A major leadership shakeup over at Summa Health going on now...with two top positions eliminated, and people filling those posts losing their jobs.

The Beacon Journal reports that the hospital, which has been through months of controversy following the abrupt replacement of their Emergency Room physicians group, and subsequent loss of acreditation for the ER Resident training program---is attempting to "remove layers of management, increase efficiency, and maintain high standards for quality, safety and operations."

That, according to a memo sent out to staff yesterday morning by Summa's Interim CEO, Dr. Cliff Deveny. He tells the newspaper it's "totally inaccurate" to link the controvery surrounding the emergency room earlier this year to the changes that eliminate the Chief Operating Officer and Chief Medical Officer positions.

COO Valerie Gibson was close to former CEO Dr. Thomas Malone, while CMO Dr. Vivian von Guenigen was heavily criticized for a potential conflict of interest because her husand headed U.S. Acute Care Solutions, the company Summa replaced it's existing core of emergency room staff with in January. Neither are expected to remain in other capacities with the hospital system.