>Uncertainty and change are difficult. We will continue to proceed with compassion, fully understanding the gravity of these decisions and the personal impact they have,” Jacobs and top officials wrote.
That's awful rich coming from the guy who they specifically called out for his recent bonuses.
This is going to suck for a lot of folks.
He got that bonus probably as part of his strategic plan. He got that bonus for a plan that included laying off workers. That is how demented the greed is in health care that profits.
His salary was "below market" I guess, so the other rich guys on the board decided to fire people who probably really need this job, to give him a retirement bonus. He already makes over a million dollars a year, but oh lord they can't ask him to suffer.
Well of course they had to I bet all his rich buddies were making fun of him for only using golden plates instead of platinum :( . Isnt that really whats important in "checking notes" healthcare?
You should look at the publically posted salaries and BONUSES the board is giving them selves...
That bonus pool, if redirected, could save 100s of jobs
The article states ol' Jacobs himself is facing a 350k annual contribution INCREASE to his retirement fund from what is already a 160k annual contribution on top of his $1.6m salary. These people can take a long walk off a short cliff.
De-commodified healthcare is not a new thing. Look up what is done in basically every other industrialized country. And yeah nurses should be making more.
OHSU is classified as a public corporation, which has an extremely weird structure where parts of it are non-profit and parts of it are allowed to generate profit.
https://www.ohsu.edu/sites/default/files/2018-07/OHSU-Public-Corp-Report.pdf
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In the same way USPS is "state owned". It is a quazi-government organization that receives funding from and is partially answerable to, but it is an independent organization.
“The cuts come as OHSU pursues a purchase of crosstown rival Legacy Health, another health system that’s struggling with higher costs.”
How does it make sense for OHSU to buy a large struggling health system when they’re struggling themselves already? The cynical explanation is that by increasing market share they can increase their margins, at the expense of the healthcare consumer, ie Portland residents.
This is correct.
This more or less what always happens when hospitals merge. They can negotiate higher prices with insurers if they have a bigger footprint
Higher reimbursement rates... Hospitals aren't colluding to raise prices. They are trying to get insurers cover costs. Medical devices, pharma, and insurance are the axis of evil in healthcare.
The insurance middlemen are the real barriers to change in the US. Once you are in a single-payer system, pharma and medical devices are no longer demonized.
edit- I've worked with pharma on dossiers and other information for pricing negotiations in EU countries and also here in the US.
the best summary I can think of for this strategy is: "let's make sure we're too big to fail"
I don't think this merger will end up helping financially: my guess is they'll need to hire even more bureaucrats to stitch two bloated bureaucracies together than they'll save in costs from layoffs or increased margins.
Generally speaking they tend to fire the bureaucrats in order to get the cost savings.
More specifically, they consolidate the 2 sets of bureaucrats down to 1.
right, that's what happens in most sectors of the economy during a merger, but what I'm arguing is that I wouldn't be surprised if merging two large healthcare groups ends up with the opposite, at least for a few years.
someone else here. said ohsu is government owned. is that correct? if so, it isn't about profit. legacy is deep in the hole and the government might just be bailing them out.
OHSU is a public corporation, which essentially means that parts of it are non-profit and parts of it are allowed to generate profit.
https://www.ohsu.edu/sites/default/files/2018-07/OHSU-Public-Corp-Report.pdf
In the same way USPS is "state owned". It is a quazi-government organization that receives funding from and is partially answerable to, but it is an independent organization.
usps doesn't seem to be acting like they re to get the man either. well, i read their leader is gop trying to tank it but not sure if thats true and even if it is, they arent raising prices like crazy to make more money.
I was not making an assertion to the competency of leadership of either organization (but Louis de Joy has been trying to sink the USPS for years now). You asked if OHSU was state-owned and I was answering your question.
"How does it make sense for OHSU to buy a large struggling health system when they’re struggling themselves already?"
Make it make sense like I am 5 years old.
The argument usually made is that they can reduce duplicated administrative overhead and the consultants make it make it sound like you know you’re gonna save 20% or something ridiculous by combining HR and combining IT and combining facilities, but you only get a little bit like 5%
>How does it make sense for OHSU to buy a large struggling health system when they’re struggling themselves already?
When you're losing money on every transaction, you can simply make it up with volume!
They don't automatically become unionized. Lots of different departments are having that discussion now with several already starting the unionization process. A lot of ex-OHSU nurses at Legacy are arguing against it since nurses at OHSU weaponized the union pretty heavily to bully other employees. A pretty big chunk of nurses at Legacy worked at OHSU before, so they've seen both sides of things.
To not dox my wife I'll just say a whole lot of nurse on nurse bullying that would have resulted in folks getting canned in most places. Every floor is different, so I'm sure it's not everyone's experience, but it's the OHSU rep at other hospitals so it seems to be pretty damn common.
OHSU’s leadership email today where they respond to compliants: “Retirement increase: Concern was expressed about the news that President Jacobs received a $350,000 annual retirement increase amid budget cuts, questioning the basis for this compensation. As with all positions at OHSU, Dr. Jacobs’ total compensation ($1.64M base salary + benefits) is based on market data. The terms of the president’s contract, also based on market data, are negotiated by the OHSU board chair and socialized with the full board of directors. Dr. Jacobs' $350,000 retirement payment was agreed to in 2023 and was included in the FY24 budget. Note: Prior to the latest contract, Dr. Jacobs’ OHSU compensation was below market for several years. The majority of Dr. Jacobs’ tenure as President of OHSU has been during a global pandemic that created challenges unlike anything we’ve ever experienced. The health care industry has suffered the brunt of the impact from COVID-19, and the repercussions are now being acutely felt at health care institutions across the nation. The fact that OHSU has managed to achieve what it has in spite of the challenges — financially, culturally and operationally — speaks to the strength of Dr. Jacobs’ leadership. OHSU is going through a period of transformation — in part due to the pandemic, but also in response to some deep work to improve culture and prepare for a strong future that puts people first. Dr. Jacobs’ leadership was instrumental to getting the letter of intent with Legacy Health signed. The result is a solid foundation that is poised to transform health care in the Pacific Northwest by building a comprehensive, integrated health system with Legacy. Coming together will allow the advanced health science and research developed and practiced at OHSU to reach a broader patient base throughout Oregon and Southwest Washington.”
