Tonya Goodin
Lebanon,KY
Summary
Knowledgeable Chief Nursing Officer with comprehensive background in leading nursing teams and enhancing patient care standards. Proficient in implementing strategic initiatives that drive quality improvement and operational efficiency. Demonstrated ability in staff development and fostering collaborative environments.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Chief Nursing Officer, Critical Access Hospitals
Ephraim McDowell Health
03.2023 - Current
- Company Overview: Ephraim McDowell Fort Logan Hospital and James B Haggin Hospital
- Patient-focused Chief Nursing Officer with expertise in leading interdisciplinary teams within fast paced clinical environments
- Well versed in planning and directing daily functions and improving delivery of patient care
- Excellent communicator to align nursing services with patient needs
- Standardized Critical Access Hospitals (CAHs) daily staffing review
- Reduced external agency at both CAHs by 100% within 6 months
- Conducted 1:1 training sessions with Nurse Leaders on executing effective nurse leader rounding with patients and families resulting in 100% nurse leader communication, and 100% staff responsiveness in patient satisfaction scores in May 2023
- Continued process improvement initiatives to achieve Patient Satisfaction percentile roll up of 8 measures from the 40th percentile in 2023 to 96th percentile YTD
- Executed efforts in both CAHs Emergency Departments to hardwire bedside medication scanning resulting in an over 90% medication scan rate
- Implemented standardized cleaning process to reduce overall HAI C.difficile from 12.1 to 0 infections YTD
- Mentored emerging nurse leaders, fostering professional growth and career advancement opportunities within the organization.
Vice President of Quality
FRANKFORT REGIONAL MEDICAL CENTER
01.2021 - 01.2023
- Responsible for Quality and performance across the organization
- Care excellence performance measurement/improvement activities that include publicly reported measures, facility-wide quality reviews, Patient Safety activities, Infection Control, Clinical Documentation and Regulatory Compliance
- Serves as a liaison with state partners
- Continued process improvement initiatives to achieve Overall care excellence performance quality ranking of 87 out of 187 HCA facilities in the company
- Sustained facility surveillance in surgical, catheter, and central line care that resulted in facility ranking of 1 out of 187 HCA healthcare facilities in eliminating harm and mitigation of organizational risk
- Utilized a palliative care predictive model to identify high risk mortality patients resulting in a reduction of overall mortality index from 1.3 to 0.80
- Aligned with risk management to successfully complete two OIG/CMS focus COVID facility reviews with no immediate jeopardy findings
- Spearheaded a facility wide partnership with nursing and physician collaboration to increase overall SEP-1 compliance to 73% in QTR2 2022 from 40% QTR4 2021
- Collaborated with surgical service to implement DUKE bundle compliance with COLO and Hysterectomy surgical patient that included changing the standard of care
- Concurrent review process in place with weekly report out to ensure best patient care
- Completed Leadership Institute Academy program
- Implemented standardized tools across 18 facilities in a collaborative effort to maintain regulatory compliance
- Participated and lead quality efforts for re-designation of MAGNET status in 2022, 3rd designation
- Obtained TJC recertification in Primary Stroke and Total Joint
- Oversaw efforts to showcase the evidenced based C
- Difficile process to over 200 members of KHA
Director, Infection Control/Employee Health
FRANKFORT REGIONAL MEDICAL CENTER
01.2019 - 01.2021
- Earned promotion after highly successful tenure to oversee all aspects of Infection Control including personnel, operating budget, regulatory compliance, and department policies and procedures
- Internal SME for all Infection Control matters within the organization
- Utilize National Surveillance Safety Network (NHSN)
- Conduct ongoing surveillance of infectious patients
- Developed efforts by partnering with nursing leadership and bedside nurses to reduce zero harm; CLABSI free since February 2019
- CAUTI free in 2020
