Will the Phoenix VA hospitals former director Sharon Helman be held accountable?

[DJW]

I know what you are saying Stan I had those same type of clearances and then a couple notches above those. But I just as soon make sure DR Who did not graduate from the " I all most passed the Medical School in Belize and is waiting to finish Phase III of English as a first language" before being hired by the VA to shave a little time off the clock.

 

Dennis

[skp51443]

But nine months?

[DJW]

The amount of time it takes to do a BI is determined on how many places the person has lived, how many jobs they have had, what the investigator comes up for with leads, what their case load. There are lots of things that go into doing a BI much less a SBI or above clearance. Most of that type of investigations gets contracted out now. DIS does not do those types of investigations any longer in house. I have seen some SBI's take over a year.

 

Dennis

[champ_49]

I know the VA has huge problems and we have all encountered them. But trust me when I say the private sector is even more shambles in my eyes.

 

It took my wife 4 1/2 mos. to see a surgeon for a tumor on her hip that could be cancer. And with hrs. of research and hard work we finally found one that took care of her. But in 99% of the cases it was because the front office didn't have any concerns what so ever for her problem. We are to full on our schedule we can see you in 3 months maybe. This went on since May 4th, 2015.

 

Finally we found someone that cared and the surgeon seen her in 10 days and did the surgery 2 days later. Tues we will find out the pathology report. Oh and 2 days after her surgery we get a letter from the surgeon we had been trying to see all summer stating that they have an appt. scheduled Sept. 9, to talk about it.

 

So it's not just the VA. I have been months trying to find a Dr that is worth my time and his outside the VA, because you have to have all your bases covered. Health Care in the United States is in shambles but the richer are getting richer.

 

Dave

 

Sorry, end of rant.

[DJW]

Hey Dave

 

Did you see the market last week. $744 Billion lost in value on Friday alone. $1.4 Trillion lost for the week. I would not say that all "rich" people are getting richer. If you don't have any skin in the game then you don't run much chance of getting road rash. Glad your wife got in to see someone about her hip. I will say a prayer for her tonight.

 

Dennis

[champ_49]

Hey Dave

 

Did you see the market last week. $744 Billion lost in value on Friday alone. $1.4 Trillion lost for the week. I would not say that all "rich" people are getting richer. If you don't have any skin in the game then you don't run much chance of getting road rash. Glad your wife got in to see someone about her hip. I will say a prayer for her tonight.

 

Dennis

Thank you Dennis

[DJW]

DaveM

 

Got the wife in our prayers today.

 

Dennis

[Cyberdave]

We will also.

[champ_49]

Thanks guys appreciate it a lot. We are pretty confident that things are fine. Been 2 weeks almost and if they have found anything I am sure they would have called. 2:00 pm we will hear the outcome on the pathology report. Other than that she is doing fine, and healing well.

 

Once again thank you for your concerns and prayers.

 

Dave

 

Update: Wife seen surgeon and all is well it appears. No report from pathology yet and the Dr. said if there was something to worry about he would have heard about it. He also said it didn't appear to be anything to worry about when he took the tumor out. We are good to go. Thanks everyone.

[skp51443]

More on the VA mess.

 

http://www.azcentral.com/story/news/arizona/investigations/2015/09/03/va-cannot-reliably-tally-wait-list-deaths/71584766/

 

<<snip>>

 

 

Nearly two years after Arizona whistleblowers warned that former military personnel were dying while they awaited care at Department of Veterans Affairs hospitals, inspectors have concluded the agency's record-keeping is so muddled they cannot reliably say how many patients passed away while backlogged in its national enrollment system.

A VA Inspector General report issued Wednesday was supposed to answer questions from Rep. Jeff Miller, R-Fla., chairman of the House Committee on Veterans’ Affairs, about whether up to 47,000 patients had died while their medical enrollment applications were pending.

Investigators from the Office of Inspector General found that, as of September 2014, the Veterans Health Administration had about 867,000 pending applications from prospective patients. They were unable to break down those numbers due to “serious data limitations,” but estimated that three-quarters of them were created more than five years ago and therefore inactive. The report says more than half of the enrollment forms did not even have application dates.

More significantly, about 307,000 enrollment records -- more than a third of those backlogged -- were from veterans who are listed as dead by the Social Security Administration. That is more than six times the number estimated by Miller. However, according to inspectors, data was so unreliable they could not tell how many of those applicants had sought medical care, or dates for their deaths.