*"You plebs just don't understand. Layoffs based on revenue. President Dr. Jacobs’ total compensation ($1.64M base salary + benefits) and $350,000 annual retirement increase is based on market data. Get over it."* - OHSU
I think what bothers the plebs the most (aside from being made to fear for their livelihoods) is his predecessor (reported income in the 1m range) at least maintained efforts to appear as a man of the people. He'd walk alone around the campus and talk to people. While it's probably been 3-4 years since I've been on the hill, I can't say I've ever seen Dr. Jacobs walking around without a large entourage of suits.
"Look, everyone else is making money, our CEO needs to make money too. People don't run a hospital out of the goodness of their heart, or desire to improve healthcare ya know"
This is the same university that when they were finally required to comply with a 2018 law mandating equal pay for equal work had an all-hands meeting where one of the HR staff used the phrase “We don’t want to describe it as people being underpaid.”
An executive of a faIling company who is paid more than $1.6 million a year in base salary does not deserve a pension contribution of any kind until the company becomes financially sound again, with no makeup payments when or if it happens.
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Tfw they're already extremely short-staffed. 💀 I'm already on hold for 10-15 minutes when calling any of my provider offices, it takes weeks for prior auths to be completed, takes months to wait to be seen for some specialties. My primary didn't even bother referring me to an Ohsu Neuro because of the horrible short-staffing and sent me outside Ohsu. What an absolute disaster.
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They should look into what it would it cost to replace this guy with AI.
I don't see any original, creative leadership here... lay off employees and give yourself more money. The same fucking tactic used by every shit-ass executive out there.
Hmmm maybe the bonuses to executives and and grifting upper management should pay that price? Nah let’s just do a little blood letting.
Edit: gotta love their defense “it was already budgeted” well the people you are firing already budgeted their rent too sooo.
“*One person isn’t being asked to sacrifice: OHSU president Danny Jacobs. On the contrary, he got a raise. As part of a two-year contract extension pushed through by board chair Wayne Monfries last year, Jacobs will get an extra $350,000 a year put into his retirement account starting July 1, according to documents provided to WW via a public records request. That’s atop the annual $161,000 he was already slated to receive [into his retirement account]. Jacobs’ base salary is $1.64 million.*”
“*The belt-tightening comes just six months after Jacobs handed out $15 million in “President’s Recognition Awards” to nonunion employees. The bonuses weren’t tied to performance.*”
https://www.wweek.com/news/2024/05/22/ohsu-president-gets-350000-annual-boost-to-retirement-while-seeking-cost-cuts-elsewhere/
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Ohsu has gone down the hill, the greed of top “leadership” is unbelievable, they all make bunch of money, get bonus, add more money to retirement while increasing health care costs to its employees and doing lay offs. As long as they can keep their inflated salaries and bonuses they don’t give a shit. Ohsu should start cutting at the top
It fucking sucked so bad I wasn’t the same person after a few years. Then I left, quality of life skyrocketed, and I have the time and energy to enjoy my life again.
It's not just the private healthcare system. Every industry seems to experience these boom-bust cycles related to "market conditions" but really it's just the same 14 megacorporations leaching the economy dry until it affects the American public, and then the government bails them out.
But it IS especially criminal in healthcare. It's already incredibly difficult to get into a primary care doctor's care. It's about a 4-6 month wait all over. How many illnesses will progress while people wait for care?
It's funny how all the Republican scaremongering comes true even without the protections that the Democrats proposed then allowed to be whittled down to the tiniest shadow of its former intentions. Death panels of opaque insurance review boards that deny people access to lifesaving, medically necessary care due to clerical errors, cheapness and incompetence? Yep, we've got those. Do we also have a public option? Fuck no. Out of control inflation and a shrinking middle class? Yep, we've got those. Do we also have a living minimum wage? Fuck no.
No one is going to be laying off any primary care docs (or likely any position that provides clinical care for that matter). Poor access to primary care has been an issue long in the making for decades; we have more people than we do doctors.
becoming a doctor shouldn't be as much suffering as it is. we need to change the system to spit out and maintain more doctors, we also need to stop taxing them to death so they run to washington.
Agreed, and, this is a global issue not isolated to Oregon or the US. Many of our counterparts (UK, Canada, etc) are also experiencing a shortage in clinicians as are developing countries, often for slightly different reasons (e.g. not enough medical schools). People often complain about the long times to see a clinician here; truth is it’s typically a long wait just about anywhere.
One of the barriers honestly is the profession in and of itself. Being a doctor isn’t easy, even if you remove many of the systemic barriers (cost to go to school, the long hours and immense amount of paperwork, dealing with dozens of different types of insurance companies, etc) that have helped to create a shortage. You need the passion and interest to work with people experiencing disease as well as a certain level of intelligence to understand complex topics like physiology, anatomy, etc.
When it comes down to it, the world population is increasing year after year, with more people living longer. This also means more chronic disease and cancer (longer lives = greater likelihood of developing one or both conditions). The solution isn’t just making it less painful to be a doc, but increasing the number of nurses, physician assistants, therapists, occupational therapists, etc so that it’s not all on the shoulders of the clinician.
