Summary
Overview
Work History
Education
Skills
Relevant Coursework
Recognition
Affiliations
Certification
Timeline
Generic

Lashaunda Stewart

North Little Rock,United States

Summary

Experienced healthcare professional with 28 years of nursing and clinical quality experience. Specializes in oncology, medical-surgical care, case management, and patient care coordination. Demonstrated success in driving quality improvement initiatives and implementing strategies for better outcomes. Holding a Master’s Degree in Nursing Science with a focus on Nursing Informatics. Skilled in auditing medical records, analyzing data, and creating customized reports. Proficient in fostering collaboration among teams and partners, as well as quality assessment and assurance methodologies.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Senior Clinical Quality Analyst

Specialist Management Solutions (SMS)
10.2022 - Current
  • Collaborate on the development, implementation, and management of strategic plans for clinical quality programs. Support quality improvement projects and initiatives, and prepare recommendations for management and executive reviews. Develop and execute effective analysis, research, and evaluation methods to monitor adherence to performance benchmarks. Promote teamwork and collaboration across SMS workstreams to advance clinical projects. Ensure data integrity of quality throughout the data collection and reporting pipeline.
  • Key responsibilities:
  • Serve as a member of the Technical Expert Committee for ASC Quality Collaboration (ASCQC).
  • Responsible for the collection and management of clinical quality metric data from ambulatory surgery centers (ASCs).
  • Extract, analyze, and interpret clinical quality data and metrics from ASCs to identify trends and anomalies.
  • Conduct research and create analytics and reporting of quality data for the Sr. Director of Quality to ensure actionable insights for continuous improvement.
  • Respond to ad hoc reporting requests by providing timely and accurate analysis with actionable insights.
  • Collaborate with the data science team to enhance the Tableau quality dashboard.
  • Coordinate, facilitate, and lead team meetings effectively.

Clinical Quality Analyst - Senior

Arkansas Blue Cross Blue Shield
01.2018 - 10.2022
  • Drive quality improvement initiatives aimed at developing tools to capture and identify providers and member with gaps in care. Partner with internal and external colleagues to promote member engagement and improve HEDIS quality measure performance. Improved HEDIS hybrid clinical quality scores for the Federal Employee Program (FEP) by increasing nonstandard supplemental data submissions.
  • Key responsibilities:
  • Conduct comprehensive data mining and claims review analysis to uncover trends and recommend members for case or disease management programs.
  • Analyze reports to identify actionable insights and target areas for improvement.
  • Manage and lead the medical record review and abstraction process in alignment with HEDIS specifications to address care gaps.
  • Contribute to the completion of Section 5 of the HEDIS Roadmap, focusing on supplemental and nonstandard data submissions.
  • Conducted extensive data analysis to target care gaps, identify cases for referral to case and disease management programs.
  • Leverage Cognos software to create tailored ad hoc reports and queries.
  • Collaborate with marketing teams to develop member-focused educational materials and quarterly publications.
  • Partner with healthcare providers to coordinate health screening events for members.
  • Distribute health screening and preventative care reminders to non-compliant members.

Case Manager

American Health Holding
07.2017 - 09.2017
  • Applied the nursing process to manage care for a caseload of oncology patients from self-funded and fully funded employer groups. Conducted comprehensive assessments to support planning, implementation, and evaluation of individual patient needs. Assessed patients to determine appropriate levels of care, facilitated home planning, and addressed additional needs with tailored action plans. Designed detailed care plans to meet patient goals, identified necessary resources, and ensured goal achievement through effective coordination.
  • Key responsibilities:
  • Ensured cost-efficiency by guiding patients toward in-network options to minimize out-of-pocket expenses.
  • Collaborated with agencies and service providers to ensure seamless care coordination.
  • Delivered patient education and support by providing clear information and literature regarding diagnosis and treatment plans.
  • Optimized clinical resource utilization through thorough research of treatment orders and care plans to promote efficiency and effectiveness.
  • Coordinated comprehensive care plans for diverse populations, ensuring alignment with individual needs and organizational standards.

Radiation Oncology Nurse

CARTI (Central Arkansas Radiation Therapy Institute)
02.2005 - 07.2017
  • Delivered specialized nursing care to support patients undergoing radiation therapy, addressing patient concerns and implementing, recommending, and evaluating nursing interventions.
  • Provided crisis intervention as needed to manage urgent patient situations. Assessed educational needs and offered guidance by distributing educational materials and educating patients and their families on managing radiation therapy side effects. Prepared patients for examinations and assisted physicians during procedures when necessary. Performed patient care tasks, including dressing changes, medication administration, and thorough documentation in patient charts with accurate billing. Coordinated scheduling and secured authorizations for advanced imaging and procedures.
  • Key responsibilities:
  • Provided training and supervision for new departmental personnel and CARTI students during their rotations in the nursing area.
  • Contributed to JCAHO readiness teams by ensuring annual compliance with new organizational goals.
  • Participated in the Handoff Communication team, assisting in the development of policies to enhance communication among caregivers internally and externally.
  • Collaborated on process improvement initiatives, gathering information to streamline the patient admission process.
  • Supported the transition to an EMR system by educating and training staff, and contributed to the design of EMR flow sheets for nursing documentation.
  • Served on the Quality Improvement Committee to ensure adherence to state regulations regarding radiation safety and evaluated clinic processes for effective treatment delivery.
  • Participated in panel interviews to aid in the selection of new employees.
  • Managed inventory of medical and office supplies, ensuring timely orders to meet operational needs.

Education

Master’s of Science in Nursing (MSN) - Nursing Informatics Specialization

Walden University
01.2012

Registered Nurse (RN) -

Baptist School of Nursing
01.1996

Skills

  • Analytics
  • Data Analysis & Reporting
  • Clinical quality oversight
  • Quality metric analysis
  • Data mining and analysis
  • Regulatory Compliance (HEDIS, ASCQC)
  • HEDIS Chart Abstraction
  • Tableau proficiency
  • Excel proficiency
  • Database management with Microsoft Access
  • PowerPoint proficiency
  • Proficient in EHR systems
  • Continuous improvement methodologies
  • Audit processes

Relevant Coursework

  • Data Analytics Essentials Program - August 2022
  • Nursing Informatics Review Course ANIA (American Nursing Informatics Association) - August 2021
  • Project Management Essentials Course - February 2021
  • Advantage Suite Analytics Reporting IBM Watson Health - June 2019


Recognition

FEP BLUE APPLE

Most improved plan for Prenatal care HEDIS measure.

Affiliations

  • The National Society of Leadership and Success 2019
  • American Nurses Informatics Association May 2024

Certification

  • REGISTERED NURSE (RN) License: Arkansas Registered Nurse - Expires 12/31/2026
  • License: Oklahoma Registered Nurse - Inactive

Timeline

Senior Clinical Quality Analyst

Specialist Management Solutions (SMS)
10.2022 - Current

Clinical Quality Analyst - Senior

Arkansas Blue Cross Blue Shield
01.2018 - 10.2022

Case Manager

American Health Holding
07.2017 - 09.2017

Radiation Oncology Nurse

CARTI (Central Arkansas Radiation Therapy Institute)
02.2005 - 07.2017

Master’s of Science in Nursing (MSN) - Nursing Informatics Specialization

Walden University

Registered Nurse (RN) -

Baptist School of Nursing

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