- CAUTI free November 2021
- Directed efforts daily to review all Foley Catheter lines and central Lines for de-escalation opportunities which resulted in decreased Foley Catheter (FC) lines days
- 2019 total FC line days 3943 compared to 2020 of 2480 FC line days
- Overall reduction of 1463 total FC days
- Decreased central lines (CL) days
- 2019 total CL days 4082 compared to 2020 CL days 1862
- Overall reduction of 2220 total CL days
- Reduced C.difficile hospital acquired infections (HAI)
- 2019 total 11 HAI C.difficile compared to 2020 2 HAI C.difficile infections
- Executed a multidisciplinary team to implement an evidenced based process to reduce HAI C
- Difficile
- Implemented bedside infection control rounds in all clinical units
- Created infection control status board to facilitate discussions of hospital acquired infections between staff and doctors to identify causes and preventative measures
- Collaborated with nursing practice council to implement updated hand hygiene process to ensure robust hand hygiene further preventing infections and the transfer of illnesses
- Served as regulatory quality and Infection Prevention lead in facility triennial Joint Commission survey in February 2020
- Partnered with all leadership as the subject matter expert which led to 0 high level infection prevention findings in the 2020 triennial TJC survey
Disease Specific Certification Reviewer – Consultant
THE JOINT COMMISSION
01.2015 - 01.2021
- Lead healthcare organizations in the United States through the regulatory process to standardize orthopedic, spine, and sepsis care within facilities
- Reviewed over 100 Disease Specific Programs
- Cross-trained to serve as triennial surveyor
- Received 99% excellence customer service feedback score annually
Director, Inpatient Services
FRANKFORT REGIONAL MEDICAL CENTER
01.2017 - 01.2019
- Managed 80 plus FTEs overseeing all aspects of nursing operations while providing the highest quality of patient care
- Collaborated with providers daily to address patient needs and schedule services
- Increased employee satisfaction ratings (29% to 60%) within 1 year and patient satisfaction by over 20%
- Created a Unit Based action plan to address employee concerns to create an environment of continuous improvement
- Assisted with disease specific review evaluation process to obtain Primary Stroke certification
- Spearhead transformational change across the department with the implementation of rounding on employees and daily nurse leader rounding resulting in a significant reduction in staffing expenses and a lower attrition rate saving on recruiting and training costs while retaining valuable historical knowledge
- Decreased overall turnover in first year from 43% to less than 30%
- Decreased overall turnover in RNs in first year from 56% to less than 20%
Director of Operations for Medical Center South & Jewish Hospital Shelbyville
KY One Health
01.2015 - 01.2016
- Responsible for overall direction, coordination, and evaluation of the administrative, clinical, and community relations area while carrying out management responsibilities
- Implemented annual goals, objectives, and budgets for clinical operations for both facilities while leading strategic initiatives for two Emergency Departments
- Increased patient satisfaction ratings by 20%, patient ER visits by 10%, and quality scores by 35%
- Collaborated with Chief Nursing Office to reduce incentive pay and create an operating room on-call bonus plan to reduce on-call pay and stay pay by more than $150, 000
- Reduced productivity costs to align with financial goals in first fiscal year
- Partnered with physician recruitment team to successfully onboard one fulltime hospitalist and utilize other employed physicians to fulfill organizational needs resulting in a reduction of professional medical salaries in first fiscal year
- Created a stroke program to better serve the community and increase patient visits in coordination with the University of Louisville
- Implemented lean programs in Emergency Departments successfully reducing patient wait times
Director, Medical/Surgical and Postsurgical inpatient Services
EPHRAIM MCDOWELL HEALTH
01.2010 - 01.2015
- Earned two promotions after highly successful tenures while overseeing Patient Family Centered Care (PFCC) initiatives including revising procedures and staff training
