This is the part of being the man behind the numbers that I hate.
Let's start at the beginning, I had already projected a $250,000 deficit in our businesses budget, which I could fix by reducing the contract labor lines. Basically, like most businesses in the US, we have a rotating pool of contract labor from temp firms for maintenance. If we reduce the contracting and ask for more internal care and watchful of incidents, we could keep cost down without cutting jobs of full-time people in any of the medical or billing departments.
Well, bad news came first this morning, when I was told that our funding will be cut from our foundation director for certain medical areas due to shifts in interests. Basically, this affects HIV prevention and screening, Diabetes programs, and Asthma care. Now that is just another $200,000, which meant some cuts would be needed.
Nextt another, problem came up as I was told one of our major hospital contract had also discontinued. The loss was another $150,000. This was related to physician referrals for outpatient services, like ambulatory rehabilitation, which the hospital was looking to cut.
So we're now up to $600,000 in losses, which are bad enough.
At around 1 PM, I found out that my CEO signed without consent or review with the finance department several contracts worth $1,500,000 for a new EMR system in order to attract "meaningful use" funding (Patient Protection and Affordable Care Act requirement)..However, I have to pay consulting costs and software of $300,000.
To add insult ontoo injury, one of the manager, without permission, got the CEO to sign off on a contract for an expensive suite of office software for $200,000.
So, I now have about $1.1 million in combined losses and deficit spending.
You know what the executives told me to do to fix this issue, find the weakest performing departments and either eliminate the departments or fire people up to the amount of losses.
I figured that we'd need to fire about 20 people between a mix of managers down to case worker level.
Heck, if people had bothered to notify me earlier and give me indications of issues, I could try to plan this out better. From the executive to the directors to managers, everyone was out for their own needs first. Now, what am I supposed to do except fire some unsuspecting person?
This was bullshit on so many levels.