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Quality and Safety Leader, Neonatal Program - BC Women's Hospital & Health Centre


Quality and Safety Leader, Neonatal Program

BC Women's Hospital & Health Centre

Vancouver, BC

What you’ll do

  • Provide leadership and quality improvement expertise in the planning, implementation, and evaluation of initiatives designed to improve quality of care, safety, and risk reduction in Neonatal Intensive Care.
  • Monitor Neonatal Program staff and physician perceptions of safety and quality and identify learning opportunities related to the integration of quality improvement methodology and evidence-based systems and tools with everyday work processes through regular contact with clinical and service providers, visits to the clinical areas, membership on Quality of Care Committee, and participation in key organizational change initiatives. Develop, implement, and evaluate education plans to address identified learning needs.
  • Provide consultation, guidance, and support to the Neonatal Program and other staff, teams, and committees in the use of tools and mechanisms to measure, monitor, and evaluate initiatives designed to improve patient care outcomes.
  • Provide facilitation, coaching, and support to improvement teams in the development, monitoring, and analysis of key performance indicators, in alignment with other levels of reporting within C&W and the PHSA.
  • Provide expert support for analysis of multiple sources of data to promote a balanced approach to identifying and acting upon improvement opportunities.
  • Provide leadership in the development and implementation of patient safety and risk indicators, alert systems and other risk prevention strategies.
  • Evaluate the effectiveness of the application of C&W processes as they relate to patient safety, complaints management, and incident reporting. Make recommendations based on evaluation of the impact to patient outcomes and organizational risk.
  • Manage Neonatal Program incident reports using an intake and follow up system that ensures reports and follow up are completed in a timely manner, thoroughly reviewed, and processed in keeping with a non-punitive reporting culture, and that all resulting recommendations are implemented. Identify trends, make recommendations based on the trends, and formally reports these trends to the program leaders, Quality of Care Committee (s) and others as appropriate. Report actual or potential risks to patient outcomes and/or to C&W to the Program Director , Neonatal Program Leaders, and C&W Director, QS&RM for follow up.

What you bring


  • A level of education, training and experience equivalent to an undergraduate degree in Nursing
  • Master’s preparation in Nursing, Leadership, Health Administration, Business or a related health discipline preferred, plus a minimum of five (5) years of clinical practice and professional management/leadership experience.
  • Previous experience and education in quality, patient safety, risk management or accreditation is preferred. A clinical background in Neonatal Intensive Care is preferred.

Skills & Knowledge

  • Leading People by acting with integrity and trust, building a team environment, communicating clearly, and fostering potential; leading change by striving for personal mastery, leading with vision, inspiring and engaging others, and promoting innovation.
  • Partnering by focusing on customers and engaging stakeholders.
  • Achieving results by conceptualizing and being accountable.
  • Demonstrating business acumen in managing resources and showing health environment and political awareness. 
  • Requires a working knowledge of specific federal and provincial legislation.
  • Demonstrated analytical skills and excellent written and oral communication skills including the ability to facilitate, negotiate, and persuade others at all levels of the organization.
  • Demonstrated ability to build and maintain effective relationships.
  • Commitment to develop knowledge and understanding of legislative obligations and provincial commitments 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 – and how they intersect across the health care system.
  • Commitment to upholding the shared responsibility of creating lasting and meaningful reconciliation in Canada as per TRC (2015) and BC's Declaration on the Rights of Indigenous Peoples Act (2019).
  • As a strong asset for consideration, we are looking for our successful candidate to have: Knowledge 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.).

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 and 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: $ 88,990- $ 127,923. 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: 4500 Oak Street, Vancouver V6H 2N9

Applications will be accepted until position is filled.

Hours of Work: Monday to Friday; 0800 - 1600 

Requisition # 168958E

As per the current Public Health Order, full vaccination against COVID-19 is a condition of employment with PHSA as of October 26, 2021.

What we do

BC Women's Hospital & Health Centre (BCW) is dedicated to improving the health of women, newborns and families through a comprehensive range of services, research and education.

BCW is part of the Provincial Health Services Authority (PHSA).

The Provincial Health Services Authority (PHSA) plans, manages and evaluates specialized health services with the BC health authorities to provide equitable and cost-effective health care for people throughout the province. Our values reflect our commitment to excellence and include: Respect people – Be compassionate – Dare to innovate – Cultivate partnerships – Serve with purpose.

Learn more about PHSA and our programs:

PHSA and BCW are committed to equity in our hiring and employment practices. With learning and compassion, we are addressing existing inequities and barriers throughout our systems. PHSA is seeking to create a diverse workforce and to establish an inclusive and culturally safe environment. We invite applications and enquiries from all people, particularly those belonging to the historically, systemically, and/or persistently marginalized groups identified under the B.C. Human Rights Code.

One of PHSA’s North Star priorities is to eradicate Indigenous-specific racism, which includes dismantling barriers to health care employment at every level. We welcome Indigenous individuals to apply and/or contact the Sanya'kula Team (Indigenous Recruitment & Employee Experience) for support at

Indigenous-specific anti-racism initiatives are rooted in addressing the unique forms of discrimination, historical and ongoing injustices, and marginalization faced by Indigenous peoples. These initiatives align with an Indigenous rights-based approach, recognizing the inherent rights and self-determination of Indigenous communities. PHSA must uphold legislative obligations and provincial commitments found in the foundational documents such as 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.

opportunities that implement the Truth and Reconciliation Commission Mandate.

ATTN: PHSA Employees:

To be considered as a PHSA employee (internal applicant) for this position, you must apply online via your internal profile at

Please note the internal job posting will no longer be accessible after the expiry date of July 15, 2024. If the internal job posting has expired, please contact the Internal Jobs Help Desk and advise that you would like to be considered as a late internal applicant for this position. Please do not apply for the external job posting.

If you have not registered your internal profile, a password is required to log in for the first time. To obtain your password, please contact the Internal Jobs Help Desk at 604-875-7264 or 1-855-875-7264. Please note regular business hours are Monday – Friday (excluding stats), 8:30am to 4:30pm. For inquiries outside of regular business hours, please email the Internal Jobs Help Desk at and a Help Desk Representative will contact you the next business day.


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