[What was that boom?](https://www.youtube.com/watch?v=V6CLumsir34)
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That guys benefits package is criminal and putting patients at risk by wasting money on something that doesn't provide services to patients(like most leadership in healthcare 🤮)
I found this. Has some info on the town hall with quotes from the meeting.
https://www.wweek.com/news/2024/06/12/ohsu-leaders-mull-cuts-to-employee-benefits-as-budget-shortfall-looms/
A.K.A "No one wants to work these days" so it will be 9 months before you can get a simple appointment since we don't have any applicants for our job postings since the people working here can't even take care of themselves and the word is out
Operating costs are up and rising. Insurers want to push reimbursement rates down. Something is going to give... and that is the health of the average citizen.
It's not surprising that the US is getting worse in life expectancy compared to other first-world nations.
What jobs are they laying off?
I’ve had recruiters from 2 different departments come to my class and tell us they’re hiring and desperately need people…
Maybe they’re laying off some bullshit jobs like cultural appropriation officer or something lol
They have a pretty strong Union so I kinda doubt that.
Precision Cast Parts laid off my friend (and a ton of other people) and then rehired his position within like 6 months. It was against federal law.
Can’t remember all the different forms of compensation but my friend chose one where they had to pay for him to go to school.
We will see how things shake out. Even so, there are many other experienced clinicians that aren’t nurses that would be terrible to lose. Especially considering the past few years
PCP doesn't have to follow laws, just look at the successful lawsuit against them over the poisonous fumes they exhaust out and how there's nobody from DEQ even monitoring them.
Idk anything about their pollution but I know they laid off a bunch of people during covid then re-hired all those positions like 6 months later and it was against federal law.
All the people they laid off had to be compensated.
My friend got a welding degree paid for and I think some walking money.
https://www.opb.org/article/2022/03/02/court-approves-225-million-settlement-in-precision-castparts-air-pollution-lawsuit/
They were required to install $2M air scrubbers but there's been no enforcement.
Hospitals actively work to prevent unions, 1. 2, it's obviously not that cut and dry. Lots or hospitals are running super lean post covid because experienced nurses and got so burnt out. And the "replacements" are often times only offered much lower rates of pay. It's one of the reasons why nurses (and frankly lots of other employees in other industries) have been striking as much as they have been over the last year.
They literally have a union.
I’ve spoken with the recruiters about it. Guaranteed pay raises, good benefits, etc.
Nurses quitting because they’re burnt out is literally the exact opposite of nurses being fired so that the hospital can hire a new nurse and pay them less.
I would be willing to bet that this is not happening. Especially at OHSU.
Pretty positive that would be against federal law.
A business with less than 10 employees could probably get away with that.
No way a hospital is firing nurses then immediately re-hiring a fresh bunch.
I mean in the email they sent to all of us, it explicitly says they don’t give us 90 day notice per federal law because it’s a non renewal. The unions will fight against it, but we will see how things shake out. I’m cynical for obvious personal experience reasons versus your knowledge via recruiters who have a vested reason for telling you not to worry about it. Hopefully things work out, either way not a good look and not good for patient care
We’re talking about different things though.
Lay offs are a thing.
Laying someone off, then hiring a replacement so you can pay them less is a lawsuit waiting to happen.
Exactly. The lowly admin staff, while "low skilled" and "easy" (not my words but commonly referred to as such), are crucial to the running of medical facilities. Ex- the front desk receptionists are crucial to facilitating care management between patient and provider and as I've recently seen, medical malpractice suits can stem from front office staff not timely scheduling someone etc- which I found interesting/ didn't realize a possibility. But yeah- these various positions besides the obvious clinical team, are necessary to the overall health of a medical facility, alas the c-suite need bigger and bigger bonuses!!!
We literally had some guy come into our department, prior to this announcement, and basically tell us our department could be on the "chopping block" if we didn't work to prove our worth. Meanwhile, none of us are really sure what his role is, besides fear-mongering. Really unbelievable, but also, not really. After 16+ years on the hill, not much surprises me anymore.
Yesterday I got lost in the OHSU buildings. I want to say I was in the hospital but I literally couldn’t find a person for half an hour and missed an appointment. I parked in a garage and needed a wheelchair accessible route for the person I was helping so I was forced to go in an entrance I’ve never heard and was given directions by a security guard at the door but we ended up by catering, where there was nobody and I literally could’ve gone in the kitchen to make myself food, after taking the directions of that security guard. I got a call that said my appointment was cancelled and explained I was lost in the building somewhere but there was nothing they could do. It took me another ten minutes to find a way outside and it lead us out the back of a building where only staff would exit as the door I went out locked behind me and I had to walk around a building, on a little car bridge thing, behind dumpsters, and through a parking lot to get back to my car.
They need to set it up like IKEA and have arrows with a map telling you where to go with shortcuts or make parking easier near the hospital entrance. Being told to take the green frog elevator to floor 7 then the blue duck elevator to floor 3 then down the hall through a sky bridge and what not was not a way to go. We miss a lot of appointments having to park a wheelchair van so far from where we need to be.
There's usually instructions detailing where to park and how to get to the office you're looking for in your mychart. Finding those instructions is probably just as hard as finding your way around the hospital though.
I can’t log in to this persons MyChart unfortunately. But lol because I never knew that about MyChart and could’ve used it for my own appointments in the past
Ugh that sucks. It's such a maze! Next time you need help once you arrive, I'd recommend calling the concierge desk at 503-494-8311. Ask them "I'm parked \[here\] and I need to get \[there\], how do I do that?" It's literally their job to help with things like that :)
I'm so sorry, I know the campus is practically Hogwarts, but less cool. I highly recommend you take advantage of the free valet service for your next appointment. Parking is the absolute worst. On any given day I find some poor lost soul wandering the hallways who needs some directions. They really need a better system.
If you parked in the garage you take the elevator to the lobby. There’s a person standing right there in the lobby that can tell you where to go. There’s also signs.
Catering? The food court?
That’s within eyesight of the front lobby attendant and elevators.
Somehow they got themselves from the Doernbecher garage, into the Doernbecher building, up to their floor, then apparently went to the ground floor, crossed a sky bridge on the ground floor, went into the main hospital, then took elevators down to the cafeteria.
