What Your Compliance Team Won't Tell You About Credentials That Matter
Six specialists. A combined 47 years in health services compliance, quality assurance, and clinical practice. Every engagement staffed with senior expertise — the person who conducts your gap analysis is the same person who writes your policies and coaches your staff through survey day.
Large consulting firms assign your project to recent graduates working from template binders. At Lakeland Tangerine, every team member listed below has a minimum of four years of direct health services experience — and most have significantly more. That is why our 100% accreditation success rate across 14 survey cycles is not a marketing claim. It is arithmetic.
Founder & Principal Consultant
Renata Kosic, BScN, MHA, CHE
Leading All Accreditation Canada Readiness Engagements PersonallyCredentials:
- BScN — University of British Columbia, 2008
- Master of Health Administration — Dalhousie University, 2013
- Certified Health Executive — Canadian College of Health Leaders, Certificate #CHE-2016-0843
- Registered Nurse — BC College of Nurses & Midwives (BCCNM), Registration #128947
Thirteen years in healthcare compliance and accreditation prior to founding Lakeland Tangerine in 2022 — including seven years as a regional compliance director overseeing accreditation readiness for a portfolio of 40+ facilities across Western Canada. During that period, Renata personally managed survey preparation for organizations ranging from 8-bed residential care homes to 120-bed acute care facilities, achieving successful accreditation outcomes in every cycle.
Her clinical foundation — four years of frontline nursing in acute medical-surgical units and emergency departments — is what separates her consulting approach from administrators who have never worked a bedside shift. She understands that compliance documentation must serve the people delivering care, not just the surveyors reviewing binders.
Specialties: Accreditation Canada survey preparation, Qmentum program standards, governance framework development, conditional accreditation remediation, CMS Conditions of Participation alignment, EHR meaningful use optimization, and board-level compliance education workshops. Renata personally leads every accreditation readiness engagement from initial gap analysis through survey day — no handoffs, no junior substitutions.
Ultramarathon runner — completed the Fat Dog 120 on North Shore trails twice. Claims the discipline required for 120-mile mountain races is identical to what it takes to sustain a 9-month accreditation readiness engagement.
"The gap between bedside care quality and documented compliance is a translation problem, not a competence problem. My job is to build bridges between what your staff already does well and what surveyors need to see on paper."
Senior Quality Assurance Consultant
David Fung, MPH, CPHQ
Specializing in ROPs Gap Analysis & Clinical Documentation AuditsCredentials:
- Master of Public Health — Simon Fraser University (health systems concentration)
- Certified Professional in Healthcare Quality (CPHQ) — National Association for Healthcare Quality, Certification #QH-2019-4421
Six years at Fraser Health Authority in the Quality Improvement and Patient Safety division before joining Lakeland Tangerine in 2023 — where he led initiative design for clinical quality indicators across acute and community care settings. David's work at Fraser Health included developing the quality indicator dashboard used by 12 community care sites to track falls prevention, medication reconciliation rates, and patient safety incident reporting — a system that contributed to measurable improvements in three consecutive Accreditation Canada survey outcomes.
At Lakeland Tangerine, David is the team's primary resource for Required Organizational Practices (ROPs) gap analysis — the compliance area where most small and mid-sized health services organizations discover their largest gaps. His audit methodology identifies not just what documentation is missing, but why it is missing and how to embed sustainable practices that survive staff turnover.
Specialties: Required Organizational Practices (ROPs) gap analysis, clinical documentation audits, PDSA cycle methodology coaching, quality indicator development, care coordination and transitions protocols, CPT procedure code optimization reviews, patient safety incident reporting system design, and fall risk assessment protocol development.
Coaches his daughter's soccer team in the Surrey Metro League. Says managing a roster of 11-year-olds who all want to play forward is excellent preparation for stakeholder engagement workshops.
"Quality improvement should produce measurable change within 90 days — or the methodology needs revision. If we cannot show your team concrete progress in the first quarter, we have not earned the right to continue."
