Manager of Policies & Procedures

Job Summary ( Role Purpose)

Key Accountabilities & Duties

• Establish and manage a standardized system for the development, approval, dissemination and periodic review of policies and procedures.
• Supervise and support the Policy and Procedures Management team in the revision of all policies and procedures to ensure they comply with policy development standards in terms of template, structure, clarity and conformity with corporate, national and Accreditation Canada International requirements.
• Liaise with the Accreditation Management Section and other directorates to ensure the alignment of Policies and Procedures with Accreditation Canada International requirements
• Liaise with the Quality Improvement Section and other directorates to ensure that quality improvement activities are reflected in the corresponding policies and procedures.
• Ensure that all the policies are stored and safeguarded in a corporate database and that the database is regularly updated.
• Ensure that all approved policies are easily accessible to their target staff and that outdated policies are promptly retrieved and properly archived
• Ensure that all key people involved in the development, review and approval of Policies and Procedures have received training on the Electronic policy system and on Policy Development and management Skills.
• Ensure that all staff is trained on how to access the electronic policy management database and how to complete their assigned policy and procedures competencies.
• Support the different departments in process mapping activities to ensure that procedures align with practice and vice versa
• Liaise with the Data and Performance Measurement Section and other directorates to set indicators necessary to measure and monitor the implementation of the policies and procedures and staff compliance.
• Lead the Policy and Procedures Management team in developing and implementing projects for the continuous evaluation and improvement of the policy management system.
• Support all PHCC directorates in obtaining staff’s signatures indicating that they have read and understood their assigned policies and procedures as well as support in conducting competency tests to assess staff’s compliance with policies and procedures.
• Ensure that the aspects of patient safety, risk management, and quality improvement are embedded in all the processes under are of responsibility
• Foster a culture of safety, where staff feels encouraged to raise concerns and report incidents without fear of disciplinary procedure.
• To develop a culture of learning and encourage staff to learn from defects. Learning should lead to continuous process improvement.
• To collaborate with other leaders for Patient safety
• The incumbent will undertake any such appropriate duties or responsibilities as directed
• Ensure high standards of confidentiality to safeguard any sensitive information.

Education Requirements

Experience & Knowledge