Tonya Gilmore MSN RN NE-BC
South Lebanon,OH
Summary
I am an ambitious nurse leader skilled at reviewing and implementing innovative ideas and approaches to the demands of the changing health care environment. My motivation is to improve the lives of patients by using evidence based practice to create highly reliable processes to streamline the way healthcare is delivered. Creating a culture of trust and authenticity is paramount to leading and mentoring the team of healthcare providers to achieve their highest potential. My passion is helping healthcare professionals rediscover the art and science of nursing.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Director of Critical Care Services
TriHealth Bethesda North Hospital
Cincinnati, OH
05.2022 - Current
- Managed operations in accordance with budget requirements.
- Facilitated peer-to-peer conflict resolution.
- Reviewed and collaborated with the Medical Director and ICU leadership team on development and roll out of interdisciplinary rounds.
- Headed clinical oversight to devise and establish policies, procedures and best practices in alignment with regulatory requirements.
- Collaborated with department leaders on strategy to increase patient experience with an emphasis on hardwiring the foundational principals of bedside shift report, hourly rounding and leader rounding.
- Led efforts to build a highly reliable process with patient placement to reduce delays in placement out of the ER and decrease boarding hours.
- Decreased falls with harm in the MSICU in collaboration with Senior leaders.
- Created and implemented capacity tiers to reduce ER boarding
- Built collaboration and team work across all departments to highlight throughput initiatives
- Director oversight of Administrative Supervisors, Patient Placement and Staffing office
- Reduced inpatient hold hours in collaboration with a multi-disciplinary committee to streamline EVS, Provider and Placement processes
- Continued progress on hiring and retention solutions to include a robust new graduate training program for critical care.
- Created and facilitated Charge nurse development classes to enhance leadership and conflict resolution skills at the Charge nurse level
- Assessed current practices in order to develop innovative methods in correlation with reduction of hospital acquired injuries to include: CAUTI, CLABSI and HAPI
- Implemented Code Blue, High Performance Teams, with a multi-disciplinary approach
- Developed, in collaboration with a multi-disciplinary team, admission guidelines for streamlined patient placement based on acuity and level of care.
- Developed comprehensive tool for performance based merit evaluations to provide consistent and clear framework for evaluations.
- Collaborated with Senior Leadership on VSA of throughput to promote development of centralized transfer center.- in progress
- Collaborated with Medical Director and Wound Care nurses on development of scope of practice to support Wound Care specialized skill set
Interim Director of Emergency Services
Aureus Medical Staffing (Phoebe Health)
Albany, GA
08.2021 - 04.2022
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Promptly resolved conflicts among physicians, nurses and other healthcare employees to keep workflows on task.
- Managed operations in accordance with budget requirements for 102 FTE's
- Facilitated peer-to-peer conflict resolution.
- Headed clinical oversight to devise and establish policies, procedures and best practices in alignment with regulatory requirements.
- Reduction of LWBS from 12% to 4% in three months
- Developed operational strategy to set goal targets in quality, safety, patient experience, and productivity
- Mentored and trained manager to operational and clinical objectives to include staff engagement strategies
- Worked with clinical team on resource reduction of contract spend by $340,000 with new graduate hiring
- Developed productivity tool in collaboration with the finance team to achieve 101% productivity and reduce overtime
- Administered executive supervision in collaboration with senior leaders on $140 million emergency and trauma center expansion project
Director of Emergency and House Supervisors
SCL Health, Good Samaritan Medical Center
Lafayette, CO
05.2020 - 08.2021
- Developed and deepened relationships with security partners, county departments and city agencies to facilitate smooth planning and coordination of emergency response.
- Devised and implemented improved capacity models to improve hospital throughput and standardization.
- Collaborative with system leadership on development of system transfer center (1st call) to develop standard work and polices to support transfers from ER.
- Identified practical and potential problems facing emergency services and implemented realistic and successful solutions for MCI planning.
- Mentoring on importance of managing productivity in the Emergency department to meet the needs of patients to improve safety with fully executed plan in place with targets met at 100-102%.
- Worked closely with providers and associates to meet and achieve milestones in sepsis outcomes moving compliance from 47% compliance to 73.7% in three months.
- Worked closely with team members to ensure a culture of maintaining a survey ready environment with a successful state survey resulting in zero deficiencies within the Emergency Department.
- Demonstrated leadership by making improvements to internal throughput process with collaboration with system bed placement partners
- Decreased supply costs by $4,000 a month by partnering with supply chain and working with the ED charge nurses to identify opportunities
- Engaged ED team to develop a mentorship model to retain employees and hire EMT's to RN's within the department.