 

 

Seriously? They can't even check DEERS and SSA to remove the dead vets from the waiting list?

 

More at the link.

[skp51443]

More Phoenix news, the VA took a big hit in the storm and more storms are on the way this week.

 

http://www.azcentral.com/story/news/arizona/investigations/2015/09/02/phoenix-va-hospital-major-storm-damage/71597712/

 

<<snip>>

 

 

Monsoon storm damage at the beleaguered Phoenix veterans’ medical center has forced officials to move dozens of patients, cancel some medical procedures and indefinitely cease new-patient admissions.

Don Taylor, acting associate director of the hospital, said torrential rains Monday night poured water into the main building's west and south sides.

"We had almost hurricane-force winds and associated rain," Taylor said.

Hospital spokeswoman Jean Schaefer said the storm caused damage in the Intensive Care Unit, the Emergency Department, inpatient wards and other areas. At least 67 beds are out of service, and some patients have been transferred to other hospitals.

Schaefer said most of the affected veterans were moved to other locations in the medical center, but some were transferred to surrounding community hospitals. The water impact was described as “pervasive,” affecting most hospital floors and about 40 rooms. No cost estimate was available for the damage.

 

If you have a pending appointment you might want to read the rest and call ahead to make sure you will be seen and where.

 

Edit: Oopsie, I missed the last paragraph, more woe.

 

 

Last week, the hospital suffered another setback when officials detected legionella bacteria, forcing the evacuation of a building that houses substance abuse-programs. Since May 2014, when tests first detected the bacteria, the structure has been evacuated three times for hyper-chlorination treatments, according to Schaefer.

This time, she said, bacteria were identified in several faucets. A team of experts is at the hospital analyzing the water system in an effort to pinpoint the source and develop a remediation plan.

 

I really feel bad for the majority of the people working there, they have suffered under a few really bad apples, a broken system that protects the bad folks and now they are getting all this additional grief.

[Rif]

As someone who has spent the better part of this year in and out of the Phoenix VA Medical Center, I think I have a pretty good sense of the situation. At least I have my patients perspective, which may or may not coincide with anyone else's.

 

First, let me say, I have had excellent care by doctors and nurses who really care. I have been treated for lymphoma (thank you, Agent Orange) and for a badly diseased gall bladder that complicated lymphoma treatment, which in turn complicated removal of the gall bladder. In the process I spent 20 days in the hospital, including 5 days in intensive care. For two of those five days it was not clear that I was going to live. Fortunately I obviously did, and my gall bladder has been removed, and my lymphoma is now controlled. My oncologist assures me that I will not die from it. He treated me with a very new monoclonal antibody that uses the body's own immune system to kill the cancer cells, instead of traditional harsh chemical chemo. In my case, it worked perfectly. I had five treatments of the drug, (a three hour IV once a week for five weeks) and each cost between $10,000 and $15,000 so I'm told.

 

Again, I've had excellent care. Appointments have been timely. I've never had a problem getting to see a specialist or scheduling any test or treatment. It has been as good or better than any private hospital I have ever seen. That said, I see two major problems.

 

First, the downtown facility itself. It is old, it is in a bad part of town, parking is a nightmare now and will be even after they complete the new parking structure they are working on IMO. Everything seems to be crammed into less space than it should have. I think they should start over and build a new facility somewhere on the outskirts of town like they did in Tucson, where they have room for all that is needed. Continuing to pour money into an old facility seems like a bad idea to me, but I'm sure there are politics involved, and not just VA politics.

 

Second is the Emergency Department. They call it an emergency department, but it is really more of an urgent care facility. If someone shows up with a life threatening issue, 911 is called and they are sent to Good Sam. No ambulances ever arrive because all the paramedics and ambulance drivers know that it is not an emergency room. In fact, the VA works very closely with Good Sam. Many of the doctors work in both places.

 

The biggest problem with the ED is that there is often a long wait to be seen. I have waited as long as 10 hours between the time I arrived and the time I was seen by a doctor. I was triaged by a nurse almost immediately, but there were so many people ahead of me that I just had to wait it out. Those times I had a serious issue, I was taken ahead of others. Once I was taken directly from reception to see a Dr. without even being triaged because the check in person recognized the seriousness of my situation. Though not my symptom, that happens to anyone who shows up with chest pains.

