Docs seek ousting of hospital leadership
Cheyenne Regional Medical Center execs are under fire after medical staff members issued a recent vote of no confidence.
By Michelle Dynes
mdynes@wyomingnews.com
CHEYENNE -- Doctors affiliated with Cheyenne Regional Medical Center have asked for the resignation of the hospital's chief executive officer and the chairman of the board of trustees.
Medical staff members met to discuss workplace satisfaction and the results of a recent satisfaction survey during a special meeting Thursday, said neurosurgeon Dr. Steven Beer.
The No. 1 complaint was poor communication with CEO Charlie Harms. He added that Harms has had several years to improve the work environment, but satisfaction continues to drop.
Beer could not recall how many people attended the meeting but said that 75 percent of the participants issued a vote of "no confidence" in the leadership at CRMC. The group also approved resolutions asking Harms and Board of Trustees Chairman William Bagley to step down.
The next Board of Trustees meeting is 1:30 p.m. Thursday at CRMC.
"I want to provide the community here with the best care available (and) cutting-edge technologies," Beer said.
He added that it is a difficult task when doctors do not have a good working relationship with administration. In 2005, three surgeons left Wyoming Medical Center in Casper over a similar dispute.
Beer said physicians and administrators should work together to improve patient care. Instead, there is little room to negotiate doctor contracts, and the attitude at CRMC seems to be that doctors are replaceable.
He said local physicians also want more input on program development and new equipment.
"We may have been listened to, but nothing has been acted upon," Beer added.
According to a statement released by CRMC officials, administrators are dedicated to resolving the concerns.
"We are committed to doing whatever it will take to improve the relationship with our physicians. Our commitment to our community and health-care partners is to establish a culture of excellence to serve our patients. Both the hospital and physicians want an efficient, safe hospital where patients are well cared for."
Reader Comments
Watching with Amusement wrote on Sep 30, 2008 12:19 PM:
Headed South wrote on Sep 30, 2008 9:37 AM:
MIke wrote on Sep 30, 2008 9:22 AM:
Mike wrote on Sep 30, 2008 9:05 AM:
Replace all the doc's or replace 2 people..
It's not just one doc coming foreword. "
please wrote on Sep 30, 2008 7:18 AM:
Hey Rose wrote on Sep 30, 2008 7:18 AM:
Larry wrote on Sep 30, 2008 6:59 AM:
Ralphinphnx wrote on Sep 30, 2008 1:46 AM:
the Medical Profession
is the Only Profession
that gets to bury its
mistakes!..Cheyenne
a City With Very Limited Medical Care! "
Ex employee wrote on Sep 29, 2008 9:03 PM:
SS Lives Hater wrote on Sep 29, 2008 8:39 PM:
Medical Care wrote on Sep 29, 2008 5:02 PM:
As a Doctor in Northern Colorado, I need to tell you that my peers in the Cheyenne area are considered a running joke among true medical professionals.
I see more and more patients from South Wyoming and when I do ask why, the answer is always the same. Poor hospital and doctors who don't quite measure up.
Need a qualified doctor and a hospital that put's patients first? Drive south! "
The truth wrote on Sep 29, 2008 4:04 PM:
You think you have it good wrote on Sep 29, 2008 3:58 PM:
I was there wrote on Sep 29, 2008 2:57 PM:
Here is a man who wanted nothing best for the hospital, but was fought every step of the way.
Once I was working in a surgery suite and one of the aesthesiologist had his half eaten lunch in the cart. When confronted, he screamed and pitched a fit, is main argument, "I am a doctor".
Yes, a doctor who should have known better, a doctor who put patients at risk, a doctor who was above the rules, a doctor who will be running our hospital.
Sorry Charlie, find a hospital that does more than talk about wanting to change, find one that really WANTS to change. "
I am laughing so hard right now... wrote on Sep 29, 2008 2:50 PM:
You ask why do so many Coloradoans work there... Maybe because so few people in your backwards town are qualified for most positions. Cheyenne is looked upon as a joke in this region, Charlie tryed bringing a horrible hospital kicking and screaming to standards that the rest of the US adhere to, only to be fought every step of the way.
