Initial Data Gathering

As bizarre as our first visit was, we are beginning to gather some data so that we can get started even before we are able to get consistent access to the management team. We have initiated the following

1. Data request has been sent to the CFO for key indicators and trending
2. A copy of the last audit has been requested from the corporate internal audit team
3. An employee survey has been designed and will be distributed to staff

Initial Site Visit Status Report: Week 1 Concerns

Although we had hoped to conduct several in depth interviews during week one, we have not been able to adhere to that schedule. It appears that this engagement will require much more intensive work than originally estimated, with a corresponding increase in related fees.

Our initial findings are disturbing, we will share a few examples to give you some flavor of what we are dealing with.

We arrived at the facility on Monday at 8:00 am to find that there were no mangers on site. The CFO, we are told works from 10:00 am to 1:30 on Tuesdays and sometimes Thursdays and doesn't like to be bothered "during lunch." There was a 13 year old in a south park sweatshirt in the CFO's office clearly accessing the Bank of America account.

The PBX operator was sleeping when we arrived; She was later heard to overhead page axl rose, Charlie Manson, and Joey Buttafuco. The HR director's voice mail said Merry Christmas, she'd be back after New Years.

All financial forms that were specifically supposed to use Mint Green as highlighting and be printed in portrait format had been altered to landscape and included unapproved and frankly unflattering colors, even red.

On an odd note, the case management, admissions, and medical records departments were running smoothly, although patients were being discharged at times before their rand, making them happier and more profitable than the strategic plan had approved. The Director over this department seemed somewhat harried and stressed out and completely unaware of the management turmoil in other areas of the hospital. She also did not know what day of the week it was (apparently she works weekends now too, so they all run together). Neither could she tell us the name of the Indian kid on American Idol, which causes us to question how in touch she is with reality.

The CEO Grande, who was supposed to be overseeing this and other facilities in the area, has not been seen for over 4 weeks now. We checked missing person's reports and found it strange that nothing had been reported. His family, when contacted, confirmed that no missing person report had been filed but seemed in very high spirits.

We found a stoned, disheveled man sleeping in the boiler room who claimed he was the second savior Jesus Christ and also the compliance officer. When we asked for identification he tried to bite one of us, so we just gave him some beef jerky and left that alone.

On a note unrelated to the scope of our assignment, the home health biller doesn't flush the toilet after herself and Charlene Crabass has a filthy mouth and a little problem keeping her hands to herself.

Project Overview: Hospital World

On the 5th of this month, KPMG was retained to do a comprehensive evaluation of the management team and work environment of Hospital World.

Scope of Work:

1. Perform a complete assessment of each key executive including psychological issues, management skills, 360 degree review and full physical including body cavity search.

2. Evaluate and rank each executive on the following attributes:
-- Willingness to be taken advantage of
-- Desire to please demanding and unreasonable authority figures
-- Ability to tolerate both physical and psychological pain

3. Identify team dynamics leading to dysfunction and recommend actions to resolve