Manager, Diagnostic Imaging, Diagnostic Accreditation Program (Dap)

Full-time, permanent

Reporting to the director, Accreditation Programs, the manager, Diagnostic Imaging is responsible for providing leadership and management for the overall development, maintenance and delivery of the Diagnostic ImagingAccreditation Program. The manager provides leadership to Diagnostic Imaging program staff to ensure planned assessment activities are conducted by qualified, trained personnel. The manager also provides leadership to staff in conducting research and evaluating, maintaining and developing standards for the Diagnostic Imaging program.

Duties include but are not limited to the following:

Assessment management

• ensure the development, maintenance and accurate up-to-date listing of Diagnostic Imaging facilities, accreditation status and contact information subject to DAP accreditation
• ensure an accreditation schedule is developed for each facility/service including reference to any regional/corporate structure models
• ensure initial assessments of new services/facilities are completed in a timely manner
• ensure all components of the on-site assessment are completed in a timely manner, e.g. technical, management and medical components
• ensure desktop audit submissions are reviewed, evaluated and followed up as required
• ensure focused assessments are conducted in a timely manner
• ensure knowledge of any significant issues arising during the assessment are responded to and reported to the director or deputy registrar in a timely manner

• ensure the appropriate evaluation of performance to the DAP accreditation standards

• ensure accreditation reports are produced in a timely manner
• ensure reports identify best practices, opportunities for improvement, and nonconformances with associated time frames for submission of corrective actions
• monitor post-assessment activities to address nonconformances and work with the facility to ensure implementation within established time frames
• ensure the timely creation of assessment reports, recommendations, briefing notes and documents requiring review and decision by the DAP Committee

• maintain a roster of assessors by recruiting an appropriate number and skill mix, selecting and appointing assessors in accordance with competency-based selection criteria and program requirements
• define peer assessor responsibilities and expectations through a contract or agreement
• ensure the selection of an appropriate number and skill mix of assessors to complete the assessment activities
• manage the ongoing education program for assessors

• establish and maintain effective relationships and ongoing communication with facilities and organization leaders
• respond to client enquiries and complaints and when needed, escalate to the director/deputy registrar
• develop the communication tools such as mass email communications, the College Connector, and the College website in collaboration with the other managers, director, deputy registrar and the College communications department

• identify learning needs of client organizations related to the accreditation standards, accreditation processes and cycle
• develop, implement and evaluate education plans to address learning needs of DAP facilities and assessors

• identify time frames for standards development
• ensure a formal review process is completed to identify the need for new or revised standards
• identify objectives, parameters and time frames for new Accreditation Program development
• form advisory committees to support standards development
• ensure advisory committee agendas and meeting materials are developed
• ensure that a record of decisions made by the advisory committees, minutes, agenda and briefing notes are maintained
• ensure the advisory committees’ decisions are implemented in a timely and effective manner
• ensure the accreditation standards, criteria, criteria descriptors, reference material, mandatory requirements timelines, and evidence submission documentation are maintained
• ensure the development of assessor protocols and other assessment tools, e.g. initial assessment and focused visit protocols
• ensure the creation of associated education and supporting material
• ensure that transitional strategy for implementation of revised standards is identified, implemented and followed
• ensure organizations have access to the most recent edition of the applicable accreditation standards, tools and processes
• ensure queries related to the interpretation and the application of accreditation standards are addressed in a timely manner

• recruit and select program staff
• ensure appropriate orientation of program staff, set performance expectations, assess performance and oversee performance plans
• train, coach and develop program staff
• report any human resource issues to the director

• participate as a member of the AP (Accreditation Program) Quality Improvement Committee
• support continuous improvement by participating in internal audits, management of nonconforming events, document and records management, and other elements of the quality management system
• support the successful participation in external accreditation activities
• develop and implement policies, procedures, standardized processes and templates under the direction of the director and work collaboratively with the other AP programs
• regularly track and report on DAP activities and identified performance indicators
• collect data for the purposes of documenting, reviewing, analyzing, and identifying significant trends
• identify and analyze issues regarding the accreditation standards, assess significance and submit recommendations for resolution

• attend meetings at the direction of the deputy registrar or director
• coordinate existing or improved procedures with the IT department
• participate in program strategic planning and development of departmental operational key performance indicators
• participate in program budget planning and development
• communicate and work effectively with DAP staff, external consultants, facilities, committees and other college departments and as it relates to assigned duties
• other duties as required

Required skills and qualifications include:

• bachelor’s degree, preferably in a health-related discipline, management or business
• RTR, RTMR, or RTNM certification from the Canadian Association of Medical Radiation Technologists (CAMRT) or certification from Sonography Canada would be an asset
• must possess five or more years of management experience, with direct responsibility for the supervision of more than three members of staff
• knowledge and experience in Accreditation Programs, methodologies and quality systems
• experience in delivering education programs
• experience in identifying risk and acting to mitigate the consequence
• knowledge of information systems applications tools
• possess a valid driver’s license and the ability to drive as required to fulfill the responsibilities associated with the position
• ability to collect, review and analyze data
• ability to deliver education and orientation programs utilizing a variety of recognized adult education methodologies
• ability to evaluate performance and develop continuous improvement and development plans and goals
• ability to implement or support various change management activities
• ability to work cooperatively with others to produce innovative solutions

 The compensation range for this position is $100,270 to $125,337 per year.

The College is committed to our ongoing journey to be a diverse, equitable and inclusive place to work. All interested applicants, regardless of age, family or marital status, physical or mental disability, race, colour, religion, place of origin, and ancestry, Indigenous identity, gender identity or expression, sex, sexual orientation political belief, socio-economic background, criminal conviction or any other characteristic protected by applicable law, are strongly encouraged to apply. Accommodations are available upon request for candidates taking part in the recruitment and selection process.
 
The College values the strength diversity brings to our workplace, so if you’re excited about a career at the College but your past experience doesn’t align perfectly with the current job postings or you are not ready to apply yet, we encourage you to create an employee profile in the careers portal and our HR team will be able to see your skills and proactively match you with other roles more closely aligned to your experience and skillset.
The College of Physicians and Surgeons of BC is located on the unceded and traditional territory of the Coast Salish peoples, including the territories of the hən̓q̓əmin̓əm̓ speaking peoples―the xʷməθkʷəy̓əm (Musqueam) and sel̓íl̓witulh (Tsleil-Waututh) Nations, and the Sḵwx̱wú7mesh-ulh Sníchim speaking peoples―the Sḵwx̱wú7mesh (Squamish) Nation.

We acknowledge the rights and title of BC First Nations whose territories span across the province. These territories recognize that laws, governance, and health systems tied to lands and waters have existed here since time immemorial.