Executive Director Safety, Quality & Governance

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1 HSS to enter registration details Job Description Form Reporting Relationships Executive Director Safety, Quality & Governance Health Executive Service: Level B Position Number: NMHS Board Chief Executive Position Number: This Position Also reporting to this supervisor: ED SCGOPHCG ED WNHS ED Mental Health, Public Health & Dental Health Manager Office of the CE ED Business & Performance ED PICM ED Strategy & Exec. Services Project Director, QEIIMC Trust Directly reporting to this position: Other positions under control Title Mgr Governance & Performance Director Medico-Legal Services Mgr Audit, Risk & Compliance Classification HSO G10 AMA HSO G10 FTE Principal Audit & Risk Officer Prime Function / Key Responsibilities Contributes to decision making on whole-of-health issues as part of the North Metropolitan Health Service (NMHS) Executive and oversees the strategic direction and planning for safety, quality, audit, risk and governance for the service. Responsible for the analysis and provision of high level expert advice on key safety issues within the health service, and at a State and National level. Responsible for leading the NMHS Medico-Legal Services. Leads the development, implementation and ongoing review of NMHS s external certification and accreditation processes and consumer participation and engagement strategies across the service.

2 Brief Summary of Duties ED Safety, Quality & Engagement HES Level B Strategic Leadership and Accountability (30%) 1.1 As a member of the NMHS Executive team, contributes to decision making on whole-of-health issues for the organisation. 1.2 Actively promotes, guide and facilitates high standards of practice and professional services. 1.3 Actively leads and promotes organisational cultural change. 1.4 Actively and insightfully contributes to strategic, operational and business planning and policy development. 1.5 Provides leadership and guidance to key organisational stakeholders to facilitate the improvement of organisation performance, systems and processes 1.6 Provides high-level expert advice and support to the Chief Executive, and other Executives, through analysis and assessment of trends and emerging issues within and across the service, and at the state and national levels in relation to the position s portfolio of responsibilities. 1.7 Builds a competent team, driving and building the framework for continuous development of staff to ensure high performance within the directorate. 1.8 Ensures that resources are managed and developed to meet service requirements and area outcomes. 1.9 Ensures that the portfolio s services and activities meet all clinical and/or corporate governance requirements. 2. Communication and Consultation (30%) 2.1 Initiates and facilitates forums and discussion groups to resolve issues relating to safety, quality, and consumer engagement including policy development, strategic and operational frameworks/plans and legislative compliance. 2.2 Initiates, facilitates and maintains strong working relationships in order to effectively liaise, consult and negotiate with all relevant internal and external stakeholders. 2.3 Initial point of contact and interface between NMHS and relevant internal and external agencies on portfolio related matters (e.g. System Manager, Australian Council on Healthcare Standards, Health Consumers Council). 3. Specific Position and/or Operational Responsibilities (40%) 3.1 Provides the strategic direction, planning, leadership and focus for safety and quality, audit and risk, and consumer engagement across NMHS. 3.2 Leads and direct the management and coordination of the service s consumer participation program to ensure greater involvement by local communities in the planning of appropriate services for this population. 3.3 Develops, implements and reviews the key strategies and objectives of the Safety, Quality and Consumer Engagement Directorate. 3.4 Develops implements and reviews the key strategies and objectives of the Audit and Risk Directorate. 3.5 Leads the Medico-legal Services Directorate. 3.6 Leads the development, implementation and ongoing review of NMHS s external certification and accreditation processes. 3.7 Develops, establishes and maintains clinical governance systems and processes for monitoring and reviewing clinical performance and safety and quality of care. 3.8 Champions NMHS s safety and quality initiatives and innovations. 3.9 Oversights NMHS s safety and quality reports, trends and analysis for the Executive and Board. 4. NMHS Governance, Safety and Quality Requirements 2

3 ED Safety, Quality & Engagement HES Level B Ensures, as far as practicable, the provision of a safe working environment in consultation with staff under their supervision. 4.2 Participates in an annual performance development review and undertakes performance development review of staff under their supervision. 4.3 Supports the delivery of safe patient care and the consumers experience including identifying, facilitating and participating in continuous safety and quality improvement activities, and ensuring services and practices align with the requirements of the National Safety and Quality Health Service Standards and other recognised health standards. 4.4 Completes mandatory training (including safety and quality training) as relevant to role. 4.5 Performs duties in accordance with Government, WA Health, and Departmental / Program specific policies and procedures. 4.6 Abides by the WA Health Code of Conduct, Occupational Safety and Health legislation, the Disability Services Act and the Equal Opportunity Act. 5. Undertakes other duties as directed. 3

4 Work Related Requirements Essential Selection Criteria ED Safety, Quality & Engagement HES Level B Exemplifies personal integrity and commitment to public service - demonstrates public service professionalism, probity and accountability - ability to work within and promote the values of NMHS - exhibits personal commitment to customer service - engages with risk - demonstrates personal commitment to professional development 2. Shapes and manages strategy - inspires a sense of purpose and direction towards achieving a strategic vision - shows forward thinking, judgement, intelligence and common sense - directs policy development within a public policy environment - directs the implementation of operational reforms - harnesses information and opportunities 3. Achieves results and operational excellence - builds organisational skill and shapes culture - steers and implements change and deals with uncertainty - delivers intended results - ensures delivery of high quality services - manages all resources in a constrained environment - demonstrates leadership in workforce and succession planning 4. Builds productive relationships - nurtures internal and external relationships - facilitates cooperation and partnerships - guides, coaches and develops people 5. Communicates and influences effectively - communicates clearly - listens, understands and adapts to audience - negotiates and advocates persuasively - values individual differences and diversity 6. Current knowledge of legislative obligations for Equal Opportunity, Disability Services and Occupational Safety and Health, and how these impact on employment and service delivery. Desirable Selection Criteria 1. Experience in and knowledge of safety and quality, audit and risk governance issues in the health industry. 2. Tertiary qualifications in a relevant area would be highly regarded. 3. Current C or C.A. class drivers licence. 4

5 ED Safety, Quality & Engagement HES Level B Appointment Prerequisites Appointment is subject to: Completion of 100 Point Identification Check. Successful Criminal Record Screening Clearance. Successful Pre-Employment Integrity Check. Successful Pre-Employment Health Assessment. Certification The details contained in this document are an accurate statement of the duties, responsibilities and other requirements of the position. Manager/Supervisor Dept./Division Head Position Occupant Name: Name: Name: Signature/HE: Signature: Signature: Date: Date: Date: 5

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