What kind of doctor lives and work in Cheyenne? Bad ones.
Just for the record, there are plenty of high level people that run CRMC who are natives to your backwards town, one who sits in a high level position with a high school education.
The problem is that you can't have a good ol boy network and a good hospital together and Cheyenne in it's wisdom doesn't want change for the good, they want to be a joke to the west.
Run south Charlie, people here like doing things right. Same advice for any one seeing medical care, run SOUTH! "
reader wrote on Sep 29, 2008 12:11 PM:
That's Dr. Beer to you.
While Dr. Beer is opinionated. He is right on these matters.
And Dr. Parnell is incredibly correct in her assessment of the number of middle management positions and the efficacy of that structure.
This change was predestined. Watch the improvement from this day on. "
Good Going wrote on Sep 29, 2008 11:29 AM:
Rose wrote on Sep 29, 2008 9:20 AM:
a nurse wrote on Sep 29, 2008 9:10 AM:
I just hope that we can get back to decent staffing ratios, have the support and understanding of tha administration and have the doctors treat us with all due respect.
By the way some of the nursing VP's treat the nurses alot worse than the doctors ever dreamed of. "
insider wrote on Sep 28, 2008 10:45 PM:
I believe Mr. Harms is a kind and honest person who ended being in the wrong place at the wrong time. Thank you for all your hard work whether the community sees it or not. I, at least, am sorry to see you go!
So now, to take my own advice from a previous post and from JFK: what can we do to help CRMC become the facility we want it to become? "
insider wrote on Sep 28, 2008 10:35 PM:
Concerned about Collaboration wrote on Sep 28, 2008 9:20 PM:
The patients and families that come to CRMC need and deserve excellent care without all the anger and conflict played out on these pages.
Many of our frail elderly and others don't have the time or money to cross the "border", some actually chose to come to CRMC for care by skilled nurses and treatment by skilled physicians.
As a healthcare professional for over 25years, it is discouraging to see such a disconnect between administration, physicians and staff. Only when these three very important segments of healthcare get back in alignment, will CRMC be able to move toward the worthy goals of patient safety and physician and staff satisfaction. Best of Luck in that difficult endeavor. "
CO girl stuck here in Cheyenne wrote on Sep 28, 2008 7:10 PM:
Toni W wrote on Sep 28, 2008 12:22 PM:
Former Employee wrote on Sep 27, 2008 3:45 PM:
MJ Heiser wrote on Sep 27, 2008 2:38 PM:
frustrated wrote on Sep 27, 2008 2:38 PM:
Betty Jo wrote on Sep 27, 2008 2:13 PM:
Nurses Unite wrote on Sep 27, 2008 10:22 AM:
Its best Charlie is gone. wrote on Sep 27, 2008 10:16 AM:
However, I have seen doctors in Wyoming and Colorado; never have I been treated rudely by a young doctor in Wyoming or any doctor in Colorado. But, I have been appalled by some of our older Wyoming doctors' behavior. Neither patients nor nurses are spared their sarcasm, swearing or temper tantrums.
We've solved part of the problem, now lets work on more ethical behavior with some of our doctors. "
to Nurse Mary wrote on Sep 27, 2008 5:52 AM:
Jamie Nurse wrote on Sep 26, 2008 6:57 PM:
Still a Cowboy at Heart wrote on Sep 26, 2008 6:11 PM:
Time to Party wrote on Sep 26, 2008 4:21 PM:
Charlie Harms has resigned/or got fired
Good job people of Cheyenne. "
Complainers wrote on Sep 26, 2008 3:49 PM:
Edward Male Nurse wrote on Sep 26, 2008 3:47 PM:
Rumow is that he has resigned today. I pray this is true. He is the most evil man I have ever met. He is unethical, abusive, and immoral. Most nurses have a hard time even looking at him. It doesn't matter though because he never looks at or says hello to the staff. Before he came to CRMC, managers always worked with the staff to improve patient care. He has gotten rid of all of those managers and created an empire of Vice Presidents and Executive Vice Presidents. They are his buffer. Whenever someone comes after him, he offers one up as a sacrifice. Then he remains unscathed. What evil. Bye Charlie, so long, farewell, auf wiedersehn!!!! Don't let the border hit you in the rear. "
Nurse Mary wrote on Sep 26, 2008 3:32 PM:
Physicians wrote on Sep 26, 2008 3:05 PM:
Trish wrote on Sep 26, 2008 3:00 PM:
Sorry Charlie! "
Suzanne wrote on Sep 26, 2008 2:32 PM:
Charlie's answer to these problems: add another layer of leadership. And get that leadership from Banner in Colorado. Certainly they know more then anyone in Wyoming. Someone mentioned the "culture change". Yes, the culture is now divided- one is Wyoming pride and the other is negative, dictatorial Colorado hatred.
