Accreditation Manager

Lynn Gregg, MSN, RN
OCH Accreditation Manager
(662) 615- 2960
E-mail: lgregg@och.org                                                                                  Location: Nursing Administration Offices

ACCREDITATION RESPONSIBILITIES

  • Analyze, trend, and report risks and occurrences involving safety, quality or cost to the employee, visitor or patient.
  • Coordinate performance improvement and internal audits for all departments.
  • Audit, assess and evaluate quality and safety issues occurring at OCH in relation to the NIAHO Standards, ISO 9001 and Center for Medicare and Medicaid Conditions of Participation.
  • Involvement in the survey process for DNV Healthcare Accreditation Organization and the State Department of Health.
  • Assure validation with the Core Measures, a quality assurance program, by the Center for Medicare and Medicaid Services.
  • Participate in the development of new policies, procedures and performance improvement for OCH.
  • Participate in committees that affect the quality and safety at OCH and our clinics.
  • Manage the Quality Management System with an OCH interdisciplinary team.
  • Provide education to physicians and staff on Core Measures, International Organizational Standards and Condition of Participation Standards.
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