Lynette Rainey Email & Phone Number

Responsible for servicing healthcare organizations by coordinating the survey planning process, providing education regarding accreditation policies and procedures and resolving issues identified throughout the accreditation cycle.•Serve as the primary liaison between 200+ healthcare organizations from assigned region and The Joint Commission•Process all survey applications to ensure proper survey length and surveyor discipline.•Process all survey results, organizations’ responses to survey results, and follow-up data to corrective action plans within strict timelines. •Manage reports relative to late access/late receipt or non-submission of Intracycle Events. •Work closely with various departments within The Joint Commission to ensure efficiency of service provided.•Prepare written correspondence to organizations relative to changes/additions in services, programs or sites, relocation, withdrawal, and construction on existing or new buildings.•Assume responsibilities of team members during leaves of absence and vacation times.

•Assists in the development and implementation of process improvements that use information from external and internal data sources in accreditation operations decision tools.•Analyze and processed internal /external data for more than 15,000 healthcare organizations, utilizing proprietary tools to provide quality assurance assessments and recommendations to expedite accreditation process; serve as trusted advisor and idea generator as well as cross-functional / departmental liaison in the expeditious resolution of systems issues and the accurate response to Account Executive, client and surveyor inquiries.•Serve as Lead Data Specialist for the Priority Focus Process (PFP), a data-driven tool used to gather internal / external information and tie healthcare organization’s data to 14 priority focus areas; review current literature, conduct thorough research / new data testing and map standards in order to continuously update and enhance PFP tool.•Serve as the Lead Data Specialist for the Strategic Surveillance System (S3), a quality improvement / risk assessment tool; develop strategic enhancement plans, review and update quarterly implementation documents, test data input / output, provide real-time answers to client inquiries, update user guides and facilitate client / new hire presentations.•Work with staff to define accreditation systems flow, identify detailed systems requirements and determine measures of effectiveness for the use of automated systems in the accreditation process. Examples of applications include the Priority Focus Process, the Extranet Application for survey and agenda planning tools.•Knowledge of Core Measures•Serve as technical liaison for the accreditation systems with Information Technology staff to ensure integration across multiple applications used in the accreditation process.

1. Responsible for the design, development, testing, and implementation of survey technology applications and related support systems and activities. 2. Work with Field Representatives, Information Technology ("IT"), Department of Standards and Survey Methods ("DSSM"), and the Division of Accreditation and Certification Operations ("DIVACO") staff to understand business requirements that drive analysis and design, and lead to developing solutions that are aligned with business needs. 3. Participated in the day-to-day implementation of the project work plan to ensure a coordinated and efficient effort among the large, cross-departmental staff in meeting project objectives according to priorities established by the Associate Director. 4. Knowledge of Joint Commission standards, survey process, and accreditation and certification operations.5. Experience in coordinating and teaching adult education programs. 6. Work independently and effectively within a team and assume responsibility for integrity and completion of work assigned. 7. Customer service, communication, critical thinking, computer, teaching and presentation skills. 8. Ability to analyze and reach sound conclusions, manages multiple tasks, and effectively communicates with different levels of staff.

1. Process and verify applications and agendas for accreditation customers within outlined timeframes. 2. Analyzed and processed Post Survey Reports using a thorough knowledge of accreditation standards and interpretation to ensure healthcare organizations are in full compliances with Joint Commission standards.3. Manage Accreditation Committee Work 4. Redesigned orientation/training process to ensure an efficient and effective learning process for new Account Representatives.5. As a mentor, I trained new Account Representatives on all Joint Commission Programs and Processes.6. Assisted in testing Central Office new software applications.

Mba, Business Administration

Bs, Health Information Management