Get to Know Lisa Larson
Your life sounds busy, demanding, amazing, stressful, and rewarding…all at once. Talk about what that’s like and how you balance everything.
I am a sister, wife, mother of 2 adult children and proud grandma of three young and lively grandchildren. Additionally, I manage a challenging Program Integrity project for the firm, enjoy multiple church activities, and up until recently assisted with the care of my mom. Like for everyone, these things bring both positive and negative stressors – from fun lake vacations with family, to Building Bears with my grandchildren, to accompanying Mom to Sunday church at her care facility, to managing loved ones health issues and death, to anxiously awaiting the outcome of a project RFP. Providing good self-care and occasional “me time” succumbing to my “secret indulgences” – chocolate, wine, knitting, a long walk or a good book – allows me to bring my best self to all aspects of my life.
You’re a cancer survivor…talk about that journey. What inspired you and gave you strength? What was difficult?
I was diagnosed with breast cancer in June, 2003 at the age of 42. I had a bilateral mastectomy with immediate reconstruction in July followed by reconstruction tissue expansion, and chemo therapy every three weeks through New Year’s Eve 2003. I developed pneumonia in January due to a compromised immune system but was quickly and successfully treated with antibiotics. The final phase of reconstruction was completed in April 2004. All follow up and doctor visits were completed August, 2010. Both my surgeon and oncologist indicated there was no sign the cancer has or will return. I thankfully have been cancer free since!
During my cancer journey, I found strength in my faith, family and in maintaining my schedule as close to “normal” as possible. I worked as much as I could throughout the process and consider myself very fortunate that my employer allowed me this flexibility.
I also attended as many of my daughter’s travel soccer league games, and her cross country meets along with my son’s marching band contests and performances. Both were in high school at the time and, along with my husband, provided tremendous support.
We also hosted Julien fall of 2003. He was a wonderful French student visiting as part of my son’s French class student exchange program. We still communicate regularly, and he has since become a nurse “like Lisa!” I hope to visit him and his family in Saint-Etienne France one day. Some of the most challenging things during my cancer journey were losing my hair (though it did make getting ready for the days much quicker), nausea, fatigue, and the ever present chemo “metallic” taste in my mouth.
In addition to caring for your own family, you’re also caring for a parent. What has that been like? What are some things that stand out?
My mom was diagnosed with Parkinson’s disease in 2016, a year after my dad passed. She didn’t start having major symptoms until about four years later. Unfortunately, progression of her disease included severe dementia as well as physical issues.
My two sisters and I had to move her to a care facility in the midst of COVID because she/we were no longer able to meet her needs at home. Moving her at that time was extremely difficult for us and especially so for her. In addition to the changes she was facing with Parkinson’s, she now also had to deal with a new environment and the isolation COVID precipitated.
My sisters and I visited as frequently as possible, but Mom was very sad and depressed, making for a very tough time. She did interact a little more with facility residents as COVID restrictions loosened but remained extremely dependent on us as primary sources for her social interaction, reassurance and frustration outlet. She was initially very aware of the changes in her mind and body and was concerned about the impact her Parkinson’s symptoms had on others, and so opted more toward social isolation.
My sisters and I shared responsibility for visits, getting mom to all her appointments, attending facility team care conferences, and attending facility activities/celebrations with Mom until she was admitted to hospice in November. Prior to Mom’s passing last year, a few days before Christmas, Parkinson’s left her mentally and physically unrecognizable. Though I am happy she is finally at peace, it was heartbreaking to watch the mental and physical despondency that Mom endured over the course of disease progression.
What projects do you lead here at Myers and Stauffer and what do you enjoy about those?
I started with MSLC in 2011 as coding Policy SME and Business Lead on the Iowa Medicaid ICD-10 Implementation Team. In this role, I coordinated collection and development of business requirements with other Iowa Medicaid units; I monitored ICD-10 implementation risks and provided input to mitigation strategies; and I conducted ICD-10 testing efforts and financial neutrality exercises.
Additionally, I provided oversight of the ICD-10 Policy Work Group, the Strategic Opportunities Work Group and the ICD-10 Neutrality Work Group. Following successful ICD-10 implementation, from 2016 to present, I lead the medical review team for the Iowa Medicaid Program Integrity Unit. We provide services as a subcontractor to IBM.
My team provides professional clinical expertise and support related to post-payment reviews in suspected fraud, waste, and abuse cases; policy recommendations; and cost avoidance proposals. We collaborate with IBM to identify and evaluate program risk, state priorities, and audit opportunities. The things I enjoy most and that provide greatest value for our Iowa client are my cohesive, knowledgeable team of certified coders, certified professional medical auditor and registered nurses. I also enjoy the strong relationships developed with the client, providing numerous recommendations for high-dollar savings opportunities and applying clinical and coding expertise in our case reviews, thus ensuring Iowa Medicaid dollars are spent properly.
What are some lessons learned you can share?
Early on I learned the world doesn’t revolve around me, but it is important to look outward and be part of something big in order to accomplish something big. I also found that silence and disregard are not helpful and often result in misunderstandings – it is important to work together to establish a similar point of reference and desired result in order for a team to work together effectively and move a project forward in a collaborative way.
I learned how important trust and accepting support from others is – there are many paths to reach a common goal none necessarily better than another so be open to taking a different path sometimes. I have found that approaching a difficult task and even a “difficult-to-love” person with optimism rather than skepticism more often results in a successful outcome.
Additionally, failure is an important step to success – rarely is success always achieved on the first try, but is a learning process with the most important component being willingness to try and learn from our failures.
Finally, humor is required – I try not to take myself too seriously. Smiles and laughter are not only the best medicine, but they also boost our brain power.