Director of Organizational Excellence and Ethics

Reporting to the Executive Director of Quality Care, Patient Safety, and Ethics, the Director of Organizational Excellence and Ethics is responsible and accountable for managing the strategic planning, monitoring, and implementation of Health PEI’s accreditation process, quality improvement strategy and ethics programming across Health PEI. The Director is responsible for ensuring Health PEI has processes and functional electronic databases for the collection of patient safety incidents, patient and family feedback using the (Provincial Safety Management System (PSMS) and for the submission of health research proposals for Health PEI (Synto Research proposal database).

Duties include:

• Responsible and accountable for managing the strategic planning, monitoring, and implementation of Health PEI’s accreditation process, quality improvement strategy and healthcare ethics programs.
• Responsible for leading the organization through the accreditation process on a continuous schedule for achieving, maintaining and/or reporting on required Accreditation Canada organizational practices and standards across Health PEI programs and services.
• Provide expert advice to all programs and services provided by Health PEI on the interpretation of Accreditation Canada standards and their implementation.
• Maintain ongoing communication with the Accreditation Canada National Office to ensure Health PEI is informed of the most recent changes to Accreditation Canada standards and accreditation processes.
• Responsible to communicate across the entire organization (Board, Executive Leadership Team and Quality Improvement Teams), the most current accreditation standards.
• Lead the preparation for Accreditation Canada onsite survey visits by developing guidelines for mock surveys and when possible by participating in mock surveys with program managers, implementing and developing the communication plan and supporting materials, and coordinating survey schedules and meetings.
• Provide advice and subject matter expertise on the interpretation of legislation and regulations, the development of policies and procedures and the implementation of best practices at the program and provincial level relating to accreditation standards.
• Lead, support, guide and collaborate with the Health PEI Leadership Quality Improvement Team to develop a leadership workplan and quality initiatives related to Accreditation Canada’s Leadership standards.
• Participate as a non-voting member of the Health PEI Board Quality and Safety Subcommittee to provide education and guidance on accreditation processes, Accreditation Canada Governance Standards and to assist in informing the Board’s Quality Improvement workplan.
• Monitor patient safety incident trends/themes in all program/service areas and identifies opportunities to coordinate quality improvement initiatives related to ROPs or high priority standards.
• Responsible to ensure appropriate educational/training resources related to Accreditation Canada processes, standards, required organizational practices, and Quality Improvement methodology etc. are developed and updated.
• In collaboration with the Director of Quality and Patient Safety plan, resource and lead, as appropriate, quality initiatives at all levels of the organization.
• In collaboration with the Transformation Office and the Director of Quality and Patient Safety this position is responsible for leading overall quality improvement strategy inclusive of designing front-line management system and improvement methods for Health PEI.
• Develop and review broad quality improvement policies on a regular basis.
• Assist in the development of quality indicators that are aligned with strategic plan
• In collaboration with the Director of Quality and Patient Safety promote and guide all program Quality Improvement Teams to develop, monitor and report appropriate indicators (promoting the adoption of national indicators) to measure and improve quality and patient safety across Health PEI.
• Responsible for coordinating a bi-annual Quality and Patient Safety Learning Exchange conference to showcase and share information on quality initiatives occurring in Health PEI programs and services.
• Develop and maintain effective, collaborative working relationships with Health PEI leadership, Health PEI Board of Directors, all levels of management, staff and physicians.
• Promote effective working relationships with other national organizations that directly impact the programs and services of the Quality, Patient Safety and Professional Practice Division (e.g., Canadian Nurses Association, Healthcare Excellence Canada, Atlantic Quality Council, Canadian Institute for Healthcare Improvement, Nova Scotia Health Ethics Network etc.).
• Responsible and accountable for the staff within this division.
• Responsible for all activities involved with the PSMS/Synto software systems including financial, strategic direction, future upgrades, system optimization and implementations while ensuring the day to day functioning of the PSMS and Synto systems.
• Responsible for the clinical and organizational ethics program which supports staff with ethical issues related to clinical care.
• Work in partnership with the Nova Scotia Health Ethics Network and the Clinical and Organizational Ethics Committee to expand the ethics program within Health PEI through education and ethical consultations.
• Work in partnership with the Health PEI’s Research Ethics Board in the ethical review of research conducted in Health PEI.

Minimum Qualifications:

• Completion of a bachelor’s degree in a clinical health-related profession. Master’s degree in Health Administration, Nursing, human sciences, business, or related field is required.
• Appropriate licensure/membership in professional organization is required.

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• Considerable management/leadership experience and training in a health-related setting is required.
• Considerable experience and knowledge with Accreditation Canada standards/requirements/processes is required.
• Considerable experience in policy development, program planning, strategic or operational planning and change management principles is required.
• Considerable experience in Continuous Quality Improvement including quality improvement activities and experience managing organizational risk is required.
• Considerable experience in leadership, group facilitation, conflict resolution and change management is required.
• Working knowledge of relevant legislation is required.
• Excellent time management skills including a defined ability to multi-task.
• Strong interpersonal and communication skills (written and oral including presentation skills);
• Demonstrated experience of working in a results-based environment, where accountability for outcomes is a key responsibility.
• Demonstrated initiative, judgement, critical thinking, problem solving and dependability skills in completing work assignments;
• Demonstrated ability to carry out complex analyses, organize, plan and think strategically;
• Demonstrated ability to work in a complex changing environment with experience juggling multiple priorities;
• Demonstrated ability to lead self and work independently as well as part of interdisciplinary team;
• Well-developed organizational skills, priority setting and problem-solving techniques;
• Advanced knowledge and skill in various computer applications, i.e. Microsoft Office suite - Microsoft Excel, Microsoft PowerPoint, Internet/database research skills;
• High regard for privacy and confidentiality;
• A good previous work and attendance record.
• Valid driver’s license and access or access to reliable transportation.

Other Qualifications:

• Certified Health Executive is an asset.
• Certification/training in quality improvement, change management, risk management, patient safety or project management would be considered an asset.
• Completion of a recognized Patient Safety Officer course would be considered an asset.

Salary Range: $50.40-$62.99 per hour (Level 24)
Bi-Weekly Hours: 75 hours bi-weekly / Mon - Fri
Posting ID: 169622
Closing Date: Tuesday September 9th, 2025 at 4:00 p.m.

Please ensure the application clearly demonstrates how you meet the noted qualifications as applicants will be screened based on the information provided. We would like to thank all applicants for their interest; however, only those who are selected for an interview will be contacted.

#HP1

Job Types: Full-time, Permanent

Pay: $50.40-$62.99 per hour

Expected hours: 37.5 per week

Benefits:

• Dental care
• Extended health care
• Paid time off
• Vision care
• Wellness program

Work Location: Hybrid remote in Charlottetown, PE C1A 6A5

Application deadline: 2025-09-09