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As part of Digital Health Standards, the Standards Specialist, Terminology role will provide terminology subject matter expertise through the development, and management of clinical terminology and standards-based terminology assets for these projects and products. Along with providing data content and terminology standards support, this role will engage and work closely with Digital Health Standards data exchange experts, as required to address accurate representation of data and advance interoperability in Ontario.
Here is what you will be doing:
Create and maintain health terminologies to ensure accurate, quality clinical terminology is implemented and maintained in all interoperability standards for Ontario.
Provide expert terminology consultation to the Digital Health Standards, team as well as to internal and external stakeholders, regarding terminology use and maintenance, including implementation support as well as changes to guidelines, terminology tools, and terminology services.
Participate in the development of education and learning materials to support effective use and maintenance of terminologies in terminology services, and in electronic health record systems.
Organize meetings with stakeholders internal and external to Ontario Health to support terminology activities.
Conduct environmental scans, requirements elicitation, feasibility assessments and gap analyses to support terminology standards selection.
Develop processes and procedures to support the effective use and management of health terminologies for Ontario.
Advance the use of health terminologies in Ontario for direct care and health system use purposes, in alignment with the Ontario Health’s strategic direction, Ontario’s Digital Health Blueprint and other applicable health informatics guidance, and Ontario’s Digital Health Information Exchange (DHIEX) regulation.
Contribute to the establishment of health information standards-based solutions that are capable of being integrated into a comprehensive, standardized and interoperable electronic health record for Ontario, with a particular focus on clinical informatics terminology standards.
Other activities to be defined at the discretion of the Digital Health Standards leadership in consultation with projects, departments, and stakeholders.
Here is what you will need to be successful:
Technical Requirements
Strong IT/IM project management experience with various health care providers, government agencies and vendors.
Strong knowledge of and experience working with Health IT systems and requirements.
Experience with healthcare systems both in Ontario and other jurisdictions.
Expertise in and implementation experience with clinical terminology and/or classification systems (SNOMED CT/SNOMED CT-CA, LOINC/pCLOCD, ICD-10-CA/CCI, ICD-11), and the application of clinical code systems in electronic health record systems. Specialized terminology training in SNOMED CT and LOINC is preferred.
Expertise in and experience working with terminology supporting tools, such as Infoway Terminology Gateway, Infoway InfoRMS, pCLOCD, terminology browsers (SNOMED CT and searchLOINC), Apelon DTS, TermWorks/TermManager, ICD-10-CA/CCI Folio, and implementation guides.
Knowledge of standards development tooling such Application Programming Interface (APIs), FHIR servers such as HAPI FHIR, conformance tooling such as AEGIS Touchstone, and Forms builders is an asset.
Experience with health informatics/health information terminology standards use and management, such as subset development, subset and extension management, and use with clinical decision support/knowledge tools, reference terminologies, interface terminologies, clinical classifications, and terminology maps.
Experience with terminology standards development/maintenance organizations, such as SNOMED International, Regenstrief Institute, HL7 Working Groups, Canada Health Infoway’s InfoCentral Standards, Solutions and Communities.
Understanding of terminology asset management approaches, policies, and legislation, specific to direct care and health system use.
Knowledge of HL7 methodology, engagement processes, and the application of HL7 messaging standards (HL7 versions 2, version 3 and FHIR), the Reference Information Model (RIM), and HL7 v3 products including CDA, and related implementation guides such as FHIR Structured Data Capture (SDC) and FHIR International Patient Summary (IPS).
Knowledge of IHE profiles and their use with terminology standards, including templates and synoptic reports.
Professional memberships in Health Information Management, Health Informatics, and/or Standards. CPHIMS-CA and CHIMA – CHIM and CTSS Certifications are an asset.
Broad knowledge of clinical concepts and processes and how these are used in health care systems in Ontario.
Experience defining governance, principals, policies and procedures and guiding business and/or IT/IM transformation initiatives.
Knowledge of Ontario Digital Health Solutions and their use is an asset.
Education and Experience
The typical minimum level of education to perform this job competently is equivalent to completion of a university (bachelor) program in a specialized field of study and work. The work requires a sound understanding of the underlying theoretical principles and concepts associated with the subject area and an understanding of the relation of these to the responsibilities of the job. This specialized training is often recognized by a degree and/or professional designation.
Directly/indirectly related work experience representing continuous learning and required for someone to perform this job competently is six to ten years.
Ongoing work assignments typically have clearly defined goals, but no (or minimal) direction with respect to what action steps to follow. The incumbent’s education, training, and previous experience will help ensure that the goal of the assignment can be clearly defined and understood (even if that means just knowing what relevant questions to ask), but the required/optional approaches to achieving the goal will often remain unclear, undefined and/or untested until the work assignment is well underway.
Knowledge and Skills
Key Competencies
Self-Awareness: Proactively seeks and obtains ongoing feedback to help understand ones’ own strengths and development areas in order to work more effectively with team/department managers/clients. Understands and is aware of ones’ emotions and the impact these emotions may have on others. Reflects on feedback and lessons learned, and uses acquired knowledge in working with team members to achieve personal and professional growth.
Delivers: Ensures the timely delivery of programs, projects, and services, effectively adapting to tight deadlines and sudden changes in priorities to accomplish objectives. Plans ahead for possibilities and contingencies, identifying opportunities and problems to ensure that best results are achieved. Recognizes and makes best use of the diverse skills, abilities, experiences of team members to achieve best outcomes.
Integrity: Adheres to ethical standards and integrates Ontario Health values, principles and standards into practices and business transactions. Creates honest, trusting and successful working relationships with others inside and outside the organization and conducts all affairs with personal and professional integrity. Promptly addresses issues about discrimination, harassment, and unfair treatment and does not allow personal assumptions, biases and/or complaints to impact any work-related decisions in the team.
Connects: Builds trust and establishes rapport with diverse colleagues and customers by listening, understanding their needs, and following through on commitments. Works effectively with people who have different perspectives, backgrounds and abilities while encouraging constructive dialogue and being sensitive and receptive to diverse views and opinions. Builds mutually beneficial working relationships to foster a positive and inclusive culture and engages with internal and external customers and stakeholders representing a variety of interests.
Inspires: Creates a shared vision by soliciting and valuing diverse input obtained from each team member on the vision of their work and the team. Uses a broad range of communication strategies and methods to communicate vision with enthusiasm and clarity, and to inspire confidence and generate commitment. Helps team to embrace different perspectives, experiences and backgrounds by modeling positive leadership behavior and encouraging full participation.
Transforms: Takes initiative and sustained action to ensure the successful implementation of change by shifting strategic focus and embracing new ideas and building on past knowledge and success. Fosters a team environment where all are encouraged to think creatively and new and diverse ideas and approaches are heard, valued and considered for implementation. Seeks performance feedback and opportunities to invest time and effort to learn and expand knowledge to improve performance.
Technical Competence: Demonstrating the unique skills required of the job; staying current with changing job skills to positively impact operational efficiency and the effectiveness of services provided.
Employment Type: Permanent Full-Time
Location: Ontario (currently virtual; subject to change)
Note: As part of the initial recruitment screening process, Applicants must confirm that they are Fully Vaccinated against COVID-19. If Applicants are not Fully Vaccinated, they will be asked to identify any accommodation needs pursuant to a protected ground under the Code. If no such accommodation is identified, the Applicant will not be eligible to proceed through the recruitment process.
Job Posting Close Date:
January 9, 2022
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