With the coronavirus pandemic stressing the health care system, you might expect skilled hospital staff to be more important than ever. But in an ironic twist of the pandemic, hospitals throughout the region are experiencing severe income losses as patients postpone routine visits.
It鈥檚 happening from Sky Lakes Medical Center in Klamath Falls to Mad River Community Hospital in Arcata. But the downturn may be felt most seriously at Curry Health Network in Gold Beach, Oregon.
Dr. Seth Giri is a cardiologist in Gold Beach, population 2,200. In fact, he鈥檚 the only full-time clinical cardiologist in Curry County. Since 2017 he worked with the region鈥檚 small, rural hospital system, Curry Health Network.
But that changed last week.
鈥淚 was basically called to my CEO鈥檚 office at around 4:30 at night and said that my job is terminated,鈥� he says.
Giri is one of around 200 staff, including doctors and nurses, who have been laid off, transitioned into being on-call employees, or had their hours cut in recent weeks.
In late March, Oregon Gov. Kate Brown ordered health systems to eliminate non-urgent procedures in order to conserve critical protective equipment like gloves, masks and gowns for a possible surge in COVID-19 cases. That, on top of patients avoiding the hospital, choked off funds that keep hospitals in business.
鈥淐linic visits are down more than 65% in the last two weeks. Our emergency rooms are both down by about 30% of normal. Our surgical volumes have all but dried up; we鈥檙e seeing a reduction of 85%,鈥� says Ginny Williams, CEO of Curry Health Network.
Overall, visits at the rural hospital system are down by more than 50%.
鈥淭hese are significant reductions for us,鈥� she says. 鈥淣ot sustainable.鈥�
Curry County has far fewer cases of COVID-19 than other parts of Oregon. As of Sunday night, there were just three positive cases known in the county.
Curry Health Network is facing some unique financial struggles. The health system went into debt in the last two years after opening a new freestanding E.R. in Brookings. And like Curry County, many other rural hospitals were already in trouble before the pandemic.
鈥淏efore this pandemic began, 47% of them, that鈥檚 nearly half, were operating at a financial loss,鈥� says Alan Morgan, CEO of the National Rural Health Association. 鈥淭hat was before they began eliminating all out-patient procedures, elective procedures, basically before they started cutting off the lifeblood of their facilities from a financial standpoint.鈥�
Rural Americans are, on average, older and sicker than their urban counterparts, making them more at-risk for COVID-19, Morgan says. The impact of the current layoffs is also likely to be long-lasting since rural hospitals have a harder time attracting employees.
鈥淚t鈥檚 ironic; they鈥檙e laying off staff, in many cases, in communities where they have a shortage of staff to begin with. And when this crisis does arrive at their doorstep, they鈥檙e going to have to struggle to figure out 鈥楬ow do we keep up with it?鈥� at that point,鈥� he says.
Sara Dickerson is an employee of Curry Health Network whose contract was terminated. She鈥檚 a Curry County native and worked at the hospital and E.R. since 2014, first as a registered nurse and later a nurse practitioner.
鈥淚鈥檝e been an RN for 10 years. I could have really helped out,鈥� Dickerson says. 鈥淚n the emergency department I can manage ventilated patients. I have a skillset that they could have used if things were to get bad.鈥�
Like many, Dickerson is frustrated with how employees were treated 鈥� contracts voided, longtime employees laid off, severance pay and health insurance cancelled. She says there was little help offered to employees suddenly in need of filing for unemployment or health insurance.
鈥淓ven if you鈥檙e going to be laying people off, even if you had no choice, it鈥檚 how you do it,鈥� she says.
Three other employees of Curry Health Network declined to comment for this story out of fear of losing their jobs for talking to a reporter.
The hospital can鈥檛 afford to pay their employees鈥� benefits, according to CEO Ginny Williams. She says even with the layoffs, if they don鈥檛 get federal or state assistance, the hospital won鈥檛 make it through the summer.
鈥淚f we got none of those things, and nobody came forth to provide us with any assistance, with our reductions we will survive until June [or] July,鈥� she says.
For cardiologist Seth Giri, much of his frustration comes from the fact that he can鈥檛 help his patients, who are now putting off visits or his colleagues who are preparing for a possible increase in COVID-19 cases.
鈥淚 wish there was a way I could still help,鈥� he says. 鈥淭hat鈥檚 really the disappointment. That鈥檚 really the frustration more than anything else. It feels like you鈥檙e in shackles and you can鈥檛 contribute.鈥�
