The three hospital administrators who were the target of a “no-confidence” vote still have their jobs, but four other members of the executive team do not.

A week after WhidbeyHealth medical providers overwhelmingly passed a vote of no confidence in CEO Ron Telles, Chief Operating Officer Dr. Garth Miller and attorney Jake Kempton, Telles terminated four people in administrative positions who were brought in during the last couple of years to help make improvements in a public hospital system with serious financial and public perception problems.

The fired executive team members were Chief Nursing Officer Erin Wooley, Chief Information Officer Brett Mello, Human Resources Officer Debbie DeCorde and Quality Control Officer Jon Scallan.

In a written statement, Telles said it was “an incredibly difficult decision, but important for the continued financial viability of the organization.”

“We have accomplished great things in the past year,” he wrote, “including passage of the levy lift. However, after rigorous financial analysis, it was clear that more action was needed, including reducing and restructuring the executive team.”

The reaction from the community was swift, dramatic and overwhelmingly critical of Telles and the hospital board. Many felt Telles’ actions were retaliatory toward members of the executive team who were honest about the problems in the organization. Others opined that he was creating “organizational chaos” which would make it difficult for the board to get rid of him.

Many hospital employees spoke with News-Times anonymously for fear of retaliation, but others were willing to go on the record because they felt the community needs to know what is happening.

Dr. David Lemme, chief-elect of the medical staff, said the terminations were part of a longtime and troubling pattern on the part of the administration. The level of turnover in the public hospital district and clinics is a profound problem, he said, and it’s not just due to wage issues. The administration often doesn’t treat people with respect or work to build their trust.

“We’re losing quality providers because of personality issues,” he said. “…They fire or coerce valuable members of the team to go somewhere else.”

Many of the people who contacted the News-Times were especially concerned to lose Wooley, who was described as a leader who did much to improve the perception of the hospital across Whidbey Island and successfully organized the hospital’s COVID-19 response.

Washington State Nurses Association, known as WSNA, released a statement saying that the nurses at WhidbeyHealth were surprised by Wooley’s departure. The association described her as “a respected leader and advocate for quality patient care.”

“WSNA has significant concerns around ongoing care of patients, coordination of nursing care, as well as the working conditions and safety of the nursing staff,” the statement reads. “The registered nurses represented by WSNA are heading into negotiations with WhidbeyHealth for a new collective bargaining contract, and the dismissal of key members of leadership will have an impact.”

The association said the retention and recruitment of nurses will be a top priority.

“The nurses have not had a meaningful raise since 2018,” the association said. “Their salaries are far behind area market and there are critically low staffing levels in several units of the hospital.”

Bill McDaniel, a retired rear admiral who ran Navy hospitals, is a board member of the WhidbeyHealth Foundation, which raises funds for the hospital. He said he has serious concerns about Telles’ actions. He said his initial response when hearing that the four people were terminated for financial reasons was “bull.”

“We just passed a levy to pay for high-quality people like this,” he said, referring to the levy lift that will generate an extra $6 million a year in property tax revenues.

McDaniel said the loss of Wooley will be widely felt.

“Everybody in the hospital thinks the world of Erin. She’s a star. She’s the one we go to,” he said, adding that Telles has been much less accessible to the foundation.

Ultimately, McDaniel said, the community deserves better answers.

“It bothers me that this occurred at this time and in this manner,” he said.

Dr. John Hassapis, a general surgeon, said elected members of the hospital board are ultimately responsible for the problems. He said the medical staff — which includes physicians, nurse practitioners and other providers — decided to take the no-confidence vote because they felt their concerns weren’t being transmitted to the board.

The vote was a message to the board, he said.

According to the doctor, 40 providers took part in the vote. A total of 30 voted in favor of the no-confidence vote, four voted against it and six declined to vote.

Hassapis also said high turnover is a major concern.

“Patients can’t see the same doctor twice in a row,” he said.

Hassapis was one of many people who cited the longtime and ongoing problem with the phone system for the hospital and all the clinics. It’s a serious issue, he said, when patients can’t get though to their doctors.

Likewise, he said the different electronic records devices don’t communicate with each other, which isn’t efficient and causes problems.

Mello was brought in to fix these problems, but his work was not complete before he was terminated, the doctors said. Medical staff members are concerned that the technical problems will only get worse.

Dr. Robert Wagner said another problem is the hospital’s system of bringing providers in on a fixed salary and switching them to a production-based compensation system that significantly cuts their wages. As a result, they end up leaving.

“It’s just a merry-go-round,” he said.

Wagner said some of the providers work in other small rural hospitals that are much more successful.

“The leadership and administration there can sift through the difficulties and make things work,” he said.

The hospital board met with representatives from the medical staff for nearly three hours Thursday night to discuss the no-confidence vote. The board went into a closed-door executive session and took no action afterward.

Another executive session is scheduled for 7 p.m. on Feb. 14.

Afterward, Wagner said residents should also be encouraged to contact board members with their concerns. The emails for the individual commissioners are on the “board of commissioners” page on the hospital website.

Letters to the editor are also welcome at editor@whidbeynewsgroup.com.

While many people see difficult problems in the administration of the hospital, many also emphasized that the doctors and other providers are top-notch.

Wooley said she was surprised and saddened by her termination, but she wants people to trust in the quality of health care they will receive from the hospital and clinics, despite management issues.

“Without a doubt,” she said, “WhidbeyHealth has some of the finest providers and absolutely outstanding clinicians.”