Senior Director, Medicine Service Line
University Of Colorado Health - Northern Colorado
Fort Collins, CO
03.2018 - 05.2020
- Director of Northern Market Medicine Service line to include: Critical Care, Respiratory Therapy, Medical/Oncology Inpatient Departments, Palliative Care, Older Adult Services, Diabetes, Dialysis, Hospitalist Nursing, CNS and Discharge teams.
- Oversight of 550 FTE with 22 direct reports
- Management of budget with a $526.3 M contribution margin, including oversight of Dialysis contracts and Hospitalist contracts
- Awarded twice for highest improvement in patient experience at Medical Center of the Rockies Medicine Unit (above 75%)
- Developed partnerships with community to ensure advance directs completed ( over 3,000 completed in collaboration with Sharing the Care)
- Completed over 300 advance directs for employees during National Healthcare Decision week
- Became NICHE designated facility at Medical Center of the Rockies and Poudre Valley Hospital.
- Partnered with Emergency Preparedness team to develop inpatient hospital strategy to align with the Emergency Department.
- Partnered with Emergency Preparedness team to develop support service strategy to align with inpatient and Emergency Department.
- Certified DPP Medicaid Program for Diabetes in April 2018- one of two in nation.
- 4 daisy award winners and one manager accepted into the AONE Nurse Manager Fellowship.
- Increased Palliative coverage embedded in Oncology clinics 4 days a week with expanded 7 day a week inpatient coverage starting June 2019.
- Top 75% percentile for Length of Stay for Medicine Patients
- Continued improvement in Mortailty and 7 day Pneumonia Readmission rates
- Use of LEAN to reduce costs in supplies and waste in workflows
- Created vision and strategy that aligns with System objectives
- Orchestrated strategic business plans and oversaw execution by streamlining customer support calls and enhancing customer experiences.
Emergency Department Nurse Manager
University of Colorado Health at Medical Center of the Rockies
Loveland, CO
06.2016 - 03.2018
- Management of a 25 bed Emergency Department with 65 direct reports.
- Level II Trauma Center, Cardiac Center, and Stroke Center of excellence.
- Management of budget of $53M in revenue and $8M in expenses
- Managed team of 65 professionals with oversight of float and relief staff
- Developed strategies for high inpatient capacity and Boarding patients
- Engaged with system leadership to develop standard work and protocols in development of system transfer center (Docline)
- Engaged team to identify staffing opportunities with development of regional Float pool
- Collaborated with Physician leaders in reduction of opioid administration with the implementation of Alternatives to Opioids (ALTO)
- Achieved high patient experience scores in the 92nd percentile for "Would Recommend" for an entire quarter.
- Management of hospital patient flow and throughput through collaboration from hospital inpatient and ancillary departments with development of safe hand-off process
- Spearheaded initiative to develop ED Surge protocol and coordinated with interdisciplinary departments for implementation
- Mentored and developed leadership competencies for five Charge nurses to coordinate scheduled quarterly check in's with ED staff members and deliver annual performance evaluations
- Developed community partnerships and engage in collaboration through regular meetings with Loveland Police Department
- ED staff recognition: 5 Magnet nurse nominations with 1 Magnet nurse recipient, 2 New graduate nurses presenting on a national platform, and several Daisy nurse nominees with 2 Daisy nurse winners
- MCR ED awarded "Best ED in Loveland" in May 2017
Cardiac Nurse Manager
University of Colorado Health Poudre Valley Hospital
Fort Collins, CO
01.2015 - 06.2016
- Management of a 15 bed cardiac/step down unit with 35 direct reports.
- Management of a budget of $2.2M in expenses and $10M in revenue.
- Department reached 90% patient satisfaction scores in all categories for two months
- 367 days without an unassisted fall, and highest scores in the region for quality indicators for CAUTI and CLABSI.
- Strengthened department engagement by engaging staff in building acuity based staffing matrix, mentoring Charge nurses, and building goals around Practice Council participation.
Charge Nurse- Progressive Care
Medical Center of the Rockies
Loveland, CO
01.2014 - 01.2015
- Directed nursing staff on a 12 bed progressive care unit
- RN duties associated with care of cardiac patients which included: cardiac bypass, TAVR, valve replacement, STEMI, end stage COPD, and heart failure.
- RN duties associated with care of medical patients including, DKA, Sepsis, Palliative Care and Stroke.
