other staff and community partners; seek out and listen to input from other staff and community partners
  • Provide support and encouragement to other staff as needed (e.g. assistance with challenges, coverage for vacation, sick time, share responsibility for workloads)
  • Be supportive of, and an active participant in, the constant evolution and growth of the organization
  • Complete required documentation related to client as per organization standards, discipline-specific guidelines and standards and PHIPA legislation; for staff members working within community partnerships (e.g. police partnerships, other community organizations, etc.), any additional program-specific standard must also be applied
  • Complete other required documentation (e.g., monthly time sheets, vacation requests, education requests, travel claims, expense claims, etc.) as per the required time frames
  • Ensure that confidential information and material is handled in accordance with applicable privacy laws and organization policy
  • Leads or participates in special projects as required
  • Support creation and reporting for various programs and surveys as needed
  • Support reporting of French Language Services Plan and other unique programs as they emerge
  • Perform research for OHRS, policy, procedure, best practice
  • Liaise with partners and participate in regional committees: OHT Performance Improvement & Evaluation CoP, Oxford Health Team Committee – Digital Health, Accreditation CoP, Quality CoP
  • Coordinate reporting, as required, for external entities i.e. United Way

Benefits

  • Starting rate for this role is $28.86 per hour (Level 1 – Analyst)
  • Grid progression based on seniority up to Level 8 ($36.99 per hour) for internal applicants, grid level placement will occur as per the Collective Agreement
  • 70 hours biweekly; Monday-Friday 8:30am-4:30pm, with a 1-hour unpaid break.
  • Immediately enrolled in the Healthcare of Ontario Pension Plan (HOOPP)
  • After a 90-day waiting period, will be enrolled in extended healthcare benefits
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service