Accreditation Assessment Officer, Diagnostic Imaging, Diagnostic Accreditation Program

Full-time, permanent

Position summary

Reporting to the manager, diagnostic imaging, the accreditation assessment officer (AAO), diagnostic imaging, has responsibility for assessing the performance of the diagnostic service facilities, in British Columbia for the purposes of accreditation.

Primarily focused on diagnostic imaging facilities, the AAO will also perform their duties in other diagnostic services.

Through on-site assessments of the diagnostic imaging facilities, the AAO writes assessment reports identifying best practices evidenced, opportunities for improvement, and follow-up actions required to address nonconformances. In conducting the assessments, the AAO provides education and shares best practices for the purposes of improving quality and safety.

In the capacity of accreditation assessment officer, this position has delegated authority to review and sign off on evidence submitted in response to nonconformances, and to make recommendations for accreditation awards to the Diagnostic Accreditation Program (DAP) Committee.

Duties and responsibilities

Duties include but are not limited to the following:

Assess diagnostic service facility performance

• assess the performance of the diagnostic imaging facilities in British Columbia for the purposes of accreditation

Perform pre-assessment activities

• answer queries from diagnostic imaging facilities related to the interpretation and the application of DAP accreditation standards
• assist in the development of an accreditation strategy and schedule for each diagnostic service facility including reference to any regional/corporate structure models

Perform on-site assessments

• review and evaluate evidence submissions from diagnostic imaging facilities in accordance with DAP assessment policies and procedures
• conduct on-site assessments in accordance with DAP assessment policies and procedures
• follow up with diagnostic imaging facilities, as required, for further information or clarification of submitted information
• provide education and share best practices for the purposes of assisting the diagnostic imaging facilities to continually improve safety and quality

Perform post-assessment activities

• prepare reports resulting from the on-site assessments
• identify nonconformances to be addressed by diagnostic imaging facilities with associated time frames for completion
• perform the technical quality review of reports for the other diagnostic imaging accreditation assessment officers
• submit reports to the manager, diagnostic imaging within the time frame defined in the DAP service standards
• make recommendations to the DAP Committee on the appropriate level of accreditation award for diagnostic imaging facilities assessed

Perform the activities of an accreditation officer

• conduct initial assessments of new diagnostic imaging facilities and prepare initial assessment reports
• conduct relocation assessments as required and prepare relocation assessment reports
• conduct focused visits as required and develop focused assessment reports documenting findings from the focused visit and any recommended courses of action
• conduct focused desktop assessments as required and develop focused assessment reports documenting findings from the focused visit and any recommended courses of action
• review submissions from diagnostic imaging facilities in response to nonconformances and determine whether the facilities have demonstrated compliance to the accreditation standard
• review extension request submissions from diagnostic imaging facilities in response to cited nonconformances and determine whether the timeline to the cited nonconformance can be extended as per request
• follow up directly with the facility as required to clarify information or ask for additional information
• document the assessment demonstrating compliance to the nonconformance, or a recommended course of action to be taken by diagnostic imaging facilities
• communicate and work effectively with the manager, diagnostic imaging and accreditation specialist as it relates to these assigned duties
• provide reports and documentation in a timely and prescribed manner to the manager, diagnostic imaging

Other general duties

• assist with the maintenance of facility profiles, key contact lists, etc. to ensure information is current, accurate and reliable
• assist in the continuous development and maintenance of accreditation methodologies, standards, protocols, processes and tools
• participate in communication and representation activities
• facilitate meetings, forums, focus groups and workshops
• contribute to the development and maintenance of educational programs
• deliver educational programs assigned
• attend meetings and functions at the direction of the manager, diagnostic imaging
• perform related duties as assigned
• identify best practices, opportunities for improvement, and follow-up actions required to address nonconformances
• make recommendations for accreditation awards to the Accreditation Program Committee
• inform the manager, diagnostic imaging of any quality, safety or other risk issues related to accreditation assessment activities and ensure that any potential hazards and risks to patients and/or staff are recognized and minimized
• evaluate the activities of diagnostic facilities
• understand and respond to the requirements of facilities as they relate to the accreditation requirements
• participate in the improvement activities for quality and safety processes provided through the accreditation programs quality improvement program
• follow the policies and procedures of the College
• provide timely reports to the manager, diagnostic imaging when requested

Skills and qualifications

Required skills and qualifications include:

• registration with the Canadian Association of Medical Radiation Technologists, Sonography Canada or other relevant certification body
• a minimum of three years of recent, related experience in diagnostic imaging
• graduation from a recognized post-secondary institution in a health-related discipline and/or five years’ experience working in a health service/system
• experience working with quality systems and accreditation programs
• experience in data collection, review, synthesis, and the qualitative and quantitative analysis of data
• completion of a program and/or courses in quality management from a recognized post-secondary institution
• evaluation and critical thinking skills
• exceptional client service skills
• facilitation of large groups
• excellent communication skills, written and oral
• ability to deliver education and orientation programs utilizing a variety of recognized adult education methodologies
• professional and business-like manner
• possession of a valid BC driver’s licence; ability and willingness to drive 

The compensation range for this position is $80,216 to  $100,270 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.

We thank all applicants for their interest; however, only those selected for interview will be contacted. 

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.