 

That said, on occasion I have walked in to find only a couple people ahead of me. It seems that no one can figure out how many people are going to show up for treatment on any given day at any given time, and often the number of patients far outnumbers the available rooms or doctors. Much of this is caused by what I can only characterize as "regulars". There are a significant number of veterans who show up every day or so. They are not really ill or in need of emergency care, IMO. I suspect some are suffering from mental issues, but others merely use the waiting room to fill their day. Many of the know each other because they are there so frequently, and they chat while they wait, sometimes loudly and disruptively. Eventually, many of them leave without being seen once they grow tired of waiting and have their social interaction needs met. While I have compassion for many of these men, all the counselling in the world will not solve their problems, and I don't have a good suggestion as to what should or could be done for them.

 

I'm sure there are many more problems that I am not aware of, but let me say again, I wouldn't be alive today if not for the dedicated doctors and nurses at the Phoenix VA Medical Center who cared for me when I needed it.

[Cyberdave]

Just came across this in Military.com.

 

Fox News | Sep 04, 2015

WASHINGTON -- More than 300,000 American military veterans likely died while waiting for health care -- and nearly twice as many are still waiting -- according to a new Department of Veterans Affairs inspector general report.

The IG report says "serious" problems with enrollment data are making it impossible to determine exactly how many veterans are actively seeking health care from the VA, and how many were. For example, "data limitations" prevent investigators from determining how many now-deceased veterans applied for health care benefits or when.

But the findings would appear to confirm reports that first surfaced last year that many veterans died while awaiting care, as their applications got stuck in a system that the VA has struggled to overhaul. Some applications, the IG report says, go back nearly two decades.

The report addresses serious issues with the record-keeping itself.

More than half the applications listed as pending as of last year do not have application dates, and investigators "could not reliably determine how many records were associated with actual applications for enrollment" in VA health care, the report said.

The report also says VA workers incorrectly marked thousands of unprocessed health-care applications as completed and may have deleted 10,000 or more electronic "transactions" over the past five years.

Linda Halliday, the VA's acting inspector general, said the agency's Health Eligibility Center "has not effectively managed its business processes to ensure the consistent creation and maintenance of essential data" and recommended a multi-year plan to improve accuracy and usefulness of agency records.

Halliday's report came in response to a whistleblower who said more than 200,000 veterans with pending applications for VA health care were likely deceased.

The inspector general's report substantiated that claim and others, but said there was no way to tell for sure when or why the person died. Similarly, deficiencies in the VA's information security -- including a lack of audit trails and system backups -- limited investigators' ability to review some issues fully and rule out data manipulation, Halliday said.

The VA has said it has no way to purge the list of dead applicants, and said many of those listed in the report are likely to have used another type of insurance before they died.

VA spokeswoman Walinda West said Wednesday the agency has publicly acknowledged that its enrollment process is confusing and that the enrollment system, data integrity and quality "are in need of significant improvement."

Sens. Johnny Isakson, R-Ga., and Richard Blumenthal, D-Conn., chairman and senior Democrat of the Senate Veterans Affairs Committee, said in a joint statement that the inspector general's report pointed to "both a significant failure" by leaders at the Health Eligibility Center and "deficient oversight by the VA central office" in Washington.

The lawmakers urged VA to implement the report's recommendations quickly to improve record keeping at the VA and "ensure that this level of blatant mismanagement does not happen again."

As of June 30, VA has contacted 302,045 veterans by mail, asking them to submit required documents to establish eligibility, West said. To date, the VA has received 36,749 responses and enrolled 34,517 veterans, she said.

"As we continue our work to contact veterans, our focus remains on improving the enrollment system to better serve veterans," West said.

The Health Eligibility Center has removed a "purge-and-delete functionality" from a computer system used to track agency workloads, West said. VA will provide six months of data to demonstrate that any changed or deleted data on VA workloads has undergone appropriate management review, with approvals and audit trails visible, she said.

-- The Associated Press contributed to this report.

 

[skp51443]

So, if I try the old "dog ate my homework" story is the IRS going to let me off the hook for what I owe them?

 

I didn't think they would either, so why should we let the VA pull the same story on us?

 

ANY missing record or document should be considered positive evidence of wrong-doing, either the original destruction or now as part of the cover-up.

