Akron General team predicts bright future

The outlook is a whole lot healthier these days atprocedures also have increased.
Akron General Health System.• The health system's liquidity — a measure
From the three doctors leading Akron Generalof an institution's cash flow — has improved
Medical Center to the friendly employees greetingabout 40 percent to 50 percent from earlier this
visitors, the once financially troubled health systemyear.
is operating under a new culture.• Despite the ailing economy and patients
In the past six months, Interim Chief Executivefacing higher deductibles, surgical volume has
Michael Rindler has implemented a new mantra forremained steady this year, after several years of
the health system's 5,700 employees: Be nice.decline.
Work hard. Accommodate.• Improvement in bill collection processes
He has also empowered doctors with a recentlyyielded about $10 million.
created Office of the President, shared by Drs.Strong competition
Jack Mitstifer and Tim Stover.''One of the real benefits to the community from
The two guide the day-to-day operations of thewhat's happening is that it's clear that there are
hospital, along with the recently named chieftwo really good, strong health-care systems here,
medical officer, Dr. Paula Bauer.so people have a choice,'' Rindler said, referring to
''We have a person here who has empoweredAkron's two adult hospitals, Akron General and
physicians to have a significant part of leadership,''rival Summa Health System.
Stover said. ''I talk to a lot of docs, and they're''We feel that choice is incredibly important to the
feeling and sensing they're working in a differentcommunity. The stronger the two health-care
environment at Akron General than they workedsystems are, the more likely it is that people can
at a year and a half ago.''stay here in town to have their health care,
The administrative team, for example, recentlyinstead of having to travel to Cleveland or other
approved a new endoscopic procedure to treatplaces. I think both systems are strong, both
severe acid reflux with no-incision surgery throughsystems have different philosophies.''
the mouth, said Dr. Daniel Guyton, chairman ofRindler, a health-care consultant from Maine,
the Department of Surgery.temporarily took over the helm at Akron General
The new procedure was approved within a daythis year after the retirement of former
after staff surgeons discussed the option with thePresident and Chief Executive Alan J. Bleyer.
hospital administration, Guyton said.At the time, the health system was trying to
''In the past, that would have been months andrebound from financial troubles through
months and months,'' Guyton said. ''It's really nicerevitalization efforts that initially included job cuts.
to be in a hospital that's led by physicians.But much of the subsequent efforts focused on
Because of their clinical background, this wasimproving revenue, said Richard Fedorovich, board
almost an intuitive understanding of the advancechairman of Akron General Health System.
that this was for patients.''Cost containment is important, but you'll never
''I think all of us are enthusiastic about thecut your way to prosperity,'' Fedorovich said.
changes that have happened here. I am convincedRindler concentrated on what he calls basic
in my heart of hearts that we are on the right''blocking and tackling'' strategies — things such
track here.''as improving how the hospital bills and how quickly
The bottom line is benefiting from the changes,it gets paid for services.
Rindler said in a recent interview.Speedy payment
This time last year, Akron General's operating lossAkron General also worked with insurance
was about $7 million, Rindler said. Today, thecompanies to renegotiate contracts. Its largest
medical center's operating revenue is exceedingprivate payer, Medical Mutual of Ohio, has been
expenses by $2.1 million.''an excellent partner'' and ''shown great flexibility in
''The better you do, the more resources youworking with us to improve the contract, even
have, the more you can solicit ideas fromthough they didn't have to,'' Rindler said.
physicians,'' he said. ''It now is really feeding onThe revitalization efforts have included promoting
itself — the cultural changes and the financialthe hospital's expanded emergency services at
improvement.''the Health and Wellness locations with a new
Thanks to its improved financial position, Akron''Take Me There'' card program and other
General plans to double the amount it spendsmarketing initiatives.
next year on capital projects — things such asThe hospital now is focusing on moving from
investments in clinical programs, facility''stable'' to ''stellar,'' said Bill Babcox, board chairman
improvements and information technologyof Akron General Medical Center.
upgrades.The goal is to achieve an operating margin of at
''The key to making money in any organization,least 6 percent in the future, Steere said.
profit or non-profit, is to have those dollars toIn addition, the health system is looking to expand
pump back in,'' said F. William Steere, viceon its success with its popular Health and Wellness
chairman of Akron General Health System andcenters and satellite ERs with new projects in the
former chairman of the medical center board. ''It'seastern and southern part of the county in the
so vital in the health-care world today that wenext year or two, Fedorovich said.
have those dollars. To be able to double our''We are looking closely at what options and
capital expenditures in this short a period of timeopportunities exist,'' he said.
is indicative of the success of our financialAt the same time, the hospital is continuing its
turnaround.''national search from among about 250 applicants
During recent meetings, Akron General leadersfor a permanent leader.
shared these other examples of the turnaround:Even after a new chief executive is selected,
• Emergency department visits systemwideRindler will continue with the health system in a
are expected to reach 90,300 this year, anconsultant role for about a year, Fedorovich said.
increase of about 10,000 from the previous year.Rindler, an Ohio native, said he welcomes the
The number includes visits to the main ER, as wellcontinued opportunities and challenges at Akron
as Lodi Community Hospital and ERs attached toGeneral.
the Health & Wellness centers in Bath''I really feel like I have been preparing my whole
Township and Stow.career for this assignment,'' said Rindler, who has
• Baby deliveries have increased 7 percent thisthree decades of industry experience. ''I think it's
year compared to last year. Outpatientgoing really well.