Compliance Project Lead
Priya Venkatesh, BHA, PMP
Managing Multi-Site Compliance Timelines & Regulatory SubmissionsCredentials:
- Bachelor of Health Administration — University of Ottawa
- Project Management Professional (PMP) — Project Management Institute
Four years at a private home care agency managing regulatory submissions to the BC Ministry of Health, followed by two years in health authority contract compliance — coordinating between operators, licensing bodies, and funding agencies across the Lower Mainland. During her time in home care regulation, Priya managed simultaneous submissions to three provincial regulatory bodies for a multi-location agency operating across seven municipalities — an experience that taught her the nuances of jurisdictional variation in health services licensing that most compliance consultants never encounter.
Joined Lakeland Tangerine in 2024, bringing structured project management discipline to compliance engagements that span 6–12 months and involve multiple regulatory frameworks simultaneously. She is the reason that Lakeland Tangerine's multi-site compliance coordination engagements deliver on schedule — Priya builds realistic milestone timelines, assigns ownership for every deliverable, and escalates blockers before they derail progress.
Specialties: Multi-site compliance timeline management, licensing body coordination, regulatory submission preparation, project milestone tracking, HL7 FHIR interoperability standards documentation, Gantt-based engagement scheduling, cross-jurisdictional regulatory mapping, and compliance readiness progress reporting for boards and leadership teams.
Avid home cook and runs a South Indian recipe blog that has amassed a modest but devoted following — her sambar recipe alone has been saved over 4,000 times.
"Compliance timelines fail when they are aspirational instead of operational — every milestone needs an owner and a deadline. If a task does not have both, it is a wish, not a plan."
Health Information & Documentation Specialist
Marcus Okafor, BSc, CHIM
Leading Documentation System Overhauls & Privacy ComplianceCredentials:
- BSc — University of the Fraser Valley
- Certified Health Information Management (CHIM) — Canadian Health Information Management Association, Certification #BC-2017-3892
- Graduate — BCIT Health Information Management Program
Five years at a Vancouver-area community health centre redesigning clinical record systems and charting workflows — including a complete transition from paper to hybrid electronic health records serving 4,200 active patients across three clinic locations. That migration required reconciling 11 years of paper charts, designing new charting templates compatible with three EMR platforms, and training 28 clinical staff members who ranged from digitally fluent to deeply resistant to workflow change.
Joined Lakeland Tangerine in 2023 to lead documentation system overhauls and privacy compliance work under BC's Personal Information Protection Act and PIPA/FIPPA frameworks. Marcus is the team member who audits your clinical records, identifies documentation gaps that put you at risk during accreditation surveys or privacy investigations, and then designs the charting workflows and templates that close those gaps permanently.
Specialties: Clinical documentation system overhauls, privacy compliance under PIPA/FIPPA, health information governance, chart audit methodology, record retention standards, EHR meaningful use optimization, EMR platform migration planning, clinical charting template design, and staff training program development for documentation best practices.
Bass guitarist in a funk band that performs at local Surrey venues — most recently at the Flamingo on 152nd Street. Claims that reading a bass line in a five-piece band is the same skill as reading data patterns in a chart audit.
"A clinical record that cannot be understood by the next provider in the care chain has failed its fundamental purpose. Documentation is not about compliance — it is about continuity of care."
Clinical Standards Reviewer
Joanne Tremblay, RN, BScN
18 Years of Direct Clinical Experience Informing Every Policy ReviewCredentials:
- Registered Nurse — BC College of Nurses & Midwives (BCCNM), Registration #093516
- BScN — Thompson Rivers University
- 18 years of direct clinical practice across emergency, acute, and community care settings
Emergency departments and primary care across Interior Health for over a decade, followed by seven years in quality improvement roles within Interior Health — reviewing clinical protocols, leading medication management audits, and supporting accreditation survey preparation across multiple facilities. Joanne personally reviewed and updated over 200 clinical policies during her tenure, working with nursing staff, physicians, and allied health professionals to ensure every protocol reflected both regulatory requirements and frontline clinical reality.
Joined Lakeland Tangerine on a contract basis in 2024 and transitioned to a permanent role in early 2025. Her value to the team is irreplaceable: Joanne is the person who reads a draft clinical policy and immediately identifies whether it will work at 3 AM on a short-staffed night shift — because she has lived that scenario hundreds of times. That clinical instinct cannot be taught in a health administration program.