The truth hurts and here it is; Charlie has ruined CRMC. So many wonderful people have left. Patient, employee, and physician satisfaction is at its lowest. Employees are afraid for their jobs and morale is in the toilet. The Board has been lied to on multiple occasions by Mr. Harms. They only know what they are told. Mr. Harms is an unethical and abusive CEO. Just ask the staff that put up with him for 17 years at McKee. They are sooo happy that he is finally gone. "
The truth... wrote on Sep 26, 2008 1:33 PM:
HA HA HA wrote on Sep 26, 2008 12:33 PM:
Are you kidding wrote on Sep 26, 2008 11:36 AM:
TO THEY NEED HELP wrote on Sep 26, 2008 8:17 AM:
Everybody wrote on Sep 26, 2008 7:53 AM:
Balance wrote on Sep 26, 2008 7:19 AM:
Balance wrote on Sep 26, 2008 7:16 AM:
Out of Town Traveler wrote on Sep 26, 2008 12:50 AM:
GWR wrote on Sep 25, 2008 11:59 PM:
They need help there bad wrote on Sep 25, 2008 8:17 PM:
going to waste,let the people vote on it it is our money as tax payers.Also why do I have a hard time to enter my comments??
I have entered this one 4 times!! "
Finally wrote on Sep 25, 2008 7:34 PM:
disappointed wrote on Sep 25, 2008 5:50 PM:
You are all crack heads wrote on Sep 25, 2008 4:17 PM:
Former CRMC Employee wrote on Sep 25, 2008 4:14 PM:
former employee wrote on Sep 25, 2008 1:38 PM:
My thought on this hole subject is that when Charlie came aboard he had a 5 year plan. This plan consisted of getting rid of the old UMC employees to start. Then start to drop patient satification down over the next few year. Get a few warning for bad care and then get the place in such a state that they will need to get bailed out from another hospital. BANNER HEALTH. With a poor repore with the county, BANNER will come in and buy out our county ran hospital and turn it into a for profit hospital only to serve the fat headed money hungry mongrals from Banner health. So instead or a hundred million dollar buy out they can get it for less then half that or more. The IRS needs to audit good old Charlie Harms and see of he is getting another paycheck from BANNER.
MAKES YOU KIND OF WONDER HMMMMMMMM "
Concerned wrote on Sep 25, 2008 1:09 PM:
The truth... wrote on Sep 25, 2008 12:02 PM:
Face it wrote on Sep 25, 2008 10:06 AM:
Lynda wrote on Sep 25, 2008 9:35 AM:
Big Dog wrote on Sep 25, 2008 9:07 AM:
I recently had surgery at CRMC and Dr. Beer was my physician. He is the only doctor I would allow to come near me with a sharp instrument. Cheyenne and the surrounding area CANNOT afford to loose ANY physicians, let alone one of the top neurosurgeons in the U.S.! Read through all these comments and I think you'll see that CRMC staff is saying that Harm's and his Colorado cronies are the problem. Get rid of the overabundance of middle and upper management and hire more nurses, doctors and support staff and see how our hospital looks then! "
Charlie wrote on Sep 25, 2008 8:59 AM:
Employee wrote on Sep 25, 2008 8:39 AM:
watchful bystander wrote on Sep 25, 2008 8:36 AM:
Looking forJob wrote on Sep 25, 2008 8:02 AM:
Why is it so many good nurses have left & why is it departments like the ED have been having such turnover .