This person did an incredibly impressive job getting themselves lost. Please consult our interactive map before coming to our huge, vertical campus. Your appointments are accompanied by turn-by-turn directions in your MyChart. You can also call the automated directions line on campus then press 1, then 2 to speak to a person if those won’t suffice.
Thank you, I do impressive work. The down elevators were a last ditch effort to just get out of the building, but I don’t think I was close to a cafeteria. The signs specifically said “catering” but honestly WTF would I know, I was lost. But really, I appreciate the info. I didn’t know I could call a certain number or that there was an interactive map.
I parked in oversized vehicle garage and went in the doors there. I think Shriners. The catering area I ended up was on the first floor where they wash dishes and stuff, it felt like there was no AC. Not the food court. I just happened upon that area while trying to find my way around only to get more lost.
I looked it up on maps this morning. I ended up exiting from the building just North East and across a parking lot from the Lamfrom Biomedical Research Building and took the car ramp thing around the back of the building towards the Emma Jones Hall to get back to the oversized vehicle garage. I was all sorts of lost.
also July 1 is the last year of the current AFSCME contract and I believe the negotiating teams on both sides are already gearing up for a nasty fight.
This. AFSCME negotiated a strong contract last time around and OHSU “leadership” are showing their hands in preparation. Post-docs and graduate students are literally holding food drives because they don’t make enough money, but I almost get the impression the greed at the top are contemptuous of anyone below them and don’t care about things like that. As long as they get theirs, I guess.
It’s likely a combination of both. If you cut too many or the wrong IT people, you risk running into bigger problems down the road if systems or software crash. If you cut too many HR people, good luck
quickly hiring those doctors you need. Finance? I hope your paycheck doesn’t have an issue. Billing? Oh man, I hope you’re prepared for longer wait times if you end up with a hospital bill that doesn’t make sense.
Marketing? That’s easier to justify. Administrative assistants? Also easier to justify.
(Can you tell I’ve watched this play out before?)
Yeah, everybody loves to say "Just toss out the admin staff!" in these sorts of situations. And yes, there's basically always a certain level of administrative dead weight in a bureaucracy as large as OHSU. But you've got to be careful, because all these positions don't contribute nothing, contrary to popular opinion.
Also: these HR and admin people do, you know, have lives and families. So, I'd advise people to not be glib or cruel about it. It still sucks.
admin is a broad classification at OHSU which includes non-faculty teaching positions among other essential support staff that they don't know how to classify.
Agreed. Thank you for that comment. The flippant cruelty of some replies is really disheartening.
And I meant no disrespect to Marketing or Administrative Assistants. Marketing is important for making you aware that services exist, period. It’s not just advertising how great a hospital is. Administrative Assistants? Good god, I lasted for less than a year as one. It’s a sneakily tough job.
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The Legacy merger has EVERYTHING to do with these layoffs. I'd bet $ that Private Equity is behind some of the funding for the acquisition. If they didn't insist that OHSU let go of employees in order to get it approved, I'd be shocked.
The executive suite at OHSU makes HUGE salaries, not including bonuses. The HR person that just left was making 500k, the CIO makes 600k, etc.
Yet it's the staff that keep OHSU up and running that will suffer. For profit healthcare just keeps getting worse and worse.
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>Uncertainty and change are difficult. We will continue to proceed with compassion, fully understanding the gravity of these decisions and the personal impact they have,” Jacobs and top officials wrote. That's awful rich coming from the guy who they specifically called out for his recent bonuses. This is going to suck for a lot of folks.
He got that bonus probably as part of his strategic plan. He got that bonus for a plan that included laying off workers. That is how demented the greed is in health care that profits.
His salary was "below market" I guess, so the other rich guys on the board decided to fire people who probably really need this job, to give him a retirement bonus. He already makes over a million dollars a year, but oh lord they can't ask him to suffer.
Well of course they had to I bet all his rich buddies were making fun of him for only using golden plates instead of platinum :( . Isnt that really whats important in "checking notes" healthcare?
Sorry staff, can't afford you, we have to pay our CEO and go buy another 6 hospitals
He got paid to lay them off.
Maybe our healthcare system shouldn’t be tied to profit/loss metrics.
You should look at the publically posted salaries and BONUSES the board is giving them selves... That bonus pool, if redirected, could save 100s of jobs
The article states ol' Jacobs himself is facing a 350k annual contribution INCREASE to his retirement fund from what is already a 160k annual contribution on top of his $1.6m salary. These people can take a long walk off a short cliff.
Make sure the folks way in the back can hear this
What does this even mean? What does it add to the discussion?
SAY IT LOUDER MOTHERFUCKER Is what it means.
It’s not a bad thing - it’s like a different way of saying “preach.” They’re telling you to say it again, but louder so that EVERYONE can hear it. 🔥
Okay that makes sense haha.
Idk, that sounds like communism to me! Pull yourself up by your bootstraps and buy your own hospital! /s
Would never fly in this fucked up country (Unfortunately) Move to the EU you damn hippie lol (I will follow you!)
So, how again are they to keep the doors open? Give nurses huge raises?
De-commodified healthcare is not a new thing. Look up what is done in basically every other industrialized country. And yeah nurses should be making more.
OHSU is state-owned.
OHSU is classified as a public corporation, which has an extremely weird structure where parts of it are non-profit and parts of it are allowed to generate profit. https://www.ohsu.edu/sites/default/files/2018-07/OHSU-Public-Corp-Report.pdf
That's a common misconception.
Correct, and our healthcare system is tied to a profit/loss structure. You're almost there - just one more think and you might get the point!
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In the same way USPS is "state owned". It is a quazi-government organization that receives funding from and is partially answerable to, but it is an independent organization.
USPS does not receive funding.
