Mid-Columbia Medical Center announced Thursday it is reducing its workforce by 11 positions. MCMC Interim Chief Executive Officer Dianne Storby said it was the first time in over 20 years the hospital in The Dalles will eliminate positions.  She indicated the positions being reduced includes managers and staff-level jobs.  In a written statement, Storby said MCMC is experiencing budgetary pressures due to several factors, including a down turn in revenue for 2016 and the first two months of 2017, the uncertainty of healthcare reimbursements at the state and national level, and statistical and financial information challenges resulting from continued transition in their electronic health record.