 

 

This kind of story makes me feel even sadder for the thousands of good folks at the VA but it only takes a few bad apples to ruin everyone's reputation.

[StarDreamers.us]

Question? Is there anyone in our Government interested or able to clear up this MESS? Who? How?

 

Safe Travels!

[skp51443]

Clear up, the VA? Not so much - but on the cover-up they are going all out.

 

http://www.azcentral.com/story/news/arizona/investigations/2015/09/17/va-failure-protect-whistleblowers-draws-strong-rebuke-special-counsel/72362888/

 

 

The U.S. Office of Special Counsel on Thursday delivered a scathing letter to President Barack Obama, ripping the Department of Veterans Affairs for its failure to punish administrators who retaliate against Phoenix whistleblowers.

Special Counsel Carolyn Lerner said officials at the Carl T. Hayden VA Medical Center in Phoenix investigated, transferred and harassed Dr. Katherine Mitchell after she reported that emergency patients were being endangered and hurt because nurses were not adequately trained in triage procedures.

“I am concerned by the VA’s decision to take no disciplinary action against responsible officials,” Lerner wrote. “The lack of accountability for the Hayden VAMC leaders sends the wrong message to veterans served by this facility, including those who received substandard emergency care.”

Lerner said the VA Office of Medical Inspector eventually verified allegations by Mitchell, after she was removed from her post as acting director of the Emergency Department. Investigators found that none of the ER nurses had completed a nationally recognized triage training regimen, and “only 11 of the 31 nurses had completed any triage training at all.”

 

If you can stand to read it there is a lot more at the link above.

[Cyberdave]

Stan, It is pathetic that this is still happening. What is even more pathetic is the total apathy of the public! Sure, go defend the country, keep us free and safe and if you get hurt and need the care you earned...too bad, so sad, where's my beer.

[skp093018]

"What is even more pathetic is the total apathy of the public!"....not that I disagree, but there is only so much that an angry public can accomplish when no one is willing to punish the offenders. And yet, as a country, we are more than willing to see a couple of high school football players in Texas punished for doing something incredibly stupid .... because we have to set an example of "accepting responsibility for your actions".

 

Kudos to Stan for keeping this thread alive with his informative posts.

 

Regards

Gemstone

[skp51443]

looks like they have a new IG ready to start the approval process.

 

http://www.azcentral.com/story/news/politics/2015/10/02/obama-taps-dc-lawyer-michael-missal-new-veterans-affairs-watchdog/73229726/

 

 

WASHINGTON – President Obama is nominating Michael Missal, a Washington attorney who specializes in government enforcement and internal investigations, to be the new chief watchdog at the troubled Department of Veterans Affairs.

“The president selected Missal because he has a distinguished legal background and a proven record of expertly leading prominent, sensitive, and extensive investigations,” said a White House official, who spoke on condition of anonymity because he did not have permission to speak publicly about the nomination.

 

 

The White House official said Missal has extensive management and leadership experience. He is a co-leader of his company’s policy and regulatory practices overseeing 200 lawyers and a member of the firm’s management committee that governs 2,000 attorneys.

Missal was appointed by the Justice Department to look into negligence in the bankruptcy of subprime lender New Century Financial Corp and he was lead counsel in an investigation of the meltdown of WorldCom, which was the No. 2 long-distance phone company in the country.

He also was tapped to assist the Senate Select Committee on Ethics in its investigation of former Sen. John Ensign of Nevada, who resigned amid the probe.

“Throughout these and dozens of other high-profile and significant investigations, Missal’s work and reports have consistently received widespread acclaim,” the White House said.

Before joining K & L Gates in 1987, he served as a senior counsel at the Securities and Exchange Commission in the Division of Enforcement.

 

 

In another article I'm not posting due to the political nature of the author, there was some discussion of Sen McCain's claim that nobody got fired over the scheduling mess. Once you parse out all the political posturing what it looks like is around 20 folks got fired but the VA won't tell us where they were working. So maybe some were in Phoenix, maybe not but either way there was a lot bigger mess than 20 folks could cause and hiding their info is a sure way to hide what really is going on. Were they all data entry clerks or were they all hospital managers or a mix? The new IG has got to dig out the facts, release them and let the public see just what went wrong and what has been done to fix it. Another layer of whitewash isn't going to make anybody happy.