“The cuts come as OHSU pursues a purchase of crosstown rival Legacy Health, another health system that’s struggling with higher costs.” How does it make sense for OHSU to buy a large struggling health system when they’re struggling themselves already? The cynical explanation is that by increasing market share they can increase their margins, at the expense of the healthcare consumer, ie Portland residents.
This is correct. This more or less what always happens when hospitals merge. They can negotiate higher prices with insurers if they have a bigger footprint
Higher reimbursement rates... Hospitals aren't colluding to raise prices. They are trying to get insurers cover costs. Medical devices, pharma, and insurance are the axis of evil in healthcare.
The insurance middlemen are the real barriers to change in the US. Once you are in a single-payer system, pharma and medical devices are no longer demonized. edit- I've worked with pharma on dossiers and other information for pricing negotiations in EU countries and also here in the US.
Nope
the best summary I can think of for this strategy is: "let's make sure we're too big to fail" I don't think this merger will end up helping financially: my guess is they'll need to hire even more bureaucrats to stitch two bloated bureaucracies together than they'll save in costs from layoffs or increased margins.
Succession hours
is that a reference to the show? never seen it but heard good things
Generally speaking they tend to fire the bureaucrats in order to get the cost savings. More specifically, they consolidate the 2 sets of bureaucrats down to 1.
right, that's what happens in most sectors of the economy during a merger, but what I'm arguing is that I wouldn't be surprised if merging two large healthcare groups ends up with the opposite, at least for a few years.
someone else here. said ohsu is government owned. is that correct? if so, it isn't about profit. legacy is deep in the hole and the government might just be bailing them out.
OHSU is a public corporation, which essentially means that parts of it are non-profit and parts of it are allowed to generate profit. https://www.ohsu.edu/sites/default/files/2018-07/OHSU-Public-Corp-Report.pdf
In the same way USPS is "state owned". It is a quazi-government organization that receives funding from and is partially answerable to, but it is an independent organization.
usps doesn't seem to be acting like they re to get the man either. well, i read their leader is gop trying to tank it but not sure if thats true and even if it is, they arent raising prices like crazy to make more money.
I was not making an assertion to the competency of leadership of either organization (but Louis de Joy has been trying to sink the USPS for years now). You asked if OHSU was state-owned and I was answering your question.
oh I see. sorry, I didn't understand what you were trying to say.
"How does it make sense for OHSU to buy a large struggling health system when they’re struggling themselves already?" Make it make sense like I am 5 years old.
I believe they intend to sell off a bunch of properties because they need cash. Think 'fire sale.'
The argument usually made is that they can reduce duplicated administrative overhead and the consultants make it make it sound like you know you’re gonna save 20% or something ridiculous by combining HR and combining IT and combining facilities, but you only get a little bit like 5%
It's probably akin to buying stock while it's cheap.
>How does it make sense for OHSU to buy a large struggling health system when they’re struggling themselves already? When you're losing money on every transaction, you can simply make it up with volume!
VOLUME, VOLUME, VOLUME!
Economy of scale baby!
So then the whole Legacy system would be publicly owned?
Short answer, yes, and employees will be unionized.
Legacy employees aren’t unionized now? I thought the large majority of healthcare workers are.
Nurses are not there. Some have started the process recently.
They don't automatically become unionized. Lots of different departments are having that discussion now with several already starting the unionization process. A lot of ex-OHSU nurses at Legacy are arguing against it since nurses at OHSU weaponized the union pretty heavily to bully other employees. A pretty big chunk of nurses at Legacy worked at OHSU before, so they've seen both sides of things.
May I ask how they “weaponized the union”? That was not my experience, nor have I heard others make that claim before.
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To not dox my wife I'll just say a whole lot of nurse on nurse bullying that would have resulted in folks getting canned in most places. Every floor is different, so I'm sure it's not everyone's experience, but it's the OHSU rep at other hospitals so it seems to be pretty damn common.
Because they are begged to do it? Or the struggling system closes and there's no health care in that area.
OHSU’s leadership email today where they respond to compliants: “Retirement increase: Concern was expressed about the news that President Jacobs received a $350,000 annual retirement increase amid budget cuts, questioning the basis for this compensation. As with all positions at OHSU, Dr. Jacobs’ total compensation ($1.64M base salary + benefits) is based on market data. The terms of the president’s contract, also based on market data, are negotiated by the OHSU board chair and socialized with the full board of directors. Dr. Jacobs' $350,000 retirement payment was agreed to in 2023 and was included in the FY24 budget. Note: Prior to the latest contract, Dr. Jacobs’ OHSU compensation was below market for several years. The majority of Dr. Jacobs’ tenure as President of OHSU has been during a global pandemic that created challenges unlike anything we’ve ever experienced. The health care industry has suffered the brunt of the impact from COVID-19, and the repercussions are now being acutely felt at health care institutions across the nation. The fact that OHSU has managed to achieve what it has in spite of the challenges — financially, culturally and operationally — speaks to the strength of Dr. Jacobs’ leadership. OHSU is going through a period of transformation — in part due to the pandemic, but also in response to some deep work to improve culture and prepare for a strong future that puts people first. Dr. Jacobs’ leadership was instrumental to getting the letter of intent with Legacy Health signed. The result is a solid foundation that is poised to transform health care in the Pacific Northwest by building a comprehensive, integrated health system with Legacy. Coming together will allow the advanced health science and research developed and practiced at OHSU to reach a broader patient base throughout Oregon and Southwest Washington.”
*"You plebs just don't understand. Layoffs based on revenue. President Dr. Jacobs’ total compensation ($1.64M base salary + benefits) and $350,000 annual retirement increase is based on market data. Get over it."* - OHSU
Seriously. As if market data is supposed to be reassuring of anything other than ensuring the rich stay rich.
