Wayne Allen PDT Staff Writer In an announcement from King's Daughters Health System, the group has reduced its workforce by 148 people citing declining patient volumes and reimbursement levels as the cause of the restructuring. The announcement stated workers that were most impacted were in support, administrative or supervisory roles. Staffing levels for direct patient care are unchanged. Fred Jackson President/CEO of King's Daughters Health System said in a released statement, “Together, we have done everything possible to avoid this situation, including cutting operating expenses, combining areas where that made sense, and improving our operations through process innovation. Those efforts have helped us greatly. While difficult, the reduction will help preserve the positions of 3,831 people throughout our Health System, as well as our main goal of providing high value, exceptional patient care to our community.” Jackson said some of those impacted by this restructuring will be offered new positions through the job bidding process. According to Tom Dearing, King's Daughters Health System Spokesman, the announcement on Thursday did not affect King's Daughters Medical Center Ohio. “There was no reduction in Ohio. (The) Ohio (facility) is exceeding our expectations. The quality is great and the staff is great and we've been formally received by the community.” Dearing said. When asked if this announcement would delay any potential expansion plans for KDMC Ohio, Dearing said, “Everything is going better than we anticipated.” The announcement said, “After 114 years of serving our community, the Health System has been caught in a perfect storm of a shifting business model, changing federal and state reimbursements, increasing demand for charity care, and a weak economy. To be successful in the new health care environment, we must change. The continued success and growth of the Health System lies beyond the walls of our main campus. It lies in our outpatient services, and our nearly 50 locations where we can meet patients in their neighborhoods. Nearly 750,000 people are now within 30 minutes of a King's Daughters outpatient facility. Despite our challenges, we remain one of the nation's best medical centers. The quality and value of our care is excellent. Because of the extraordinary efforts of our Team Members and medical staff, we recently were named one of the best hospitals in the region by US News & World Report and Consumer Reports.” Other changes that will come as a result of this announcement include the Russell Family Care Center closing Sept. 1 with providers and staff relocating to other centers. Family physician Jane Strader, M.D., and pediatrician Akashni Bhasin, M.D., are moving to the Flatwoods, Ky. center. Pediatrician Jonathan Maynard, M.D., is moving to the Grayson, Ky. center bringing pediatric care to that facility. The Pikeville, Ky. Family Care Center also will close Sept. 1. Family physicians Patrick Collins, D.O., and Tara Newsome, M.D., will relocate to KDMC's new Prestonsburg center, 15 minutes north of the Pikeville center. Physical medicine and rehabilitation physician Scott Akers, M.D., and cardiologist Vaughn Payne, M.D., also are relocating to the Prestonsburg, Ky. location. For more information about King's Daughters Medical Center visit www.kdmc.com. Wayne Allen may be reached at 740-353-3101, ext. 228, or firstname.lastname@example.org. For breaking news, follow Wayne on Twitter @WayneallenPDT.