AU Health Compliance Matrix


The Office of Compliance and Enterprise Risk Management has developed Compliance Matrices which outlines the compliance areas relevant to the individual entities within the organization. The matrices are to serve as a tool so that matters may be directed to the appropriate Responsible Senior Administrators or Responsible Functional Offices identified with each topic. These are living documents and will be constantly updated timely as more compliance areas are identified and as our organization continues to grow and change. Please forward request(s) to add or amend information should be submitted to Angelica Hardison in the Office of Compliance and Enterprise Risk Management.

Compliance Areas

Responsible Senior Administrator

Responsible Functional Office/Officer

Clinical Adverse Events Chief Medical Officer
AU Medical Center
Kevin Dellsperger
Director of Quality Management
AU Medical Center
Linda Henderson
Medical Center Policy Promulgation Chief Integrity Officer
Augusta University
James Rush
Office of Compliance & Enterprise Risk Management
Codification Chief Integrity Officer
Augusta University
James Rush
General Counsel
AU Medical Center
Lee Little
Medical Record Documentation/Coding VP Fin Rpt & Decision Supt
AU Medical Center
Greg Damron
AVP Coding and HIMS
AU Medical Center
Melissa Jarriel
Clinical Billing & Revenue Cycle:
CMS Medicare RAC Audits
CMS Medicaid MIC Audits
False Claims Act
VP Fin Rpt & Decision Supt
AU Medical Center
Greg Damron

AVP Coding and HIMS
AU Medical Center
Melissa Jarriel

AVP Revenue Integrity
AU Medical Center
Carol Howard

Joint Commission Accreditation Chief Medical Officer
AU Medical Center
Kevin Dellsperger
Director of Quality Management
AU Medical Center
Linda Henderson
HIPAA / HITECH Act Chief Integrity Officer
Augusta University
James Rush
Enterprise Privacy Officer
Augusta University
Angelica Hardison
Stark Law General Counsel
AU Medical Center
Lee Little
Risk Manager
AU Medical Associates
Clark Speese
EMTALA General Counsel
AU Medical Center
Lee Little
General Counsel
AU Medical Center
Lee Little
OIG Work Plan Chief Integrity Officer
Augusta University
James Rush
Office of Compliance & Enterprise Risk Management
Fraud, Waste, & Abuse Chief Integrity Officer
Augusta University
James Rush
Office of Compliance & Enterprise Risk Management
Organ & Tissue Donations Chief Nursing Officer
AU Medical Center
Laura Brower
Life Link (Jennifer)
Tisue Donations ()
Medicare Conditions of Participation Chief Integrity Officer
Augusta University
James Rush
Risk Manager
AU Medical Associates
Clark Speese
Conflicts of Interest Chief Integrity Officer
Augusta University
James Rush
Office of Compliance & Enterprise Risk Management
Vendor Clearance VP for Facilities Svcs
Augusta University
Phil Howard
 
External Audits Chief Integrity Officer
Augusta University
James Rush
Office of Compliance & Enterprise Risk Management
Occupational Safety & Health Administration VP for Facilities Svcs
Augusta University
Phil Howard
Director of Facilities Services
AU Medical Center
Chris Miller
Radiation Safety Program Chief Integrity Officer
Augusta University
James Rush
AVP for Environmental Health & Safety
Augusta University
Phil Young
Medical Staff Credentialing Chief Medical Officer
AU Medical Center
Kevin Dellsperger

Credentialing Committee
AU Medical Center  

 Laura Mulloy

Credentialing Committee
CHOG
 

Walter Pipkin

Professional Staff Licensing Enterprise VP for Human Resources
Augusta University
Susan Norton
Enterprise VP for Human Resources
Augusta University
Susan Norton
International Employee/Immigration Enterprise VP for Human Resources
Augusta University
Susan Norton
New Hires: Director TAM
Carolyn Burns
Ongoing: Manager, HRIS & Reporting
Sharri Peck
Hill-Burton Act Chief Integrity Officer
Augusta University
James Rush
Office of Compliance & Enterprise Risk Management
Policies & Procedures Chief Integrity Officer
Augusta University
James Rush
Office of Compliance & Enterprise Risk Management
Pharmaceutical Regulatory Issues Pharmaceutical Regulatory Issues Admin Director, Pharmacy
AU Medical Center
Charles Burrell
External Affairs VP/Chief Operating Officer
Augusta University
Shawn Vincent
VP/Chief Operating Officer
Augusta University
Shawn Vincent
Governmental Affairs Enterprise VP, Str Prtnrshp & Econ Dev
Augusta University
W. Michael Shaffer
Enterprise VP, Str Prtnrshp & Econ Dev
Augusta University
W. Michael Shaffer
Supply Chain/Procurement VP Fin Rpt & Decision Supt
AU Medical Center
Greg Damron
Director, Supply Chain Management
AU Medical Center
David White (interim)
Sexual Harassment Enterprise VP for Human Resources
Augusta University
Susan Norton
Director, Employee Relations
AU Medical Center
Ashley Lesley
Americans with Disabilities Act (ADA) Enterprise VP for Human Resources
Augusta University
Susan Norton
Director, Employee Relations
AU Medical Center
Ashley Lesley
Equal Employment Opportunity Enterprise VP for Human Resources
Augusta University
Susan Norton
Director, Employee Relations
AU Medical Center
Ashley Lesley
Affirmative Action Enterprise VP for Human Resources
Augusta University
Susan Norton
Director, Employee Relations
AU Medical Center
Ashley Lesley
Professional / Clinical Ethics Chief Medical Officer
AU Medical Center
Kevin Dellsperger

President
Medical Staff / Adult
 James Sinex

President
CHOG

Ivan Florentine

Data/Information Security VP Info Svcs/Chief Information Officer
Augusta University
Charles Enicks
Chief Information Security Officer
Augusta University
Walter Ray