Quality Team

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Our Quality Team

Our clinical quality program is managed under the purview of the Office of UMMC’s Chief Medical Officer. This experienced leadership team has been in place since 2015. 

CMO office components

Accreditation

The Accreditation Office provides guidance to ensure the University of Mississippi Medical Center is continually in compliance with the highest level of quality care and patient safety standards as set by the Joint Commission (TJC), the Centers for Medicare and Medicaid Services (CMS), the Mississippi State Department of Health (MSDH) and other regulatory agencies.

The office is directed by Judy Flynt, RHIA, CJCP.

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Judy Flynt

Clinical Risk Management

Risk Management focuses on monitoring and managing clinical risks and liabilities for our organization. The team works to ensure patient and staff safety, investigate claims of clinical malpractice, conduct sentinel/significant event analysis (root cause and apparent cause), and manage our web-based event reporting system.

The office director is Elizabeth Toony, MHA, BSN, RN, CPHRM, CLSSGB.

Elizabeth Toony

Infection Prevention

The Infection Prevention department monitors infection risks and occurrences across the hospital and reports infections as required to the state and the Center for Medicare and Medicaid Services. The team of content experts help front line employees reduce hospital infections through education and performance improvement work. Investigation of infection outbreaks with follow-up action plans are done by this department.

The department is directed by Sheila Fletcher, RN, CIC.

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Sheila Fletcher

Medical Staff Services

This department provides centralized credentialing and privileging for providers practicing in one or more University of Mississippi Medical Center facilities. The work of this department supports the medical staffs of our hospitals in appointing providers who will positively represent the institution’s mission through provision of highly reliable and quality-focused patient care.

The department director is Amanda Roberson, MHS, CPCS, CMPSM.

roberson,-amanda.jpgAmanda Roberson

Performance Improvement

This department applies Standard Process Improvement Methodology to the projects that are prioritized to help achieve the UMMC Quality Goals each year. These goals are selected to ultimately improve health care in Mississippi. The process engineers in this department facilitate teams of front line providers for this work with structure and standardization that are the building blocks for quality outcomes.

The department is directed by Jeff Dunaway, BSN, LSSBB, CCMP.

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Jeff Dunaway