Administrative Nursing Supervisor
University of Colorado Health at Medical Center of the Rockies
Loveland, CO
02.2013 - 01.2015
- Management of daily operations of a 174-bed, level II trauma center.
- Interdisciplinary collaboration and communication across all departments
- Manage patient placement utilizing capacity management tools such as: teletracking, EPIC,and patient placement to ensure patient safety and safe staffing ratios
- Responding to all emergencies including: code blue activations, full traumas, mass transfusion initiations, rapid response calls stroke alerts and nurse response teams
- Perform roles after hours when needed including: Case management, risk management, and social work
- Consultation with Senior Leaderships as needed when critical issues need addressed
RN Float Pool
Medical Center of the Rockies
Loveland, CO
01.2010 - 01.2014
- RN duties associated with floating to Medical/Surgical units, Pediatrics, Cardiac and ICU.
- Required to shift floors and assignments during shift and daily.
- Maintained competencies for all units including BLS, ACLS, PALS, and NRP and NIH.
Education
Master of Science - Nursing Leadership
Grand Canyon University
Phoenix, AZ10.2017
Bachelor's degree - Nursing
Grand Canyon University
Phoenix, AZ03.2014
Associate's Degree - Nursing
Aims Community College
05.2009
Skills
- Transformational Leader
- Recruitment and Retention of qualified team members
- Budgeting expertise
- Employee relations
- Driving Results
- Customer-oriented
- Inter-professional Collaboration
- Capacity Management
- Strategy and Vision
- Emergency Medicine
- Hospital throughput coordination
- Mentoring and team building
- Critical Care
- Staff training and development
Affiliations
- Co-Chair of Patient Family Advisory Council
- Co-Chair of Regional Manger Committee
- Developed and implemented regional Leadership Onboarding Program
- Developed and implemented Emergency Department Surge Protocol
- Collaboration and development of boarding process for Emergency Department
- Collaboration and development of mass causality incident process for Emergency Department
- Collaborated on development of Discharge Suite for Capacity
- Regional Leader on system wide scrub initiative
- Member of Emergency Preparedness Committee
- Member of committee to develop regional leadership meeting agenda
- Executive Sponsor of Emergency Preparedness Champions
- Executive Sponsor of Northern Market Manager Meeting
- Developed and implemented safe handoff for ED to inpatient
- Member of committee to develop process for huddle
- Member of 2018 class of Leadership Loveland, CO
Certification
- Nurse Executive-Board Certified
- Cardiac-Vascular Nursing Certification
- ACLS
Professional Membership
- American Organization of Nurse Executives (AONE)
- American Nurse Association (ANA)
- Colorado Nurse Association (CNA)
Additional Information
- Completed and obtained FEMA: Healthcare Leadership for Mass Casualty Incident training and certification
- Developed ED surge and Mass Causality procedures and policies
- Defined and developed High Census Capacity Procedures
- Co-chair of community initiative "Random Acts of Love" to support at risk youth in Loveland, CO
- Volunteer for Teddy Bear hospital 2013-2018
- Organized and participated in adopt a trail for a portion of the Poudre River Trail as outreach through Cardiovascular Service Line 2015-2018
- Member of Bethesda Women's Giving circle
Timeline
Director of Critical Care Services
TriHealth Bethesda North Hospital
05.2022 - Current
Interim Director of Emergency Services
Aureus Medical Staffing (Phoebe Health)
08.2021 - 04.2022
Director of Emergency and House Supervisors
SCL Health, Good Samaritan Medical Center
05.2020 - 08.2021
Senior Director, Medicine Service Line
University Of Colorado Health - Northern Colorado
03.2018 - 05.2020
Emergency Department Nurse Manager
University of Colorado Health at Medical Center of the Rockies
06.2016 - 03.2018
Cardiac Nurse Manager
University of Colorado Health Poudre Valley Hospital
01.2015 - 06.2016
Charge Nurse- Progressive Care
Medical Center of the Rockies
01.2014 - 01.2015
Administrative Nursing Supervisor
University of Colorado Health at Medical Center of the Rockies
02.2013 - 01.2015
RN Float Pool
Medical Center of the Rockies
01.2010 - 01.2014
Master of Science - Nursing Leadership
Grand Canyon University
Bachelor's degree - Nursing
Grand Canyon University
Associate's Degree - Nursing
Aims Community College
- Nurse Executive-Board Certified
- Cardiac-Vascular Nursing Certification
- ACLS
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