Nobody can trust anybody from the management team and know they will stab em in the back to look good and if it makes the management team look good. "
It is widespread wrote on Sep 25, 2008 6:19 AM:
Shelly wrote on Sep 24, 2008 11:46 PM:
Cheyenne would be a better place since he likes to "repremand" children oh ya, and what about those to Dr's that filed assault charges against him in York NE "
PatriotWarriorAncestors wrote on Sep 24, 2008 11:33 PM:
FED UP EMPLOYEE wrote on Sep 24, 2008 10:44 PM:
WELL IF YOU DR'S REALLY CARED ABOUT PATIENT CARE YOU WOULD ALSO WANT THE STAFF THAT YOU WORK WITH TREATED WITH RESPECT AND FAIRNESS SO THAT THEY COULD HELP YOU IN DIRECT/NON PATIENT CARE, OR BILLING YOUR CHARGES, MAINTAING THE FACILITY, COOKING, CLEANING OR VOLUNTEERING AT OUR HOSPITAL. THE DOC'S SHOULD INVESTIGATE ALL OF THE RESCENT TURN OVER DUE TO THE LACK OF RESPECT, THREATS AND DEMEANING TREATMENT THAT ALL THE "TOO MANY CHIEFS" ARE DISHING OUT. IN MY DEPARTMENT ALONE 6 LONGTERM,EXPERIENCED,LOYAL EMPLOYEES HAVE QUIT DUE TO THE ASSISTANT DIRECTOR AND DIRECTOR. 15-20YEARS OF DEDICATED SERVICE FOR EACH EMPLOYEE WALKED OUT THE DOOR WITH NO ONE CARRYING TO STOP THEM OR GET RID OF THE PROBLEM DIRECTOR AND ASSISTANT WITHIN THE LAST 6 MONTHS. MR HARMS HIREING ALL HIS PALS FROM COLORADO HAS GONE FAR ENOUGH. DRIVING 35-40 MILES TO GREELEY OR FT COLLINS FOR DECENT HEALTHCARE, EMPLOYMENT, WAGES DOES NOT SEEM SO BAD.HUMAN RESOURSES IS A JOKE. "
The real issue wrote on Sep 24, 2008 10:04 PM:
wrote on Sep 24, 2008 8:40 PM:
Current Front Line Nurse wrote on Sep 24, 2008 7:31 PM:
nurses wrote on Sep 24, 2008 6:17 PM:
Art wrote on Sep 24, 2008 5:31 PM:
Get an Education if you want more wrote on Sep 24, 2008 4:58 PM:
Balance wrote on Sep 24, 2008 4:52 PM:
The issue here... wrote on Sep 24, 2008 3:36 PM:
To Fan of BCBS wrote on Sep 24, 2008 3:34 PM:
Beer wrote on Sep 24, 2008 3:05 PM:
Harms Must Go wrote on Sep 24, 2008 2:54 PM:
Annoyed Nurse wrote on Sep 24, 2008 2:42 PM:
Former Nurse employee wrote on Sep 24, 2008 2:40 PM:
same or worse, than their complaints against management.
CRMC had the attitude that nurses are expendable. Giving Doc's what they want whenever one of them wimpers.
Now it sounds like Mr. Harms is tryiing to level the playing field a little. WHAT GOES AROUND COMES AROUND MR. BEER !!!
Some Doc's want to install a patsy so they can continue trashing the hospital staff. Trying to ignore regulations imposed by outside regulatory agencies. Putting all
responsibility on the hospital to maintain legal standards and enough quality staff to cater to doctor's whims.
I'm surprised there are still enough people in this city to staff the hospital. Just take a look at employee turnover rates. They're 3x the number they should be for a facility of
comparable size. Much of the turnover is directly related to poor Physician / employee relationship.
