Augusta 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
Dr. Kevin Dellsperger
Director of Quality Management
Augusta Health Medical Center
Linda Henderson
Medical Center Policy Promulgation Enterprise Chief Integrity Officer
James Rush
The Office of Compliance & Enterprise Risk Management
Codification Enterprise Chief Integrity Officer
James Rush
Vice President & General Counsel
Augusta Health System
Susan James, Esq.
Medical Record Documentation/Coding Vice President, Financial Services
Augusta Health Medical Center
Greg Damron
Director, Health Information Management Services
Augusta Health Medical Center
Melissa Jarriel
Clinical Billing & Revenue Cycle:
CMS Medicare RAC Audits
CMS Medicaid MIC Audits
False Claims Act
Vice President, Financial Services
AU Medical Center
Greg Damron

Director, Health Information Management Services
Augusta Health Medical Center
Melissa Jarriel

Director, Revenue Cycle Operations
Augusta Health Medical Center
Carol Howard

Joint Commission Accreditation Chief Medical Officer
Augusta Health Medical Center
Dr. Kevin Dellsperger
Director of Quality Management
Augusta Health Medical Center
Linda Henderson
HIPAA / HITECH Act Chief Integrity Officer
Augusta University
James Rush
Privacy Officer
Augusta University
Christine Adams
Stark Law Vice President & General Counsel
AU Medical Center
Susan James, Esq
General Counsel
Augusta Health Medical Associates
Clark Speese
EMTALA Vice President & General Counsel
AU Medical Center
Susan James, Esq
Vice President & General Counsel
Augusta Health Medical Center
Susan James, Esq
OIG Work Plan Chief Integrity Officer
Augusta University
James Rush
The Office of Compliance & Enterprise Risk Management
Fraud, Waste, & Abuse Chief Integrity Officer
Augusta University
James Rush
The 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
The Office of Compliance & Risk Managment
Director of Risk Managment
Augusta Health Medical Center
Robert Seibel
Conflicts of Interest Chief Integrity Officer
Augusta University
James Rush
The Office of Compliance & Risk Managment
Vendor Clearance Vice President
Facilities Service
Philip Howard
 
External Audits Chief Integrity Officer
Augusta University
James Rush
The Office of Compliance & Enterprise Risk Management
Occupational Safety & Health Administration Vice President
Facilities Service
Philip Howard
Director
Facilities Services
Augusta Health Medical Center
Chris Miller
Radiation Safety Program Chief Integrity Officer
Augusta University
James Rush
AVP
Environmental Health & Safety / Radiation Safety
Augusta University
Walter Loring
Medical Staff Credentialing Chief Medical Officer
AU Medical Center
Dr. Kevin Dellsperger

Credentialing Committee
Augusta Health Medical Center
Dr. Laura Mulloy

Credentialing Committee
Children's Hospital of Georgia
Dr. Walter Pipkin

Professional Staff Licensing Vice President for Human Resources
Augusta University
Susan Norton
Vice President for Human Resources
Augusta University
Susan Norton
International Employee/Immigration Vice President for Human Resources
Augusta University
Susan Norton
New Hires: Director TAM
Lee Powell
Ongoing: Director Records & Information Management
Donna Fields
Hill-Burton Act Chief Integrity Officer
Augusta University
James Rush
The Office of Compliance & Enterprise Risk Management
Policies & Procedures Chief Integrity Officer
Augusta University
James Rush
The Office of Compliance & Enterprise Risk Management
Pharmaceutical Regulatory Issues Pharmaceutical Regulatory Issues Director
Pharmacy
Christy Norman
External Affairs Vice President
Strategic Partnerships & Affiliations
Shawn Vincent
Vice President
Strategic Partnerships & Affiliations
Shawn Vincent
Governmental Affairs Vice President
Government Relations & Community Affairs
W. Michael Shaffer
Vice President
Government Relations & Community Affairs
W. Michael Shaffer
Supply Chain/Procurement Vice President
Financial Services, AU Medical Center
Greg Damron
Director
Supply Chain Management
Augusta Health Medical Center
Clay Trover
Sexual Harassment Vice President for Human Resources
Augusta University
Susan Norton
Director
Employee Relations
Ashley Nix
Americans with Disabilities Act (ADA) Vice President for Human Resources
Augusta University
Susan Norton
Director
Employee Relations
Ashley Nix
Equal Employment Opportunity Vice President for Human Resources
Augusta University
Susan Norton
Director
Employee Relations
Ashley Nix
Affirmative Action Vice President for Human Resources
Augusta University
Susan Norton
Director
Employee Relations
Ashley Nix
Professional / Clinical Ethics Chief Medical Officer
AU Medical Center
Dr. Kevin Dellsperger

President
Medical Staff / Adult
Dr. James Sinex

President
CHOG
Dr. Ivan Florentine

Data/Information Security Chief Information Officer
AU Medical Center
Charles Enicks
Director
IT Security Administration
Walter Ray