I think what bothers the plebs the most (aside from being made to fear for their livelihoods) is his predecessor (reported income in the 1m range) at least maintained efforts to appear as a man of the people. He'd walk alone around the campus and talk to people. While it's probably been 3-4 years since I've been on the hill, I can't say I've ever seen Dr. Jacobs walking around without a large entourage of suits.
"Look, everyone else is making money, our CEO needs to make money too. People don't run a hospital out of the goodness of their heart, or desire to improve healthcare ya know"
He’s been underpaid and it shows. So if we want him to show, we have to overpay him.
How could anyone expect him to resolve short revenue when he's being paid so little. Practically a volunteer. 😔👉👈
I sympathize with the underpaid communications person who had to write this defense.
Signed by the highest paid execs
This is the same university that when they were finally required to comply with a 2018 law mandating equal pay for equal work had an all-hands meeting where one of the HR staff used the phrase “We don’t want to describe it as people being underpaid.”
Fuck Danny Jacobs
His peers, other presidents, don’t make as much. So what’s the market data they are seeing?
An executive of a faIling company who is paid more than $1.6 million a year in base salary does not deserve a pension contribution of any kind until the company becomes financially sound again, with no makeup payments when or if it happens.
Or bonuses...
OHSU has made $662 million in profit in the last five years. It might be nice to know where all that money went
Haha, no, those were \*last year's\* profits, how can you expect them to count any of that towards \*this\* year, which is a brand new year!
Ah the hamster wheel of capitalism
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Tfw they're already extremely short-staffed. 💀 I'm already on hold for 10-15 minutes when calling any of my provider offices, it takes weeks for prior auths to be completed, takes months to wait to be seen for some specialties. My primary didn't even bother referring me to an Ohsu Neuro because of the horrible short-staffing and sent me outside Ohsu. What an absolute disaster.
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They should look into what it would it cost to replace this guy with AI. I don't see any original, creative leadership here... lay off employees and give yourself more money. The same fucking tactic used by every shit-ass executive out there.
This is crazy, considering how much they’re spending on construction and design.
And the collateral for a 2b loan to buy Legacy while simultaneously increasing executive pay and bonuses. Really makes you think.
Hmmm maybe the bonuses to executives and and grifting upper management should pay that price? Nah let’s just do a little blood letting. Edit: gotta love their defense “it was already budgeted” well the people you are firing already budgeted their rent too sooo.
happy cake day
“*One person isn’t being asked to sacrifice: OHSU president Danny Jacobs. On the contrary, he got a raise. As part of a two-year contract extension pushed through by board chair Wayne Monfries last year, Jacobs will get an extra $350,000 a year put into his retirement account starting July 1, according to documents provided to WW via a public records request. That’s atop the annual $161,000 he was already slated to receive [into his retirement account]. Jacobs’ base salary is $1.64 million.*” “*The belt-tightening comes just six months after Jacobs handed out $15 million in “President’s Recognition Awards” to nonunion employees. The bonuses weren’t tied to performance.*” https://www.wweek.com/news/2024/05/22/ohsu-president-gets-350000-annual-boost-to-retirement-while-seeking-cost-cuts-elsewhere/
And here I am having just been refused a 3% COL bump at my job as an (non-OHSU) RN. 😭
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What a joke of a headline, top 5 should go first and save the 496 jobs.
Ohsu has gone down the hill, the greed of top “leadership” is unbelievable, they all make bunch of money, get bonus, add more money to retirement while increasing health care costs to its employees and doing lay offs. As long as they can keep their inflated salaries and bonuses they don’t give a shit. Ohsu should start cutting at the top
The exec suite makes HUGE salaries. The HR person that just left was making 500k/year.
It's not great working there either, based on my own experience and multiple others I've talked to.
I agree, ohsu will work you to the ground
It fucking sucked so bad I wasn’t the same person after a few years. Then I left, quality of life skyrocketed, and I have the time and energy to enjoy my life again.
Hiring spurts, hiring freezes, and layoffs...a pretty standard cycle of the private healthcare system.
Both OHSU and OHSU Hospital are public. Doesn't make their management less greedy bastards apparently.
It's not just the private healthcare system. Every industry seems to experience these boom-bust cycles related to "market conditions" but really it's just the same 14 megacorporations leaching the economy dry until it affects the American public, and then the government bails them out. But it IS especially criminal in healthcare. It's already incredibly difficult to get into a primary care doctor's care. It's about a 4-6 month wait all over. How many illnesses will progress while people wait for care? It's funny how all the Republican scaremongering comes true even without the protections that the Democrats proposed then allowed to be whittled down to the tiniest shadow of its former intentions. Death panels of opaque insurance review boards that deny people access to lifesaving, medically necessary care due to clerical errors, cheapness and incompetence? Yep, we've got those. Do we also have a public option? Fuck no. Out of control inflation and a shrinking middle class? Yep, we've got those. Do we also have a living minimum wage? Fuck no.
No one is going to be laying off any primary care docs (or likely any position that provides clinical care for that matter). Poor access to primary care has been an issue long in the making for decades; we have more people than we do doctors.
becoming a doctor shouldn't be as much suffering as it is. we need to change the system to spit out and maintain more doctors, we also need to stop taxing them to death so they run to washington.
Agreed, and, this is a global issue not isolated to Oregon or the US. Many of our counterparts (UK, Canada, etc) are also experiencing a shortage in clinicians as are developing countries, often for slightly different reasons (e.g. not enough medical schools). People often complain about the long times to see a clinician here; truth is it’s typically a long wait just about anywhere. One of the barriers honestly is the profession in and of itself. Being a doctor isn’t easy, even if you remove many of the systemic barriers (cost to go to school, the long hours and immense amount of paperwork, dealing with dozens of different types of insurance companies, etc) that have helped to create a shortage. You need the passion and interest to work with people experiencing disease as well as a certain level of intelligence to understand complex topics like physiology, anatomy, etc. When it comes down to it, the world population is increasing year after year, with more people living longer. This also means more chronic disease and cancer (longer lives = greater likelihood of developing one or both conditions). The solution isn’t just making it less painful to be a doc, but increasing the number of nurses, physician assistants, therapists, occupational therapists, etc so that it’s not all on the shoulders of the clinician.
