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Quality & Accreditation Consultant

Requisition ID: 358571  

Position Number: 20046104

Posting End Date: Open Until Filled

City: Winnipeg

Employer: Winnipeg Regional Health Authority 

Site: WRHA Corporate - Concordia Hospital  

Department / Unit: Quality and Accreditation  

Job Stream: Clinical Support  


Anticipated Start Date - End Date: 05/27/2024   - 08/24/2024  

Reason for Term: Other Leave

FTE: 1.00  

Anticipated Shift: Days 

Work Arrangement: In Person  

Daily Hours Worked: 7.75

Annual Base Hours: 2015


Grow your career in the Winnipeg Health Region! Our team provides a spectrum of health care services through an integrated network of sites, services and organizations. We’re united by a shared commitment to excellent and equitable health care.


Position Overview

Quality, Patient Safety and Accreditation (QPSA) within each service delivery organization (SDO) champions the integration of provincial quality and health services delivery improvements, promotes a culture of patient safety, and supports accreditation processes and activities defined at the provincial level by the Health Services Integration and Quality (HSIQ) within Shared Health based on the coordinated decisions made by the provincial clinical teams (PCTs) that inform and update Manitoba’s Clinical Preventive Services Plan (CPSP).


Main Function

  • Work with stakeholders in the SDO to enhance the development, coordination, implementation and monitoring of quality improvement processes and initiatives aligned with the SDO’s strategic and operating plans, and Manitoba’s CPSP.
  • Support the alignment of SDO quality plans to provincial priorities.
  • Implement the provincial quality improvement methodology and models defined by HSIQ to support new models of care and care pathways.
  • Coordinate and implement accreditation, quality improvement, and performance improvement activities for the SDO to ensure ongoing benefits realization.
  • Monitor and measure the effectiveness and sustainment of clinical changes and the adoption of clinical practice standards by reviewing trends to identify successes and potential problem areas requiring attention.
  • Coordinate and implement projects to support SDO clinical teams, task force leads and/or other sponsors in advancing HSIQ defined directives, initiatives and projects on quality, service delivery improvement and accreditation that enhance and improve the quality of care and services within the SDO.
  • Implement project plans and monitor project execution, reporting progress through project lifecycle.
  • Support the knowledge transfer of quality improvement tools, project management methodologies and change management frameworks.
  • Participate in provincial accreditation forums focusing on implementing standard tools and processes defined by HSIQ within the SDO and integrate Accreditation Canada requirements into service quality and patient safety improvement initiatives.


Working as assigned with a customer-centric mindset in a dynamic team, each position may be allocated to one or more projects or teams focused on quality improvement.


  • 5 years of experience working in a health services environment managing quality improvement projects or other systemic change initiatives.
  • 2 years of experience implementing and managing organizational change initiatives including leading projects and/or supporting accreditation efforts.
  • 2 years of experience applying standardized processes related to quality improvement and accreditation processes.
  • 2 years of experience working with provincial and/or national standards of health-related industry accreditation programs such as Accreditation Canada or MANCAP.
  • 2 years of experience measuring, monitoring and reporting on the achievement of defined quality improvement goals and applying a range of qualitative and quantitative performance measurement analyses, quality improvement methods and tools such as the IHI Model for Improvement, or Lean Six Sigma.

Education (Degree/Diploma/Certificate)

  • Post-secondary degree in a relevant discipline such as health, business or public administration, engineering, from an accredited educational institution.
  • A postgraduate education, formal training in the implementation of organizational change initiatives (e.g. Proci certification or equivalent) and quality improvement (e.g. IHI, Lean), and a professional certification in project management (e.g. Project Management Professional, PRINCE2 Practitioner or equivalent) are assets.
  • An equivalent combination of education and experience may be considered.


  • Active member in good standing of an associated regulatory body as appropriate.

Qualifications and Skills

  • Demonstrated mid-to-senior leadership capabilities.
  • The provincial health system in Manitoba has adopted the LEADS in a Caring Environment framework.

Physical Requirements

  • Must be able to work safely in a typical computerized office environment with frequent meetings, and to lift and carry items of up to approximately 10 kg.
  • Interruptions to respond to questions are common; dedicated and focused time for planning and concentration can be scheduled.
  • Travel to other health care facilities throughout the province requiring a valid Manitoba driver’s license and use of a personal motor vehicle.



This term position may end earlier as outlined in your collective agreement.

This position requires a current satisfactory Criminal Records Check (including Vulnerable Sector Search), Child Abuse Registry Check and Adult Abuse Registry Check as conditions of employment. The successful candidate will be responsible for any service charges incurred. A security check is considered current if it was obtained no more than six (6) months prior to the start of employment.

Please note that an employee is not permitted to hold two or more positions across the WRHA legal entity that combine to equal more than 1.0 EFT. The WRHA legal entity includes Churchill Health Centre, Deer Lodge Centre, Golden West Centennial Lodge, Grace Hospital, Middlechurch Home of Winnipeg, Pan Am Clinic, River Park Gardens, Victoria General Hospital, WRHA corporate programs, and WRHA community health services.

Interviewed candidates may be called upon to participate in a skills assessment.

Any application received after the closing time will not be included in the competition.

We welcome applications from people with disabilities. Accommodations are available upon request during the assessment and selection process.

Job Segment: Public Health, Healthcare