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Visionary, Innovative, Savvy, Results-Oriented Quality Improvement Leader with 16 years of proven successes in translating complex compliance requirements into functional, efficient, and effective cost saving initiatives that maximize profits while maintaining a high level of integrity within Managed Care, Medicare, Medicare Advantage, Medicaid, Medicaid Managed Care, CMS designated State Quality Improvement Organizations and the South Carolina Rural Health Organization impacting over 4 million lives while managing $24 million dollars in revenue.


The area of professional expertise also includes: Electronic Health Record Implementation (EHR), Provider Contracting/Relations, Accountable Care Organizations (ACO), Advance Payment Models (APM), Quality Payment Program (QPP/ MARCA/MIPs), Physician Quality Reporting System (PQRS), Value Based Payment (VBP), Patient Center Medical Home (PCMH), Meaningful Use (MU), Nursing Home Quality Initiative (NHQI) and Oral Health Integration.


This is the work created by LaShandal Pettaway-Brown

Work experience

Jul 2015Present

Quality Improvement Consultant

South Carolina Rural Health

Strategically align programs and services to strengthen the health of rural and undeserved communities. Provide leadership and technical assistance to stakeholders in their efforts to initiate, grow and sustain access to care for consumers. Educate, engage, and assist rural health providers in the use of rapidly changing health informational technology (HIT) to improve quality measures and health outcomes. Provide timely and relevant information to our constituents while raising awareness and visibility for rural health issues. Implement the MORE Care Initiative: collaborate with rural health primary care practices to facilitate practice transformation efforts and develop a comprehensive framework for reducing oral health disparities that will aid in achieving improved patient outcomes, office efficiency and satisfaction for the patient and the health care team.


  1. Implemented oral health services into 6 primary care practices increasing care coordination between Primary Care Physicians and Dental Providers. 
  2. Coordinated practice transformation within 40 primary care practices while receiving Level 2 and 3 PCMH recognition resulting an increase of revenue by 35%
  3. Assist primary care practices with streamlining workflow to maximum federal and state incentives program resulting an increase of over $2 million dollars in revenue.
May 2015Present

Adjunct Instructor, Medical Billing and Coding

Remington College

Delivered competency-based education which aligned with the college model of curricula and style of teaching. Designed class instruction though the development of instructional plans and activities to meet course competencies and lesson objectives. Enabled the achievement of pre-describe exit competencies for student achievement by providing instruction to foster skill and establish student performance criteria. Related professional /life/industry experience to learning perspective into courses and the active awareness of industry trends and opportunities. Achieved useful knowledge of Medical Billing and Coding/Medical Assistant students in an encompassing array if classroom settings, including: Introduction to Medial Coding, Career Development, Understanding Health Insurance, Medical Office Applications and Reimbursement.

Nov 2010Jul 2014

Cardiac Population Health Liaison/Care Improvement Specialist

The Carolinas Center for Medical Excellence

Led change initiatives and facilitated business transformational activities that align business and IT that resulted in improved speed, cost, effectiveness and delivery of strategic projects that drive revenue and improved compliance with CMS incentive programs.


  1. Successfully recruited over 150% of the required Physician recruitment goals slated by CMS.
  2. Managed SC DHEC Heart Disease/Stroke Program Grant that improved care for heart disease and stroke patients by 73%.
  3. Supervised Center for Medicare & Medicaid (CMS) Special Innovation Grant that focused on evaluating a new model of care for complex patients.
Feb 2009Jun 2010

Provider Contracting - Relations Representative - Consultant

Guardian Healthcare, Inc.

Developed an adequate statewide provider network for Medicare Private Fee for Service and a Medicare Preferred Provider Organization Network. Identified, negotiated and analyzed national and local contracts with clinics, ancillary providers, independent physicians and physician groups throughout South Carolina. Participated in Healthcare Effectiveness Data and Information Set (HEDIS) accreditation by developing provider files, provider/facility audits, site visits and credentialing functions. Collaborated with the Medical Director to recruit providers for the Advisory, Quality and Process Improvement Committees.