[RV_]

Excerpt:

 

"Week of October 12, 2015

U.S. Senator Richard Blumenthal (D-Conn.), Ranking Member of the Senate Committee on Veterans' Affairs, has urged the Department of Justice (DoJ) to immediately investigate unethical behavior by Department of Veterans Affairs (VA) employees identified in a VA Office of Inspector General (VAOIG) report released in September. In a letter to Attorney General Loretta Lynch, Blumenthal noted that this is another example in a growing list of misconduct at VA, and the DoJ must take action to stop any ongoing and future misuse of funds that should be going to the nation's veterans. Senator Blumenthal's letter is available on the Senate Committee on Veterans' Affairs website. The VAOIG report is available on the VA Office of Inspector General website."

 

Clickable links to the full report and other related benefits news on Military.com here: http://www.military.com/military-report/senator-calls-for-va-investigation.html?ESRC=mr1012.nlb

[skp51443]

The latest from the Phoenix region doesn't give me a warm fuzzy feeling.

 

http://www.azcentral.com/story/news/arizona/politics/2015/10/15/department-veterans-affairs-names-new-regional-health-director/73900478/

 

Snip:

 

The Department of Veterans Affairs has named a new health-care director to oversee the Phoenix VA hospital and other facilities in the Southwest, but she arrives with baggage.

Skye McDougall was accused of giving false testimony to Congress when she discussed patient wait times during a hearing this spring.

McDougall will begin work early next month as director of the Southwest Health Care Network, also known as VISN 18. She currently serves as acting director of the Desert Pacific Healthcare Network, a Veterans Health Administration supervisory office for Southern California.

In March, McDougall told the House Committee on Veterans’ Affairs that patients within the Greater Los Angeles VA Medical Center waited an average of four days for doctor appointments.

A CNN report based on VA data and whistleblower interviews concluded that McDougall’s sworn statement was “simply not true.” The news network said internal VA documents showed more than 12,700 patients seeking specialist consults had to wait at least three months for appointments, and the average delay for a first-time primary-care appointment was 48 days.

 

The rest of the article doesn't make her sound any better so hope for Phoenix is on hold for the foreseeable future.

 

[skp51443]

And here is today's story, more of the same.

 

http://www.azcentral.com/story/news/arizona/investigations/2015/10/15/inspector-general-report-rips-phoenix-va-urology-care/74016716/

 

 

A scathing report on urology care at the Department of Veterans Affairs hospital in Phoenix says some sick veterans died awaiting care and hundreds were medically sidetracked or neglected because of short-staffing and mismanagement.

The Office of Inspector General report says 45 percent of patients with bladder, prostate and urinary-tract issues received delayed care, or no care at all, during the last two years, even after patient wait times became a national scandal. The report also says investigators cannot yet calculate the damage suffered because medical records are messed up and missing.

 

 

Sam Foote, a retired Phoenix VA physician whose complaints to the OIG and Congress launched a nationwide review of care for veterans, said administrators refused to authorize outside appointments because of budget issues. Foote said once Urology Services was overwhelmed, he and others pleaded for approval to send patients to non-VA doctors, But hospital administrators refused.

"They (OIG investigators) didn't document why this happened," Foote said. "They missed the whole boat. ... The report says administrators didn't have a plan. Well, yes, they did have a plan — to not spend a dime on fee-based care."

 

 

The OIG report says that Phoenix administrators finally authorized outside appointments in May 2014, but even then the process was stalled by "complicated administrative processes." In September 2014, the report says, more than 3,000 urology patients were listed as "lost to follow-up" because their care status was unclear.

The OIG report notes that in addition to medical consequences, patients who could not get care "also likely experienced frustration, confusion and often fear." It describes one incident where a Holbrook veteran with prostate cancer was driven nearly 200 miles by his wife for an appointment, unaware that it had been canceled. "Of course, they were not notified," says a clerk's email to the scheduling supervisor. "The veteran's wife spent the remainder of her time holding back tears..."

 

Lots of hand-waving and hair-tearing but nobody is getting fired, business as usual.

[Cyberdave]

Stan,

I had just read the article and was going to post it also.

 

Why doesn't the Phoenix VA want to cut to the chase and fix this issue? Are all of those in managerial positions so afraid that the system will ruin their career??? Yes, IMHO the sickening truth is that those in power are able to control their underlings by fear. Just as a bad manager does in the civil side.

