Accreditation Assessment Officer
Apply NowCompany: College of Physicians and Surgeons of Alberta
Location: Edmonton, AB T5A 0A1
Description:
Working throughout the province of Alberta to conduct accreditation assessments of medical facilities, the Accreditation Assessment Officer (AAO) is responsible for pre-assessment, on-site and post-assessment activities in accordance with CPSA policies and procedures and the applicable Accreditation Standards.
KEY RESPONSIBILITIES
* Arrange and conduct on-site assessments of designated medical facilities and write assessment reports identifying best practices evidenced, recommendations for improvement and follow-up actions required to address non-conformance.
* Assess the performance of medical facilities (Laboratory and diagnostic imaging) for the purpose of granting accreditation.
* Review facility's scope of practice and organize and evaluate facility documentation relating to desk audit.
* Prepare initial assessment reports including requirements for evidence of compliance from the evaluation of desk audit submission; and on-site assessment.
* Recruitment and training of additional external assessors, as required.
* Review and follow-up on facility response submissions in relation to assessment reports.
* Prepare assessment reports for Program Manager review and distribution to facilities.
* Identify and inform Program Manager report on any safety, quality or risk issues observed during accreditation assessments.
* Upon completion of the initial assessment, follow-up and coordinate to ensure the facility addresses any noted compliance issues.
* Provide education and share best practices for the purposes of quality and safety improvement.
* Initiate and track all activities/steps related to the planning, logistics, initiation, document/information requests, execution, and completion of annual diagnostic facility accreditation assessments.
* Liaise with accredited facility Medical Directors, identified accreditation facility staff, and potential additional ad-hoc assessors to provide information and instruction on diagnostic facility accreditation on-site planning, requirements and expectations.
* Work with the appropriate Accreditation Assistant regarding accreditation assessment activities. Support other Accreditation Assessment Offices and assessors as required.
* Ensure applicable facility accreditation assessment tracking systems are current, accurate and reliable; and assist with maintenance of facility profiles, contact lists, etc. when necessary.
* In support of continuous quality improvement, look for and suggest opportunities of improvement to the program and process.
* Other duties as required.
QUALIFICATIONS
Education:
* Diploma program, in which administrative skills would typically be obtained.
* Current certification from the appropriate Alberta regulatory body.
Experience:
* 3 years of related experience in an urban and/or rural diagnostic facility.
* Valid driver's license and meet vehicular insurance requirements.
Skills:
* Previous experience in conducting internal audits and/or risk management processes
* Knowledge of Quality Management Systems.
* Lead role experience in the performance of quality control, quality assurance.
* Previous experience as an accreditation assessor or organizing/planning for an accreditation assessment.
SALARY
The salary for this position is $95,251 and includes a comprehensive benefit package and pension plan.
Along with your CV, please submit a cover letter outlining why you are the right candidate for this position by telling us how your relevant work experience has prepared you to undertake this role. Submissions without a cover letter will not be considered.
We thank all candidates for their interest in CPSA. Only those selected to move forward in our selection process will be contacted.
Please note that the successful candidate will be required to provide a Criminal Record Check satisfactory to CPSA.
By applying to this position, you are confirming you possess either a Canadian Citizenship, permanent resident status, or valid work permit.
CPSA has suspended its mandatory employee COVID-19 vaccination policy at this time. Should it be deemed necessary to be reinstated, all employees would be required to provide proof of vaccination. By applying to this position, you acknowledge your awareness of CPSA's suspended policy.
CPSA embraces diversity and equal opportunity. The more inclusive we are, the better we can do our work. All candidates are considered for employment regardless of age, race, ethnicity, religion or belief, sex, sexual orientation, gender identity or expression, national origin, veteran or disability status.
CPSA's work of regulating physicians and physician assistants takes place throughout Alberta. Our office is in Treaty 6 Territory, traditional lands of many First Nations including the Cree, Saulteaux, Blackfoot, Dene and Nakota Sioux. We are located within the Mtis Homeland and acknowledge the Inuit who call this place home today.
KEY RESPONSIBILITIES
* Arrange and conduct on-site assessments of designated medical facilities and write assessment reports identifying best practices evidenced, recommendations for improvement and follow-up actions required to address non-conformance.
* Assess the performance of medical facilities (Laboratory and diagnostic imaging) for the purpose of granting accreditation.
* Review facility's scope of practice and organize and evaluate facility documentation relating to desk audit.
* Prepare initial assessment reports including requirements for evidence of compliance from the evaluation of desk audit submission; and on-site assessment.
* Recruitment and training of additional external assessors, as required.
* Review and follow-up on facility response submissions in relation to assessment reports.
* Prepare assessment reports for Program Manager review and distribution to facilities.
* Identify and inform Program Manager report on any safety, quality or risk issues observed during accreditation assessments.
* Upon completion of the initial assessment, follow-up and coordinate to ensure the facility addresses any noted compliance issues.
* Provide education and share best practices for the purposes of quality and safety improvement.
* Initiate and track all activities/steps related to the planning, logistics, initiation, document/information requests, execution, and completion of annual diagnostic facility accreditation assessments.
* Liaise with accredited facility Medical Directors, identified accreditation facility staff, and potential additional ad-hoc assessors to provide information and instruction on diagnostic facility accreditation on-site planning, requirements and expectations.
* Work with the appropriate Accreditation Assistant regarding accreditation assessment activities. Support other Accreditation Assessment Offices and assessors as required.
* Ensure applicable facility accreditation assessment tracking systems are current, accurate and reliable; and assist with maintenance of facility profiles, contact lists, etc. when necessary.
* In support of continuous quality improvement, look for and suggest opportunities of improvement to the program and process.
* Other duties as required.
QUALIFICATIONS
Education:
* Diploma program, in which administrative skills would typically be obtained.
* Current certification from the appropriate Alberta regulatory body.
Experience:
* 3 years of related experience in an urban and/or rural diagnostic facility.
* Valid driver's license and meet vehicular insurance requirements.
Skills:
* Previous experience in conducting internal audits and/or risk management processes
* Knowledge of Quality Management Systems.
* Lead role experience in the performance of quality control, quality assurance.
* Previous experience as an accreditation assessor or organizing/planning for an accreditation assessment.
SALARY
The salary for this position is $95,251 and includes a comprehensive benefit package and pension plan.
Along with your CV, please submit a cover letter outlining why you are the right candidate for this position by telling us how your relevant work experience has prepared you to undertake this role. Submissions without a cover letter will not be considered.
We thank all candidates for their interest in CPSA. Only those selected to move forward in our selection process will be contacted.
Please note that the successful candidate will be required to provide a Criminal Record Check satisfactory to CPSA.
By applying to this position, you are confirming you possess either a Canadian Citizenship, permanent resident status, or valid work permit.
CPSA has suspended its mandatory employee COVID-19 vaccination policy at this time. Should it be deemed necessary to be reinstated, all employees would be required to provide proof of vaccination. By applying to this position, you acknowledge your awareness of CPSA's suspended policy.
CPSA embraces diversity and equal opportunity. The more inclusive we are, the better we can do our work. All candidates are considered for employment regardless of age, race, ethnicity, religion or belief, sex, sexual orientation, gender identity or expression, national origin, veteran or disability status.
CPSA's work of regulating physicians and physician assistants takes place throughout Alberta. Our office is in Treaty 6 Territory, traditional lands of many First Nations including the Cree, Saulteaux, Blackfoot, Dene and Nakota Sioux. We are located within the Mtis Homeland and acknowledge the Inuit who call this place home today.