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The Big Picture

President Michelle LeBeau paints the big picture for CVPH employees in an ongoing series of organizational opportunities, successes and challenges.

Our Path Forward

March 12, 2021

It's no secret that each of us rises each day with a goal to be our very best. To meet our mission. To take great care of our patients and each other. It's also no secret, that despite all your great work, our organization has been struggling financially for almost 10 years. Before COVID-19, we developed a plan to stabilize our finances over the long term. The pandemic's impact has made it clear that we must move quickly so we can continue to provide the care our loved ones and neighbors depend on.

In the first 4 months of fiscal year 2021, our loss of $6.5 million was due to a drop in the number of patient visits - a direct result of the pandemic and a trend hospitals across the country are grappling with. COVID-19 continues to spread uncertainty along with sickness. Even if volumes return to prepandemic levels - and there is no guarantee they will - we must continue to work differently and adapt to this reality. Returning to business as usual is not an option.

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Navigating Unchartered Waters: The Ongoing Impact of COVID-19

 February 10, 2021

“As we enter 2021, it should come as no surprise that we continue in unchartered waters. If you recall, we ended 2020 with a loss from operations of ($7.5) million despite federal aid opportunities. I am sorry to share, the first quarter of fiscal year 2021 has been equally as painful.

In December alone, we posted an operating loss of ($2.4) million bringing our first quarter losses to ($4.1) million. Despite earning $9.7 million in inpatient net revenue, we were behind budget by ($1.7) million. In our outpatient arena, we saw less patient visits in nearly all areas. Our earned $15.5 million in net outpatient revenue fell ($2.4) million below what was budgeted and professional services was no exception to this trend with a variance from budget of ($1.1) million.”


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The Path Toward Sustainability Part II: Redesigning Care Delivery

September 19, 2020

"For the sake of our patients, each other and the future of this organization, we are making real and meaningful changes here. It’s not been easy but we’ve taken some big steps toward a new CVPH and now we begin the difficult task of creating new work flows that both maintain our commitment to provide the care our patients need, while assuring that we’ll be here for them in the years to come.

Five hundred people in 12 departments have been directly impacted in this redesign initiative – launched to be sure we are here for our community now and in the future. From the very beginning, we have been committed to fundamentally changing how we work while keeping as many people employed as possible."

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The Path Toward Sustainability Part I: Redesigning Care Delivery

August 7, 2020         

"This is an extraordinarily difficult time. Here and at home, we’re being asked to adapt and adjust and adapt again. It’s uncomfortable and frankly, not easy to do. Today, hospitals like ours are reeling from the cancellation of elective procedures, huge drops in emergency department visits and the additional costs associated with COVID. The American Hospital Association reports a four-month financial impact of $202.6 billion in losses for hospitals across the US. (Hospitals and Health Systems Face Unprecedented Financial Pressure Due to COVID). In New York, where rural hospitals like ours have been on shaky ground for some time, navigating through the pandemic has been treacherous."

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Painting a New Picture:  The Financial Impact of COVID-19

July 1, 2020

"The basic rule to maintaining any budget, whether it’s your family budget or the ledger of an organization like ours, is that you need to have more money coming in than you have going out. When that balance is disrupted, changes must be made. To meet your household’s immediate needs and sustain the family going forward, you adjust by reducing spending and finding ways to increase your cash flow. The same actions are required here, today."

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Establishing the New Normal: Reopening Services During COVID-19

May 19, 2020

"With the approval from the New York State Department of Health to resume elective surgeries and slowly reopen the region, we’ve begun a new chapter in the COVID-19 pandemic. This chapter is filled with opportunity to reinvent ourselves while meeting the health care needs of our community. However, the story does not end with a return to life before COVID-19. Instead, it’s about taking a fresh look at the way we do things and establishing a strong foundation for our 'new normal'."

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