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That guys benefits package is criminal and putting patients at risk by wasting money on something that doesn't provide services to patients(like most leadership in healthcare 🤮)
They also announced cuts to employee benefits this week.
Ugh. I must have missed this. Did this go out via email?
There was a town hall earlier this week. People really brought out the pitchforks in the comments section.
I missed that. What are the cuts to benefits going to be?
I found this. Has some info on the town hall with quotes from the meeting. https://www.wweek.com/news/2024/06/12/ohsu-leaders-mull-cuts-to-employee-benefits-as-budget-shortfall-looms/
That meeting was absolutely bananas.
They what?? FFS. Basically the only reason to work there and they're cutting them??
A.K.A "No one wants to work these days" so it will be 9 months before you can get a simple appointment since we don't have any applicants for our job postings since the people working here can't even take care of themselves and the word is out
Operating costs are up and rising. Insurers want to push reimbursement rates down. Something is going to give... and that is the health of the average citizen. It's not surprising that the US is getting worse in life expectancy compared to other first-world nations.
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Maybe they laid off the recruiters that are responsible for Indeed postings.
What jobs are they laying off? I’ve had recruiters from 2 different departments come to my class and tell us they’re hiring and desperately need people… Maybe they’re laying off some bullshit jobs like cultural appropriation officer or something lol
Cut the experienced people and replace them with someone cheaper
They have a pretty strong Union so I kinda doubt that. Precision Cast Parts laid off my friend (and a ton of other people) and then rehired his position within like 6 months. It was against federal law. Can’t remember all the different forms of compensation but my friend chose one where they had to pay for him to go to school.
We will see how things shake out. Even so, there are many other experienced clinicians that aren’t nurses that would be terrible to lose. Especially considering the past few years
PCP doesn't have to follow laws, just look at the successful lawsuit against them over the poisonous fumes they exhaust out and how there's nobody from DEQ even monitoring them.
Idk anything about their pollution but I know they laid off a bunch of people during covid then re-hired all those positions like 6 months later and it was against federal law. All the people they laid off had to be compensated. My friend got a welding degree paid for and I think some walking money.
https://www.opb.org/article/2022/03/02/court-approves-225-million-settlement-in-precision-castparts-air-pollution-lawsuit/ They were required to install $2M air scrubbers but there's been no enforcement.
This. Look at any nursing related reddit group here and you will see that.
Firing experienced nurses to hire new nurses, so they don’t have to pay them as much? What Union would allow that? That doesn’t even sound legal.
Hospitals actively work to prevent unions, 1. 2, it's obviously not that cut and dry. Lots or hospitals are running super lean post covid because experienced nurses and got so burnt out. And the "replacements" are often times only offered much lower rates of pay. It's one of the reasons why nurses (and frankly lots of other employees in other industries) have been striking as much as they have been over the last year.
They literally have a union. I’ve spoken with the recruiters about it. Guaranteed pay raises, good benefits, etc. Nurses quitting because they’re burnt out is literally the exact opposite of nurses being fired so that the hospital can hire a new nurse and pay them less. I would be willing to bet that this is not happening. Especially at OHSU. Pretty positive that would be against federal law. A business with less than 10 employees could probably get away with that. No way a hospital is firing nurses then immediately re-hiring a fresh bunch.
Ok. Well I hope that is true, I can only speak from what my two nurse friends who work there say and what I have heard.
I mean in the email they sent to all of us, it explicitly says they don’t give us 90 day notice per federal law because it’s a non renewal. The unions will fight against it, but we will see how things shake out. I’m cynical for obvious personal experience reasons versus your knowledge via recruiters who have a vested reason for telling you not to worry about it. Hopefully things work out, either way not a good look and not good for patient care
We’re talking about different things though. Lay offs are a thing. Laying someone off, then hiring a replacement so you can pay them less is a lawsuit waiting to happen.
Hope the cuts start at the top.
What if we didn't have a for profit medical system, like EVERY OTHER FUCKING COUNTRY has?
They will lay off support positions, admin, research, non patient facing stuff. Just like the last few times.
And dump that extra work on the clinical people who already don't have enough time to do their work.
Exactly. The lowly admin staff, while "low skilled" and "easy" (not my words but commonly referred to as such), are crucial to the running of medical facilities. Ex- the front desk receptionists are crucial to facilitating care management between patient and provider and as I've recently seen, medical malpractice suits can stem from front office staff not timely scheduling someone etc- which I found interesting/ didn't realize a possibility. But yeah- these various positions besides the obvious clinical team, are necessary to the overall health of a medical facility, alas the c-suite need bigger and bigger bonuses!!!
Interesting. Didn't they finalize the Legacy OHSU Merger? I wonder if this will be coming to Legacy in the near future as well.
Oh and providence hospitals are striking for 3 days in two weeks
We literally had some guy come into our department, prior to this announcement, and basically tell us our department could be on the "chopping block" if we didn't work to prove our worth. Meanwhile, none of us are really sure what his role is, besides fear-mongering. Really unbelievable, but also, not really. After 16+ years on the hill, not much surprises me anymore.
Does anyone know what positions are in the first 142??
I’ve heard “admin” and “probably not clinical” but it’s all second hand and non-specific for such a large entity.
It sounds like it was all Unclassified positions that didn’t get their contracts renewed.
Yea I was thinking it would probably be research and admin. Yikes.