My finger points at the GOOD OLD BOY -- DOCTORS CLUB. "
Employee wrote on Sep 24, 2008 2:37 PM:
same ol stuff wrote on Sep 24, 2008 1:55 PM:
Former Pt. wrote on Sep 24, 2008 1:33 PM:
SLP wrote on Sep 24, 2008 1:29 PM:
Winn Health NOT wrote on Sep 24, 2008 1:16 PM:
Just another employee wrote on Sep 24, 2008 12:43 PM:
Winn Health wrote on Sep 24, 2008 12:25 PM:
Are you kidding wrote on Sep 24, 2008 12:18 PM:
Locke wrote on Sep 24, 2008 12:18 PM:
I am sure he can demonstrate how to improve the confidence of patient care in the hospital by releasing his outcome measurements. His high marks and his leading through example would deliver the needed confidence to patients to motivvate them to return to this hospital again.
Using his outcomes as benchmarks for other physicians, as CEO, he could assit them to achieve this high goal. As a leader I hope he releases his results soon.
Since leadership comes so naturally to Dr. Beer I am sure the entire medical staff appreciate his fight to get them the people and equipment they need to do their jobs. I for one would like to hear more about this.
We need to hear of examples from those providers that support him, of how he has improved their delivery of care and expanded the safety and quality of care at the hospital and into the community. "
WyoRes wrote on Sep 24, 2008 12:17 PM:
Shortage... wrote on Sep 24, 2008 12:16 PM:
frustrated wrote on Sep 24, 2008 12:07 PM:
its about time wrote on Sep 24, 2008 12:06 PM:
Fan of BCBS wrote on Sep 24, 2008 11:51 AM:
Geez wrote on Sep 24, 2008 11:47 AM:
Right now, if you look at the relationship of CRMC employees and administration, you will find a very cold existance. There is a strong sense of distrust toward administration from many employees. When you see the cut-throat mentality while hiding behind the cloak of "patient care", it is sickening. I have seen many long term employees let go and kicked to the curb without as much as a raised eyebrow from administration. This cold and callous mindset is very evident to the CRMC workers. It's as though there are no morals left.
I don't know if the removal of Charlie is the answer, but a good evaluation of the administration and their values and ethics should top priority. "
Hopeful wrote on Sep 24, 2008 11:14 AM:
Is there a guarantee, that if a new CEO comes to CRMC, it will make things better for the patients, the Medical Staff, the CRMC staff, and the community? "
Core Stategies wrote on Sep 24, 2008 10:34 AM:
Beer wrote on Sep 24, 2008 9:05 AM:
confused wrote on Sep 24, 2008 8:58 AM:
low moral wrote on Sep 24, 2008 7:58 AM:
CC wrote on Sep 24, 2008 7:56 AM:
The Real Young Professional wrote on Sep 24, 2008 7:24 AM:
Concerned wrote on Sep 24, 2008 7:12 AM:
Nurse wrote on Sep 24, 2008 7:00 AM:
Laughable wrote on Sep 24, 2008 6:50 AM:
to Addison.... wrote on Sep 24, 2008 6:35 AM:
Past Employee of over 7 years wrote on Sep 23, 2008 10:39 PM:
opportunities on the web site. Some of those positions have been there for years. you cant run a hospital well when the staff that is there is so burnt out that there will be mistakes. The 7+ years I was there, in my department alone there have been over at last count 60 some people come and go and that was from just before I left. When you leave you have a exiting interview and fill out a form. you can say what you feel. Everyone I have ever talked to said the same thing too many chiefs and not enough good indians. Management is unwilling to see how things work. They dont have a clue. It is ironic that at night and on the weekends with only a House Sup things pretty much got taken care of and done better.Listen to the employees "
