Requisition number
199819E
Date posted
08/19/2026
Leader Patient Safety, Quality and Accreditation Vancouver, BC
The Quality & Safety Leader, Mental Health & Substance Use (MHSU), provides leadership for quality improvement, patient safety, risk management, and accreditation activities within BC Women's Hospital's Reproductive Mental Health and Substance Use (RMHSU) portfolio. The role serves as the dedicated MHSU quality and safety resource, providing specialized expertise to support safe, high-quality care and continuous improvement across the program.
Working within a matrix reporting structure between PMHSU and the Quality & Safety Department, the position contributes MHSU expertise to quality, safety, and clinical oversight committees and supports shared patients across Maternal Newborn, NICU, and Ambulatory Programs. The position will directly support the Families in Recovery unit as well as the Provincial Reproductive Mental Health outpatient clinic.
What you'll do - Work with program staff to develop, implement, and evaluate indicators of quality outcomes and performance; prioritize quality initiatives based on program functions, needs and performance measurement system; plan, develop and implement Patient Safety and Quality Improvement (PS&QI) education, initiatives and materials including evaluation and PS&QI sustainment tools.
- Ensure BCCH and SHHC program-based quality and safety activities are in alignment with accreditation requirements. Provide accreditation education to program staff as required. Lead program level actions to respond to recommendations arising from accreditation surveys, and to address new accreditation requirements.
- Lead retrospective (e: Root Cause Analysis) and/or prospective reviews (e.g. Failure Modes Effect Analysis) necessitated by safety events, critical incidents or process issues related to the program; monitor program staff and physician perceptions of safety, risk and quality improvement.
- Proactively educate program staff regarding regulatory issues, new statutes and/or guidelines, and safety, quality, and risk management activities
- Contribute to continuous quality improvement of the department by identifying and evaluating new initiatives, developments and trends in PS&QI, participating in agency lead process improvement initiatives such as imPROVE.
What you bringQualifications
- Master's degree in Nursing, Health Administration, related health discipline or other relevant area and a minimum of five years of clinical practice in the program area or an equivalent level of education, training, and experience.
- Demonstrated knowledge of the historic and ongoing impacts of settler colonialism on Indigenous Peoples in social and health contexts, including supported by significant knowledge of Indigenous-specific mandates, including clear understanding of and commitment to eradicate Indigenous-specific racism and discrimination and embed Indigenous Cultural Safety and Humility.
- Demonstrate comprehensive knowledge of the historic and ongoing impacts of settler colonialism and systemic racism on Indigenous Peoples within social and health contexts. This includes understanding how these factors contribute to current health disparities and barriers to care. Show a clear commitment to identifying, challenging, and eradicating Indigenous-specific racism and all forms of discrimination impacting equity-deserving groups within health care settings. This involves familiarity and understanding Indigenous Cultural Safety and Humility recognizing personal biases, institutional barriers, engaging in anti-racism education and training and advocating for systemic change.
- Demonstrated knowledge and understanding of legislative obligations and provincial commitments within BC Women's Hospital & Health Centre contexts found in the foundational documents including Truth & Reconciliation Commission's Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan and Remembering Keegan: A First Nations Case Study - BC Human Rights Code, BC Anti-racism Act and how they intersect across the health care system.
Core Competencies
- Brings an understanding of the Indigenous specific racism and the broader systemic racism that exists in the colonial health care structure, and has demonstrated initiatives in breaking down barriers and ensuring a safe environment ensuring a sense of belonging to all and informed by Indigenous Cultural Safety.
- Awareness of social, economic, political and historical realities of settler colonialism on Indigenous Peoples and familiarity with addressing Indigenous-specific anti-racism, anti-racism and Indigenous Cultural Safety and foundational documents and legislative commitments (the Declaration Act, the Declaration Action Plan, TRC, IPS, Remembering Keegan, etc.).
Skills & Knowledge
- Knowledge and expertise in Quality Management, Performance Improvement, Patient Safety and Accreditation standards preferred.
- Working knowledge of legal, ethical, and clinical issues associated with standard of care practices, and Accreditation Canada requirements.
- Working knowledge of evaluation techniques and methodologies including statistical analysis methods and presentation of information.
- Demonstrated analytical and problem-solving skills with a global perspective in order to incorporate the organization's systems and strategies when developing viable solutions to program problems.
- Demonstrates a commitment to beginning and/or continuing their personal learning journey related to Indigenous-specific racism and dismantling systems of oppression, as well as addressing racism more broadly. Shows willingness to articulate and share their learning experiences to contribute to a culture of motivation and inspiration among peers.
- Demonstrates foundational knowledge of the social, economic, and political realities of settler-colonialism and its impacts on Indigenous peoples and equity-deserving groups within social and health contexts. Understands the impact of social determinants of health-on-health outcomes. Shows a commitment to learning about and upholding legislative obligations and provincial commitments outlined in foundational documents such as the Truth & Reconciliation Commission's Calls to Action (2015), In Plain Sight (2020), BC's Declaration on the Rights of Indigenous Peoples Act (2019), United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), Reclaiming Power and Place: Missing and Murdered Indigenous Women & Girls Calls for Justice (2019), the Declaration Act Action Plan, Remembering Keegan: A First Nations Case Study, the BC Human Rights Code, Anti-Racism Data Act, and the Distinctions Based Approach.
What we bring Every PHSA employee enables the best possible patient care for our patients and their families. Whether you are providing direct care, conducting research, or making it possible for others to do their work, you impact the lives of British Columbians today and in the future. That's why we're focused on your care too - offering health, wellness, development programs to support you - at work and at home.
- Join one of BC's largest employers with province-wide programs, services and operations - offering vast opportunities for growth, development, and recognition programs that honour the commitment and contribution of all employees.
- Access to professional development opportunities through our in-house training programs, including +2,000 courses, such as our San'yas Indigenous Cultural Safety Training course, or Core Linx for Leadership roles.
- Enjoy a comprehensive benefits package, including municipal pension plan, and psychological health & safety programs and holistic wellness resources.
- Annual statutory holidays (13) with generous vacation entitlement and accruement.
- PHSA is a remote work friendly employer, welcoming flexible work options to support our people (eligibility may vary, depending on position).
- Access to WorkPerks, a premium discount program offering a wide range of local and national discounts on electronics, entertainment, dining, travel, wellness, apparel, and more.
Job Type: Regular, Full-Time
Salary Range: $90,770 - $130,481 /year. The starting salary for this position would be determined with consideration of the successful candidate's relevant education and experience, and would be in alignment with the provincial compensation reference plan. Salary will be prorated accordingly for part time roles.
Location: BC Women's Hospital - 4500 Oak Street, Vancouver BC, V6H 3N1
Hours of Work: Monday -Friday, 08:00 - 16:00
Requisition #: 199819E
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