Bruce Willis attends a movie premiere in New York on Friday, Oct. 11, 2019. Nearly a year after Bruce Willis' family announced that he would step away from acting after being diagnosed with aphasia, his family says his "condition has progressed." In a statement posted Thursday, his family said Willis has a more specific diagnosis of frontotemporal dementia. Charles Sykes/Charles Sykes/Invision/AP hide caption

Ongoing financial challenges, increased efficiency at the executive level and the need to move more quickly with strategic decisions are some of the key reasons health systems across the country are restructuring operations and leadership teams.

Here are six systems shuffling executive leaders or restructuring operations that Becker's Hospital Review has reported on since Jan. 1:

1. Boston-based Mass General Brigham is doing away with CEO titles for its community hospitals, with those leaders operating instead as presidents and COOs. On March 1, David Roberts, MD, president of Salem (Mass.) Hospital, will become senior vice president of community operations, overseeing financial and clinical initiatives for the system's six community hospitals. He will also combine and oversee six employed physician groups under Mass General Brigham Medical Group.

2. Philadelphia-based Jefferson Health plans to go from five divisions to three in an effort to streamline management and Improve efficiency. Under the plan, the 18-hospital system will group its wholly owned hospitals into the northern region. The restructuring will result in job cuts, mainly among executives.

3. Chillicothe, Ohio-based Adena Health System is eliminating 69 positions and sending 340 revenue cycle department employees to Ensemble Health Partners' payroll. Half of the staff in affected positions are qualified to fill open roles at the system, and the remaining employees will be eligible for severance and outplacement assistance.. President and CEO Jeff Graham cited the increased costs for hospital operations and inadequate reimbursement for care as key reasons for the cost-cutting measures.

4. Dallas-based Tenet Healthcare announced nine executive changes that will take place in 2023, including the retirement of Daniel Cancelmi, Tenet's executive vice president and CFO, and Brett Brodnax, president and CEO of United Surgical Partners International. Here are seven other executive moves taking place across the system.

5. El Segundo, Calif.-based Pipeline Health System expects to emerge from bankruptcy in the coming weeks after a monthslong restructuring process that included selling two Chicago hospitals and securing financial agreements with key stakeholders to support its future. Key leadership changes are also taking place. CFO Bob Allen will become CEO, replacing Andrei Soran in the role. Joe Badalian, COO; Traci Bowen, chief human resources officer; and Bob Frank, MD, chief medical officer, will step down from their roles to pursue other opportunities.

6. Gainesville, Fla.-based UF Health Shands promoted two C-suite executives after shuffling some leadership responsibilities. Previously, the chief medical officer and chief of staff responsibilities were combined into one role. Now they will be separate. Timothy Morey, MD, chair of the anesthesiology department, was promoted to chief medical officer. Jennifer Hunt, MD, was tapped for chief of staff, a role she will hold simultaneously with her current role as chair of the department of pathology, immunology and laboratory medicine at UF College of Medicine. 

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ICT ;| ;DIGITAL ;| ;SKILLING

KAMPALA - ;The information ministry has signed a memorandum of understanding (MoU) with International Computer Driving Licence (ICDL) Africa.

According to a press statement issued Wednesday (January 18) by the information ministry, the memorandum is aimed at enhancing digital skills training across the different structures in Uganda’s education system.

The MOU is also aimed at promoting the re-skilling and upskilling of the Government workforce to acquire appropriate digital skills to support service delivery.

ICDL general manager Solange Umulisa said the programme will also support the realisation of the digital Uganda Vision.

Umulisa, however, added that the MOU is expected to be implemented in five years through a collaborative effort.

“This is part of the wider government engagement with key partners that are geared towards enhancing the government’s ability to deliver e-services to the citizens of Uganda as envisioned in the Digital Uganda Vision," the ICDL general manager said.

Information ministry permanent secretary Dr Aminah Zawedde said: "This is a significant milestone for the Ministry of ICT & NG guidance in our quest to ensure that government employees and the citizens have the requisite skills to support and use the e-Government initiatives".