Core Strategies wrote on Sep 23, 2008 9:57 PM:
Concerned staff wrote on Sep 23, 2008 9:33 PM:
Art wrote on Sep 23, 2008 9:18 PM:
Oh Really Now wrote on Sep 23, 2008 8:38 PM:
Concerned person wrote on Sep 23, 2008 8:19 PM:
Really wrote on Sep 23, 2008 8:01 PM:
Former employee wrote on Sep 23, 2008 7:51 PM:
Doctors wrote on Sep 23, 2008 7:15 PM:
Hardworking stiff wrote on Sep 23, 2008 7:09 PM:
Calm down Another Voice wrote on Sep 23, 2008 7:08 PM:
Young Professional wrote on Sep 23, 2008 7:00 PM:
To another voice wrote on Sep 23, 2008 6:54 PM:
Operaters wrote on Sep 23, 2008 6:25 PM:
To Mike wrote on Sep 23, 2008 6:02 PM:
Something has to be done....... wrote on Sep 23, 2008 5:38 PM:
I seen this long ago wrote on Sep 23, 2008 5:29 PM:
Hp Bud wrote on Sep 23, 2008 5:10 PM:
This will be interesting to see. "
Wyoming Native wrote on Sep 23, 2008 4:04 PM:
FORMER PATIENT AND EMPLOYEE wrote on Sep 23, 2008 3:17 PM:
Rich wrote on Sep 23, 2008 2:59 PM:
Addison wrote on Sep 23, 2008 2:35 PM:
Nebraska Resident wrote on Sep 23, 2008 2:16 PM:
tbone wrote on Sep 23, 2008 1:30 PM:
To 30 Years........ wrote on Sep 23, 2008 1:29 PM:
With that attitude are you also aware that in the past 5 years I have seen my grandmother be administered medication she is allergic to in this hosiptal and nearly die. My 5 week old niece was inproperly diagnosed at this hospital. She had a curable illness and later died. My own daughter was given a prescription that was written wrong out of this hospital. In my family, there is NO trust in our hospital. We almost lost our grandmother, we did lose a baby, and then overdosed my baby? What is the real issue here? If you ask me it is the lack of respect for our doctors. You know, you take care of your own, and they will have the capicity to take care of others. Please remember we are talking peoples lives here. "
Another Voice wrote on Sep 23, 2008 1:19 PM:
Casperite wrote on Sep 23, 2008 1:03 PM:
As Bruce Willis said in Die Hard, Welcome to the party pal!
I remember a few years ago when a few neurosurgeons staged simliar stunts to drive people away from the local hospital.
They then made their patients drive down to CRMC for their surgeries until their new privete hospital opened and then resigned their privilges at CRMC and now do surgeries exclusively in their brand new hospital.
Read the Casper Star Tribune over that time period and you will see exactly how it will play out.
Apparently there is only one neurosurgeon play book and Koptnk et al forgot it when they hopped the last charter flight out of Cheyenne. "
frustrated wrote on Sep 23, 2008 12:23 PM:
Thank you Dr. Beer other DRs wrote on Sep 23, 2008 11:57 AM:
He did this same thing in McKee Hospital in Loveland, CO.
RESIGN HARMS NOW!!!!
Get someone new in the hospital. "
Just Me wrote on Sep 23, 2008 11:56 AM:
I drove to Fort Collins wrote on Sep 23, 2008 11:24 AM:
Mike wrote on Sep 23, 2008 11:05 AM:
Go Doctors wrote on Sep 23, 2008 10:45 AM:
Just concerned wrote on Sep 23, 2008 10:10 AM:
30years wrote on Sep 23, 2008 9:20 AM:
From what I have seen from this group of physicians is the ones that yell the loudest have the most to hide.
The majority of our physicians are fine upstanding folks. Where are they and their oppinions of this so-called problem? "
Rose Marie wrote on Sep 23, 2008 9:01 AM:
Teresa Hight wrote on Sep 23, 2008 9:01 AM:
Mary wrote on Sep 23, 2008 8:58 AM:
AboutTime wrote on Sep 23, 2008 8:55 AM:
Young Professional wrote on Sep 23, 2008 8:14 AM:
Dr. Schyler wrote on Sep 23, 2008 7:59 AM:
We need better. "
Not True wrote on Sep 23, 2008 7:39 AM:
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K wrote on Oct 3, 2008 2:41 PM: