Quality Specialist
Job Summary
General Principles
- Maintains confidentiality and manages information in accordance with hospital policy and applicable privacy legislation.
- Ensures work is completed in accordance with relevant legislation regulations professional standards and organizational policies and procedures.
- Contributes to a safe and healthy environment for patients staff and visitors by complying with health and safety policies and reporting hazards.
Purpose of the Position
The Quality Specialist strengthens patient safety quality of care and patient experience by partnering with clinical and corporate leaders to design implement and sustain a high-reliability approach to improvement. The role supports an organizational learning system that reduces preventable harm standardizes best practices uses data to guide decisions and ensures continuous readiness for accreditation and regulatory requirements.
Major Responsibilities and Key Activities
1. Quality Governance & System Improvement
- Contributes to the development and maintenance of the organizations quality patient safety and improvement framework aligning work to strategic priorities and frontline needs.
- Provides consultation and coaching to leaders and interprofessional teams on improvement methodology (e.g. PDSA Lean process mapping measurement for improvement).
- Supports effective governance by preparing analyses dashboards and briefing materials for quality/safety committees and councils; escalates emerging risks and performance gaps as appropriate.
- Promotes a high-reliability mindset (e.g. sensitivity to operations learning from defects standard work) and supports psychological safety for reporting and learning.
2. Accreditation & Continuous Readiness
- Coordinates and supports continuous readiness activities for Accreditation Canada (or applicable accrediting bodies) including Required Organizational Practices and priority standards.
- Partners with program teams to assess gaps strengthen evidence and standardize processes that sustain accreditation performance.
- Analyzes accreditation findings internal audits and tracers to identify themes and improvement opportunities; supports action planning and follow-through.
3. Patient Safety Event Reporting & Learning
- Supports a robust patient safety reporting and learning system including event intake triage trending and feedback loops to units and leaders.
- Facilitates or supports event review processes (e.g. incident analysis learning reviews RCA FMEA) with a focus on systems factors and sustainable risk controls.
- Tracks recommendations and action items to completion; monitors effectiveness and supports spread of improvements.
- Supports safety culture initiatives and communication (e.g. learning alerts safety huddles support Patient Safety Week activities).
4. Risk Management & Proactive Risk Assessment
- Supports the corporate risk management framework by partnering with programs to identify assess and mitigate clinical and operational risks.
- Coordinates completion and follow-up of insurer/sector risk assessments (e.g. HIROC Risk Assessment Checklist) ensuring documentation action planning and evidence of completion.
- Develops and maintains reporting on risk themes contributing factors and mitigation progress for leadership review.
5. Quality of Care Reviews & Clinical Practice Learning
- Supports and facilitates program and corporate quality of care reviews/peer review processes using applicable policy evidence and fairness principles.
- Assists with identification of cases preparation of materials documentation of findings and tracking of recommendations and action plans.
- Identifies patterns and opportunities for standardization and system redesign and partners with teams to implement and evaluate changes.
6. Patient Experience Engagement & Partnership
- Supports the operationalization of the Patient Experience Framework through coaching facilitation and measurement.
- Supports the dissemination analysis and action planning arising from patient experience/satisfaction data in partnership with program leaders.
- Facilitates or supports patient and family partnership structures (e.g. Patient & Family Advisory Council) and deployment of patient/family advisors to projects and committees.
7. Measurement Reporting & Knowledge Translation
- Collects analyzes and interprets qualitative and quantitative data to inform improvement priorities and monitor outcomes (run charts control charts where applicable dashboards).
- Develops clear and actionable reports for leaders committees and frontline teams; translates data into insights and recommended actions.
Qualifications :
Education & Professional Credentials
- Masters degree preferred in Health Quality/Patient Safety Quality Improvement Health Administration Public Health Nursing or a related field (or equivalent combination of education and progressive quality/safety experience).
- Undergraduate degree in a health discipline or other relevant field required.
- Formal Quality Improvement training preferred (e.g. Institute for Healthcare Improvement (IHI) Quality Improvement Practicum/certificate or equivalent recognized QI program).
- Industry-recognized certification in quality/safety preferred (one or more): Certified Professional in Patient Safety (CPPS) Certified Professional in Healthcare Quality (CPHQ) Canadian Patient Safety Institute (CPSI) training/credentials (or equivalent).
- Lean/Six Sigma (Yellow/Green/Black Belt) or equivalent continuous improvement certification is an asset.
Experience
- Demonstrated experience in quality improvement patient safety and/or risk management within a healthcare setting.
- Experience supporting accreditation processes (e.g. Accreditation Canada Qmentum) and continuous readiness activities.
- Experience facilitating teams through change including measurement planning implementation and sustainability.
Core Competencies
- Strong facilitation coaching and relationship-building skills across clinical and non-clinical teams.
- Proficient in collecting analyzing and interpreting data; able to translate findings into clear recommendations.
- Knowledge of improvement methods and tools (e.g. PDSA Lean process mapping root cause analysis failure modes and effects analysis).
- Understanding of patient safety science and high-reliability principles; commitment to learning and just culture.
- Excellent written and verbal communication including presentation skills and ability to tailor messaging to diverse audiences.
- Strong project and time management skills; ability to manage multiple competing priorities in a fast-paced environment.
- Proficient with common productivity tools and databases; comfortable working with incident reporting and quality systems.
Additional Information :
Hours: Monday to Friday 7.5 hour day shifts; (Hours are subject to change based on operational needs)
Salary: $49.185 to $61.507 per hour
Date Posted: April 21 2026
Internal application deadline: April 28 2026
REF3407Q
Halton Healthcare is an equal opportunity employer who is committed to integrating diversity equity and inclusion throughout our operations policies and culture. If you are passionate about what you do motivated by a job well done and as committed to excellence quality and patient satisfaction as we are wed like to hear from you. Please attach your current resume directly to this posting.
Please note that while this job is posted on Halton Healthcares career page it may also appear on third-party job boards. These external platforms may use automated tools including artificial intelligence for candidate screening and matching. We do not control or influence these processes. To ensure your application is reviewed by our team we recommend applying directly through our Halton Healthcare careers site.
We thank all those who apply but only those individuals selected for further consideration will be contacted.
Halton Healthcare is committed to providing accommodations for applicants with disabilities. In accordance with the Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code Halton Healthcare will provide accommodations throughout the recruitment and selection process. If you require an accommodation we will work with you to meet your accommodation needs to ensure your equal participation.
The Ontario Public Hospitals Act mandates that hospitals establish health surveillance programs for all individuals working within the hospital. This regulation requires proof of immunity for certain diseases and as a result Halton Healthcare requires all new hires to receive pre-employment medical clearance by our Health Safety & Wellness team prior to their start date as a condition of employment. This includes demonstrating compliance with Halton Healthcares Immunization Policies.
All new hires must be fully compliant with our Vaccination Policy as a condition of employment with Halton Healthcare. Successful applicants will be required to provide proof of vaccination or proof of a documented medical exemption as part of the hiring process.
All personal information is collected under the authority of the Freedom of Information and Protection of Privacy Act.
Remote Work :
No
Employment Type :
Contract
About Company
Halton Healthcare’s vision of Exemplary patient experiences, always, goes beyond just the patient experience; it has shaped our entire culture and remains at the core of every interaction in our organization, from our patients & families to our staff, physicians and volunteers. We bel ... View more