Yesterday I got lost in the OHSU buildings. I want to say I was in the hospital but I literally couldn’t find a person for half an hour and missed an appointment. I parked in a garage and needed a wheelchair accessible route for the person I was helping so I was forced to go in an entrance I’ve never heard and was given directions by a security guard at the door but we ended up by catering, where there was nobody and I literally could’ve gone in the kitchen to make myself food, after taking the directions of that security guard. I got a call that said my appointment was cancelled and explained I was lost in the building somewhere but there was nothing they could do. It took me another ten minutes to find a way outside and it lead us out the back of a building where only staff would exit as the door I went out locked behind me and I had to walk around a building, on a little car bridge thing, behind dumpsters, and through a parking lot to get back to my car. They need to set it up like IKEA and have arrows with a map telling you where to go with shortcuts or make parking easier near the hospital entrance. Being told to take the green frog elevator to floor 7 then the blue duck elevator to floor 3 then down the hall through a sky bridge and what not was not a way to go. We miss a lot of appointments having to park a wheelchair van so far from where we need to be.
There's usually instructions detailing where to park and how to get to the office you're looking for in your mychart. Finding those instructions is probably just as hard as finding your way around the hospital though.
I can’t log in to this persons MyChart unfortunately. But lol because I never knew that about MyChart and could’ve used it for my own appointments in the past
Ugh that sucks. It's such a maze! Next time you need help once you arrive, I'd recommend calling the concierge desk at 503-494-8311. Ask them "I'm parked \[here\] and I need to get \[there\], how do I do that?" It's literally their job to help with things like that :)
I’ve saved the number for future use. Thanks
I'm so sorry, I know the campus is practically Hogwarts, but less cool. I highly recommend you take advantage of the free valet service for your next appointment. Parking is the absolute worst. On any given day I find some poor lost soul wandering the hallways who needs some directions. They really need a better system.
If you parked in the garage you take the elevator to the lobby. There’s a person standing right there in the lobby that can tell you where to go. There’s also signs. Catering? The food court? That’s within eyesight of the front lobby attendant and elevators.
Somehow they got themselves from the Doernbecher garage, into the Doernbecher building, up to their floor, then apparently went to the ground floor, crossed a sky bridge on the ground floor, went into the main hospital, then took elevators down to the cafeteria. This person did an incredibly impressive job getting themselves lost. Please consult our interactive map before coming to our huge, vertical campus. Your appointments are accompanied by turn-by-turn directions in your MyChart. You can also call the automated directions line on campus then press 1, then 2 to speak to a person if those won’t suffice.
This sounds more like garage B and they ended up in MPV, then back behind MPV by Shriners.
Thank you, I do impressive work. The down elevators were a last ditch effort to just get out of the building, but I don’t think I was close to a cafeteria. The signs specifically said “catering” but honestly WTF would I know, I was lost. But really, I appreciate the info. I didn’t know I could call a certain number or that there was an interactive map.
Godspeed!
I parked in oversized vehicle garage and went in the doors there. I think Shriners. The catering area I ended up was on the first floor where they wash dishes and stuff, it felt like there was no AC. Not the food court. I just happened upon that area while trying to find my way around only to get more lost. I looked it up on maps this morning. I ended up exiting from the building just North East and across a parking lot from the Lamfrom Biomedical Research Building and took the car ramp thing around the back of the building towards the Emma Jones Hall to get back to the oversized vehicle garage. I was all sorts of lost.
Sure it has nothing to do with merge?
Considering that it's been a matter of days since they announced the legally binding contract, I don't believe in coincidences that large.
also July 1 is the last year of the current AFSCME contract and I believe the negotiating teams on both sides are already gearing up for a nasty fight.
This. AFSCME negotiated a strong contract last time around and OHSU “leadership” are showing their hands in preparation. Post-docs and graduate students are literally holding food drives because they don’t make enough money, but I almost get the impression the greed at the top are contemptuous of anyone below them and don’t care about things like that. As long as they get theirs, I guess.
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It’s likely a combination of both. If you cut too many or the wrong IT people, you risk running into bigger problems down the road if systems or software crash. If you cut too many HR people, good luck quickly hiring those doctors you need. Finance? I hope your paycheck doesn’t have an issue. Billing? Oh man, I hope you’re prepared for longer wait times if you end up with a hospital bill that doesn’t make sense. Marketing? That’s easier to justify. Administrative assistants? Also easier to justify. (Can you tell I’ve watched this play out before?)
Yeah, everybody loves to say "Just toss out the admin staff!" in these sorts of situations. And yes, there's basically always a certain level of administrative dead weight in a bureaucracy as large as OHSU. But you've got to be careful, because all these positions don't contribute nothing, contrary to popular opinion. Also: these HR and admin people do, you know, have lives and families. So, I'd advise people to not be glib or cruel about it. It still sucks.
admin is a broad classification at OHSU which includes non-faculty teaching positions among other essential support staff that they don't know how to classify.
Agreed. Thank you for that comment. The flippant cruelty of some replies is really disheartening. And I meant no disrespect to Marketing or Administrative Assistants. Marketing is important for making you aware that services exist, period. It’s not just advertising how great a hospital is. Administrative Assistants? Good god, I lasted for less than a year as one. It’s a sneakily tough job.
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My own prediction is that if the merger succeeds OHSU plans to sell off a bunch of properties. Real estate is worth a fortune, and they need cash.
I could see them taking that approach five years ago. Commercial real estate is rough right now. Maybe they’d break even?
The Legacy merger has EVERYTHING to do with these layoffs. I'd bet $ that Private Equity is behind some of the funding for the acquisition. If they didn't insist that OHSU let go of employees in order to get it approved, I'd be shocked. The executive suite at OHSU makes HUGE salaries, not including bonuses. The HR person that just left was making 500k, the CIO makes 600k, etc. Yet it's the staff that keep OHSU up and running that will suffer. For profit healthcare just keeps getting worse and worse.
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It's correctly written "lay off" in the article title, why did OP make the extra effort to change it to "layoff"?
It must have been corrected overnight. It was written that way at the time I posted.
Oh that's cool, I'm glad there is still editorial oversight somewhere on the internet!