AU Health Compliance Matrix


The Office of Compliance and Enterprise Risk Management has developed Compliance Matrices which outline 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 Interim VP and CMO
AU Medical Center
Phillip Coule
Interim Director of Clinical Quality & Excellence
AU Medical Center
Amy Donaldson
Medical Center Policy Promulgation Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Lee Little
Office of Compliance & Enterprise Risk Management
AU Health System
Office of Legal Affairs
Codification Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
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 Health System
Melissa Jarriel
Clinical Billing & Revenue Cycle:
CMS Medicare RAC Audits
CMS Medicaid MIC Audits
False Claims Act
VP Fin Rpt & Decision Supt
AU Health System
Greg Damron

AVP Coding and HIMS
AU Medical Center
Melissa Jarriel

AVP Revenue Integrity
AU Health System
Carol Howard

Joint Commission Accreditation Interim VP and CMO
AU Health System
Phillip Coule
Interim Director of Clinical Quality & Excellence
AU Health System
Amy Donaldson
HIPAA / HITECH Act Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Enterprise Privacy Officer
Augusta University
Angelica Hardison
Stark Law General Counsel
AU Health System
Lee Little
Risk Manager
AU Medical Associates
Clark Speese
EMTALA General Counsel
AU Health System
Lee Little
General Counsel
AU Health System
Lee Little
OIG Work Plan Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Office of Compliance & Enterprise Risk Management
Fraud, Waste, & Abuse Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Office of Compliance & Enterprise Risk Management
Organ & Tissue Donations Chief Nursing Officer
AU Health System
Laura Brower
Life Link (Jennifer)
Tisue Donations ()
Medicare Conditions of Participation Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Risk Manager
AU Medical Associates
Clark Speese
Conflicts of Interest Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Office of Compliance & Enterprise Risk Management
Vendor Clearance VP for Facilities Svcs
Augusta University
Phil Howard
 
External Audits Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Office of Compliance & Enterprise Risk Management
Occupational Safety & Health Administration VP for Facilities Svcs
Augusta University
Phil Howard
Director of Facilities Services
AU Health System
Chris Miller
Radiation Safety Program Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
AVP for Environmental Health & Safety
Augusta University
Phil Young
Medical Staff Credentialing Interim VP and CMO
AU Health System
Phillip Coule
Credentialing Committee
AU Health System  
Gene Fisher
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 Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Office of Compliance & Enterprise Risk Management
Policies & Procedures Interim VP for Audit, Compliance, Ethics, and Risk Management
Augusta University
Clay Sprouse
Office of Legal Affairs & Risk Management
AU Health System
Lee Little
Pharmaceutical Regulatory Issues Pharmaceutical Regulatory Issues Admin Director, Pharmacy
AU Health System
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 Health System
Greg Damron
Director, Supply Chain Management
AU Health System
David White (interim)
Sexual Harassment Enterprise VP for Human Resources
Augusta University
Susan Norton
Director, Employee Relations
AU Health System
Ashley Lesley
Americans with Disabilities Act (ADA) Enterprise VP for Human Resources
Augusta University
Susan Norton
Director, Employee Relations
AU Health System
Ashley Lesley
Equal Employment Opportunity Enterprise VP for Human Resources
Augusta University
Susan Norton
Director, Employee Relations
AU Health System
Ashley Lesley
Affirmative Action Enterprise VP for Human Resources
Augusta University
Susan Norton
Director, Employee Relations
AU Health System
Ashley Lesley
Professional / Clinical Ethics Interim VP and CMO
AU Health System
Phillip Coule
President
Medical Staff
Thad Wilkins
Data/Information Security Assoc. VP for IT and Deputy CIO
Augusta University
Michael Casdorph
Interim Chief Information Security Officer
Augusta University
Clyde Hewitt