[skp51443]

Seems like someone is doing their job, just not at the VA, the courts are making an effort at least. No real punishment here though, only a finding that there was abuse for reporting problems. Now we will have to wait as the guilty parties lawyers try to run out the clock and avoid justice.

 

http://www.azcentral.com/story/news/arizona/investigations/2015/10/17/phoenix-va-fiscal-officer-wins-whistleblower-reprisal-case/74015344/

 

 

When Tonja Laney’s superiors at the Department of Veterans Affairs suspended her, searched her office, and investigated her based on an anonymous accusation of sexual misconduct, they were engaging in whistleblower retaliation. That was the ruling this week by a U.S. Merit Systems Protection Board judge who found that Laney, as chief fiscal officer for the Phoenix VA medical center, became a target of harassment as she tried to expose financial wrongdoing and mismanagement.

The 35-page decision issued by Judge David Brooks says Laney may now apply for monetary damages and corrective actions in the Phoenix VA Health Care System.

Laney, a disabled veteran who served in the Air Force, said she represented herself in a three-day hearing and feels vindicated after more than two years of fighting against rumors, reprisal and stress.

“I couldn’t have asked for a better decision from the judge,” she said. “This was a huge win. … They try to wear you down. Regular rank-and-file employees could not defend themselves because it would take a ton of legal fees.”

Brooks found that former Phoenix VA Human Resources Director Maria Schloendorn orchestrated a reprisal campaign against Laney, then refused service of a subpoena to testify under oath about the controversy. Schloendorn retired last year amid a local and national furor over delayed care for veterans and a corrupt VA culture. She could not be reached for comment.

The Laney case is one of many involving Phoenix employees who, after raising red flags about unethical conduct, got suspended, investigated and bullied.

 

Go read the rest of the article at the link, it is beyond belief what the paper pushers will do to cover their crimes.

[skp51443]

I skipped two articles that were first Hillary's position on the VA and nasty politics between Hillary and McCain, if you care to hear either's opinion there are available on AZ Central but will leave a bad taste in your mouth. If you do read them don't post about them here unless you can figure out what to say that doesn't violate the no-politics rule, I couldn't.

 

Anyway in today's installment of the ongoing saga of crime, corruption and dead vets...

 

http://www.azcentral.com/story/news/arizona/investigations/2015/11/02/va-team-blasts-phoenix-personnel-office/74763366/

 

 

A task force sent by the Department of Veterans Affairs headquarters to launch reforms at the Phoenix VA medical center wound up being stymied and sent away by local hospital leaders this year, according to internal records obtained by The Arizona Republic.

“Our hands were tied at every decision point,” says a March 30 report by the panel of national experts. “Instead of our expectation to work with a leadership team that genuinely desired positive change, we were met with a leadership team that displayed obstructionist attitudes, and clearly lacked integrity.”

The Human Resources Restoration and Revitalization task force, known as HR³, was sent to Arizona in mid-2014 and again early this year to study and repair a "broken" personnel system that contributed to under-staffing, delayed appointments and abusive practices in the Phoenix VA Health Care System. Its mission: to improve hiring processes, record-keeping and oversight in an organization that serves about 80,000 veterans.

Upon arrival at Carl T. Hayden VA Medical Center in May 2014, the team determined that Phoenix's Human Resources Management Service was "severely under-resourced." Nearly a third of the HR staff had quit, and those who remained were using antiquated data systems.

"But perhaps the most glaring find of the assessment was the poor state of the office culture," according to the team's report, which is marked "Pre-decisional — Not for Publication."

"There were widespread allegations of employee mistreatment, retaliatory tactics, illegal hiring practices, veteran discrimination, nepotism, bullying and an overall abuse of power. The work environment was clearly toxic, and having a negative impact upon HR operations, which ultimately impacted their core mission of hiring those who could provide access to care.”

Administrators at the Veterans Health Administration decided to treat the Phoenix medical center like a patient in critical condition, with experts assigned to develop a treatment plan.

The report says those efforts failed because local VA bosses and staffers balked at changes. In the end, acting medical center Director Glen Grippen informed team members that he “decides what’s going to happen around here,” then directed them to leave. “At the time of our exit, no changes were made to the Phoenix HR Team’s organizational structure or workload distribution process,” the HR³ team wrote. “The constant delays and obstructions made it impossible."

 

 

more at the link