- Supervised 40 plus FTEs
- Chaired orthopedic and spine committees
- Maintained patient experience scores in the 80th percentile in a 22 bed post-surgical unit
- Spearheaded Orthopedic Spine Symposium offering 7 CEUs for nursing, rehab and social workers and worked with 20+ vendors to create a fair with over 80 attendees in 2013, 2014, and 2015 to raise charitable dollars for department and provide orthopedic and spine education
- Achieved in a multidisciplinary approach re-certification to The Total Spine program and Total Joint program in 2012 and 2014
- Served on clinical effectiveness team to create and implement a service recovery program
- Served as the management representative on the Nursing Practice Magnet Council
- Completed requirements to implement The Total Spine Surgery Certification and recertification of Total Joints
- Championed the organization HCAHPS initiative
- Transformed multiple departments with implementation of bedside shift report
- Led efforts to reduce incremental overtime resulting in a reduction of approximately 200 hours per month over 6 months
Clinical Manager, Emergency Department
EPHRAIM MCDOWELL HEALTH
01.2008 - 01.2010
- Trained personnel, completed department staff schedules, and led all employees in patient care best practices
- Implemented a nursing peer review process improvement plan increasing performance awareness and identifying development opportunities
- Played an integral role in securing initial Trauma 3 Level Certification
- One of only two programs at the time in Kentucky
Adjunct Clinical Nursing Instructor
Bluegrass Community Technical College
01.2008 - 01.2010
- Contributed educational and clinical expertise to help optimize training courses and boost student learning.
- Supported student educational and vocational planning to help each optimize learning strategies and reap long-term career benefits.
Staff Nurse, Medical-Surgical, ICU, ED
EPHRAIM MCDOWELL HEALTH
01.1999 - 01.2008
- Provided compassionate bedside patient care in multiple units, med/surg, ICU and ED nursing
- Responsible for providing overall care for patient loads
- Conducted regular head-to-toe health assessments including monitoring vital signs and administering medications
- Facilitated admitting and discharge procedures
Education
Master of Nursing -
University of Phoenix
Phoenix, AR01.2014
Master of Health Care Administration -
University of Phoenix
Phoenix, AR01.2014
Skills
- Healthcare Administration
- Healthcare Policy Analysis
- Strategic Planning
- Nursing Team Leadership
Accomplishments
- Supervised team of over 200 staff members.
- Achieved 90% bedside scanning throughout clinical nursing units
Certification
Nurse Executive review course, test date pending
Awards
- Quality Award, 2021, Kentucky Hospital Association, for overall Reduction of C.difficile
- Quality Award, 2020, Kentucky Hospital Association, for overall Reduction of CAUTIs
- Quality Award, 2013, Kentucky Hospital Association, for Total Joint and Spine Program
- Four Gold Seals, 2012 & 2014, The Joint Commission, for disease specific certification for Total Joint, Spinal Fusion, and Laminectomy care.
Credentials
- MSN
- MHA
Timeline
Chief Nursing Officer, Critical Access Hospitals
Ephraim McDowell Health
03.2023 - Current
Vice President of Quality
FRANKFORT REGIONAL MEDICAL CENTER
01.2021 - 01.2023
Director, Infection Control/Employee Health
FRANKFORT REGIONAL MEDICAL CENTER
01.2019 - 01.2021
Director, Inpatient Services
FRANKFORT REGIONAL MEDICAL CENTER
01.2017 - 01.2019
Disease Specific Certification Reviewer – Consultant
THE JOINT COMMISSION
01.2015 - 01.2021
Director of Operations for Medical Center South & Jewish Hospital Shelbyville
KY One Health
01.2015 - 01.2016
Director, Medical/Surgical and Postsurgical inpatient Services
EPHRAIM MCDOWELL HEALTH
01.2010 - 01.2015
Clinical Manager, Emergency Department
EPHRAIM MCDOWELL HEALTH
01.2008 - 01.2010
Adjunct Clinical Nursing Instructor
Bluegrass Community Technical College
01.2008 - 01.2010
Staff Nurse, Medical-Surgical, ICU, ED
EPHRAIM MCDOWELL HEALTH
01.1999 - 01.2008
Master of Health Care Administration -
University of Phoenix
Master of Nursing -
University of Phoenix
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