Summary
Overview
Work History
Education
Skills
Certification
In Process
References
Timeline
Generic

TONYA NEWKIRK

Hillsboro,OH

Summary

Dynamic Quality Improvement Specialist with a proven track record at Highland Health Providers, driving a 15% enhancement in quality measures through data analysis and workflow optimization. Adept at cross-functional coordination and policy updates, fostering a culture of continuous improvement while leveraging health informatics expertise to elevate patient care standards.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Quality Improvement Specialist

Highland Health Providers
02.2025 - Current
  • Led the organization through the NCQA Patient-Centered Medical Home (PCMH) recognition process for five primary care practices.
  • Facilitated the transition to Azara for Uniform Data System (UDS) Quality Measures, resulting in a 15% improvement through the implementation of new workflows.
  • Conducted thorough data analysis to identify areas for improvement and developed detailed reports to communicate findings to stakeholders.
  • Worked closely with multidisciplinary teams to implement evidence-based practices and foster a culture of continuous improvement.
  • Assisted in the development and revision of policies, procedures, and workflows to ensure compliance with regulatory standards and promote quality patient care.
  • Monitored key performance indicators and utilized data to drive decision-making and corrective actions.

Quality Payment Programs Consultant

St. Elizabeth Physicians
01.2022 - 01.2025
  • Subject matter expert in National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home (PCMH) and Primary Care First (PCF) programs.
  • Collaborated intimately with the Accredited Care Organization (ACO) for the Medicare Shared Savings Program (MSSP) annual submission process.
  • Worked closely with cross functional teams to streamline quality payment programs, enhancing overall efficiency and team productivity.

Referral Nurse, LPN

Ohio's Hospice
09.2020 - 11.2021
  • Coordinated patient referrals, ensuing seamless transitions and high-quality care, demonstrating exceptional communication and organizational skills.
  • Managed patient intake processes, consistently meeting regulatory standards and enhancing patient satisfaction through meticulous attention to detail.
  • Trained in admissions, including field assessments of patients for admission and meetings with families to discuss the hospice program.

LPN

Adena Medical
08.2021 - 09.2021
  • Brief return to support new LPN role for new urgent care; role was impacted and shortened due to COVID-related operations.

Care Coordinator, LPN

Adena Medical
01.2018 - 09.2020
  • Maintained meticulous records and adhered to strict timelines, ensuring accuracy and compliance in all patient care activities.
  • Coordinated patient care plans, reducing hospital readmission rates through effective communication and follow-up.
  • Worked with healthcare providers to develop plans focused on quality measures aimed at closing care gaps.
  • Conducted open communication with staff and patient educations to bridge care gaps and enhance clinical quality outcomes.

Education

Master of Health Informatics -

University of Cincinnati
Cincinnati, OH
08.2024

Bachelors - Interdisciplinary Studies

Liberty University
Lynchburg, VA
04.2022

Associates of Arts and Sciences -

Southern State Community College
Hillsboro, OH
08.2011

Practical Nurse Diploma -

Southern State Community College
Hillsboro, OH
03.2006

Skills

  • Data analysis and reporting
  • Quality improvement strategies
  • Workflow optimization and mapping
  • Policy and process updates
  • Utilization review and management
  • Project management methodologies
  • Health informatics expertise
  • Leadership development initiatives
  • Data interpretation skills
  • Cross-functional coordination
  • Performance metrics evaluation
  • Process improvement techniques
  • Electronic medical records (EMR)
  • Microsoft Office proficiency
  • Power BI analytics

Certification

  • Licensed Practical Nurse (LPN)
  • Basic Life Support (BLS)

In Process

  • Preparing for Registered Health Information Administrator Exam (RHIA)

References

References available upon request.

Timeline

Quality Improvement Specialist

Highland Health Providers
02.2025 - Current

Quality Payment Programs Consultant

St. Elizabeth Physicians
01.2022 - 01.2025

LPN

Adena Medical
08.2021 - 09.2021

Referral Nurse, LPN

Ohio's Hospice
09.2020 - 11.2021

Care Coordinator, LPN

Adena Medical
01.2018 - 09.2020

Master of Health Informatics -

University of Cincinnati

Bachelors - Interdisciplinary Studies

Liberty University

Associates of Arts and Sciences -

Southern State Community College

Practical Nurse Diploma -

Southern State Community College

Similar Profiles

CREATE PROFILE
TONYA NEWKIRK
Want your own profile? Build for free at Resume-Now.com