Specialties: Clinical policy review for Accreditation Canada standards alignment, College of regulatory body guideline compliance, provincial legislation alignment, medication management protocol development, infection prevention and control program review, clinical staff education on documentation standards, and mock survey preparation with frontline care teams.
Volunteers with the BC Nurses' Union mentorship program, pairing newly graduated nurses with experienced practitioners navigating the transition from clinical education to frontline practice.
"Every policy I review, I ask one question: would a nurse on a night shift with three call bells ringing be able to follow this? If the answer is no, the policy needs rewriting — not the nurse."
Operations Coordinator & Client Liaison
Elena Sparrow
Keeping Every Engagement on Track — Scheduling, Documents, CommunicationsCredentials:
- Diploma in Health Office Administration — Stenberg College
- 5 years managing front-office operations at a multi-physician walk-in clinic network in the Lower Mainland
- Certified in medical office billing, scheduling system administration, and clinical document management
Elena handles scheduling, client communications, document management, and billing for every Lakeland Tangerine engagement — managing the operational logistics that allow the senior consulting team to focus entirely on client deliverables. She is typically the first voice you hear when you contact our office, and the person who ensures your onboarding package, engagement timeline, and document access credentials are ready before your first working session begins.
Her experience coordinating multi-physician schedules, insurance billing workflows, and patient communication systems at a high-volume clinic network — processing over 300 patient visits per week across four locations — translates directly to the complexity of managing up to 18 concurrent compliance engagements. Elena maintains version control on every document Lakeland Tangerine produces, ensuring that your team always has access to the most current policy drafts, audit reports, and compliance checklists.
Specialties: Client onboarding coordination, document version control, engagement scheduling across multiple time zones and stakeholder groups, billing and invoicing, credentialing verification summaries coordination, secure file sharing and access management, and client communication protocols that ensure 24-hour response times on all inquiries.
Fosters rescue dogs through a Langley-based animal shelter — currently has three at home. Says the patience required to rehabilitate a fearful rescue dog is surprisingly applicable to helping anxious clients navigate their first accreditation survey.
"The administrative side of compliance work is invisible when it runs well. That is exactly the standard. If you are noticing the logistics, something has gone wrong."
Why a Six-Person Team Delivers Better Outcomes Than a 200-Person Firm
Most health services organizations with 5–100 staff are poorly served by large consulting firms. Those firms sell you a senior partner in the pitch meeting, then assign your engagement to a junior analyst with a template binder and a Gantt chart. By the time you realize the person doing the work lacks the experience to handle your specific regulatory challenges, you are three months into a six-month timeline and scrambling.
At Lakeland Tangerine, we cap our active engagements at 18 — not because we lack demand, but because compliance work done properly requires sustained senior attention. Every member of this team participates in active client work. There is no back office of junior staff producing your deliverables while senior consultants attend networking events.
This structure means you get direct access to the people listed on this page. When you have a question about an Accreditation Canada ROP, you speak with David Fung — not an intermediary. When a clinical policy needs review, Joanne Tremblay reads it herself. When your documentation systems need overhauling, Marcus Okafor designs the workflow personally. Explore our full range of compliance and accreditation services to see how this team applies its expertise, or read more about how and why Lakeland Tangerine was founded.
By the Numbers: Senior Expertise You Can Verify
Every credential, registration number, and certification listed on this page is current and independently verifiable. See our full practitioner disclosures at the bottom of every page on this site.
Access 47 Years of Expertise in a Single Conversation
Every Lakeland Tangerine engagement is staffed by senior consultants with a minimum of four years of health services compliance experience — the person who conducts your gap analysis is the same person who writes your policies and coaches your staff through survey preparation. No handoffs, no junior substitutions, no template binders.
Your initial 45-minute consultation is complimentary. We will review your current compliance posture, identify your highest-risk gaps, and provide a preliminary assessment outline within 48 hours — before you commit to anything. Visit our FAQ page for answers to common questions about how engagements work.