  1. Recruited 100% of the required physicians in 9 South Carolina counties generating over $1.5 million in revenue.
  2. Developed a training program that resulted in a reduction of claims rejection by 25%.
Jul 2007Jun 2009

Quality Improvement/Outreach Coordinator

Coventry Healthcare/CHCcares of SC

Composed a strategic marketing plan for community outreach, membership growth and retention. Identified opportunities and established relationships to coordinate special events targeted to educate members, providers, and community leaders. Conducted audits to ensure that the organization met or exceed compliance with Centers for Medicare & Medicaid Services (CMS), National Committee Quality Assurance (NCQA) and South Carolina Department of Health and Human Services (SCDHHS) regulatory and contractual standards. Developed, implemented, supported, and promoted innovative and cost effective methods to improve Healthcare Effectiveness Data and Information Set (HEDIS) survey. Developed custom-built disease management programs such as immunization, smoking cessation, pregnancy, and cholesterol. Participated on the Quality Improvement Committee, Process Improvement Committee, and Patient Safety Committee.


  1. Secured several contracts with community organizations that resulted in a 25% increase in membership.
  2. Developed a partnership with a local hospital that increased smoking cessation awareness and decreased smoker membership by 15%.
Jun 2005Jun 2009

Operational Support Analyst II

Blue Choice Health Plan/BlueCross BlueShield of South Carolina

Utilized Next Generation Desktop applications to provide scripted information to general 1-800-Medicare questions in a timely, accurate, and courteous manner. Improved the health and disease management program by managing several multi-table access databases, establishing relationships, writing queries, and designing reports to support several QI programs for Diabetes, Asthma, COPD and Maternity. Performed audits on all programs materials for quality assurance. Participated in HEDIS data collection through claims research, data entry and outbound calls to members and/or physician offices.


  1. Supported the Quality Improvement Department with scoring 97% on the NCQA Accreditation Survey.
  2. Reduced operational cost by reorganizing the Quality Improvement Promotional Program.
May 2001Jan 2003

Director of Community Services/Activities

Lexington Gardens

Supported the Administrator with clinical and administrative management of the facility and assumed overall responsibility in absence of the Administrator. Coordinated and monitored the food system, office and hospital supplies, maintenance, repairs, rent collection, and petty cash. Accurately maintained financial, business, and activity records. Designed and aligned all facility policies and procedures to guarantee compliance with the South Carolina Department of Health and Environmental Control (DHEC).


  1. Supervised and managed a total of 30 employees and 40 to 60 residents on a daily basis.
  2. Initiated a recruitment campaign that increased occupancy from 50% to 90%.
  3. Increase workflow capability by 30% without hiring any additional staff.



Process & Quality Improvement

Project Management

Strategic Planning

Data Analytics

Reporting & Presentation

Computer/Technical Skills

Databases: Oracle, MS Access, SQL, Citrix Medframe, QSI, Med Stat Advantage, Navigator, Facets, Quality Net, DDST.


GUI/Tools: Microsoft Word, Excel, PowerPoint, SharePoint, Project Management, Visio, Publisher, TruServe.


Platforms: Windows NT/2000/XP, MS DOS, UNIX, Mainframe, SIRS, AMMS, Accuterm, IDX.


Industry Standards: NCQA PCMH, HEDIS, CMS, DHEC, SCDHHS, HIPAA, Medicare, Medicaid, MIPS/MARCA/QPP.


Electronic Medical Records: Greenway, Practice Partners, Cerner, SuccessEHS, Eclinical Works, NextGen, MedInformatics, Aprima, Allscripts Professional and Enterprise.   


Population Health Management. South Carolina Best Chance Network and WISEWoman Program, 2016. 

Practice Transformation. Sumter and Lee Counties South Carolina Medical Managers Meeting, 2016. 

MORE Care Integration. South Carolina Office of Rural Health Conference, 2015.

Improving Cardiac Health through Data Collection, Measurement, and Quality Improvement. 10th Annual Diabetes/Heart Disease & Stroke Prevention Winter Symposium, 2012.

Chronic Disease and Management/ Heart Disease, Cardiac and Prevention Learning and Action Network. 2012 South Carolina Primary Health Care Association Clinical Network Retreat, 2012.

The Carolinas Center for Medical Excellence and Patient-Centered Medical Home, Webinar, 2012.

The Cardiac Learning and Action Network. South Carolina Association of Healthcare Quality Chapter Meeting, 2012.