CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON
ONE PERKINS SQUARE, AKRON, OH 44308 akronchildrens.org

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Organizations Filed Purposes: THE MISSION OF CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH OUTSTANDING QUALITY CARE, EDUCATION, ADVOCACY, COMMUNITY SERVICE AND RESEARCH. CHMCA IS AN INDISPENSABLE, INTEGRATED PEDIATRIC HEALTHCARE DELIVERY SYSTEM SERVING INFANTS, CHILDREN AND ADOLESCENTS, AS WELL AS ADULTS IN THE REGIONAL BURN CENTER IN AKRON AND NORTHEAST OHIO. ESTABLISHED IN 1890 BY A GROUP OF WOMEN AFFILIATED WITH A LOCAL CHURCH, CHMCA HAS GROWN FROM A TWO-ROOM DAY NURSERY TO A MODERN 462-BED, FULL-SERVICE CHILDREN'S HOSPITAL. CHMCA IS A NOT-FOR-PROFIT FACILITY WHICH OPERATES TWENTY-FOUR(24) HOURS A DAY, SEVEN(7) DAYS A WEEK. CHMCA ACCEPTS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. DURING THE YEAR ENDED DECEMBER 31, 2019, TOTAL UNCOMPENSATED CARE (INCLUDING BAD DEBT, CHARITY CARE AND ALLOWANCES AND CONTRACT ADJUSTMENTS) WAS $1,082,251,613. CHMCA QUALIFIES AS A DISPROPORTIONATE SHARE HOSPITAL PER OHIO DEPARTMENT OF JOBS AND FAMILY SERVICES. CHM

CHILDREN'S HOSPITAL MEDICAL CENTER OF AKRON ("CHMCA") IS DEDICATED TO IMPROVING THE HEALTH OF CHILDREN THROUGH QUALITY PATIENT CARE, RESEARCH & EDUCATION, COMMUNITY SERVICE.

Program Achievement #1 - Medical and Surgical Subspecialty Services In keeping with CHMCA's Mission to provide quality medical and surgical care for infants, children, adolescents, and burn victims of all ages, CHMCA offers unique services in a broad range of pediatric subspecialties. Some of these areas include: Heart Center, Neurosurgery, Maternal Fetal Medicine, Ophthalmology, Care Center, Gastroenterology, Urology, General Surgery, Sports Medicine, Rehabilitation Services, ENT, Neurology, Nephrology, Endocrinology, Adolescent Medicine, Infectious Diseases, Pulmonary Medicine, Palliative Care Program, Rheumatology, Psychiatric Services, Allergy, Genetics, Dentistry, Orthopedics and Urgent Cares. 2019 Highlights from some of these areas include the following: CHMCA started offering cardiac care in 2019 to patients in Marietta on the Marietta Memorial Hospital campus, in addition to its pediatric and adult congenital cardiology services at 15 clinics throughout northern Ohio. As part of our commitment to offering the latest advances in pediatric and maternal care, CHMCA has expanded collaborations with hospitals in both Canton and Akron. CHMCA now operates a Maternal Fetal Medicine practice at Aultman Hospital and added Maternal Fetal Medicine services at Summa Health. CHMCA's Division of Orthopedics specializes in the diagnosis and surgical and/or non-surgical treatment of all types of bone, joint, muscle and spine disorders and injuries in children, teens and young adults. As the opioid crisis grew into a national epidemic, the nine pediatric orthopedic surgeons at CHMCA began analyzing their own pain medication prescribing practices in relation to that of their peers. This led to a standardized protocol that has significantly reduced the amount of prescribed narcotics following orthopedic surgery. Following the lead of the orthopedics team, other surgical teams also worked toward standardizing pain management for their patients as well. As part of CHMCA's regional initiative to bring services closer to where families live, we opened three health centers in Mansfield, North Canton and Boston Heights during 2019. Services at these health centers include Akron Children's Pediatrics, urgent care, pediatric specialty care, rehabilitation services, radiology and laboratory medicine.

Program Achievement #2 - Hospital Based Services CHMCA's philosophy of care is centered around the families we serve. This means we respect each child and family's individual needs and strive to make the hospital experience as pleasant as possible. The routine care units, which consist of private rooms and accommodations for overnight stay by parents, are based upon the concept of family-centered care. The primary focus of the facility is to provide an environment conducive to pediatric patients, aiding their recovery in a modern hospital setting. Inpatient services include Routine Care, Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, Behavioral Health, Regional Burn Center, and Trauma Services. Our neonatologists provide the highest level of intensive care for our youngest patients. Our neonatal expertise expands beyond our NICU in the Kay Jewelers Pavilion. We also operate the NICU's at Cleveland Clinic Akron General, Summa Akron City Hospital, St. Elizabeth Boardman Hospital, as well as special care nurseries at our Beeghly campus location, St. Joseph Warren Hospital, Aultman Hospital and Wooster Community Hospital. Total NICU patient days were 81,404 and 78,510 for 2019 and 2018, respectively. The Division of Pediatric Critical Care is responsible for overseeing and delivering care in the Pediatric Intensive Care Unit (PICU). The PICU again received the Beacon Award for Excellence from the American Association of Critical-Care Nurses (AACN). In 2016, we were first-time recipients of this three-year award at the silver level. During 2019, our PICU achieved gold level status, the highest level of recognition. Only two PICU's in Ohio have received Beacon Awards, and CHMCA is the only unit in Ohio, and one of just 13 nationwide, with gold level status. Total patient days were 5,707 and 5,967 in 2019 and 2018, respectively. Since 1978, the Regional Burn Center has provided specialized care for burn victims of all ages throughout Northeastern Ohio. The Burn Center is verified by the American Burn Association and The Committee on Trauma of the American College of Surgeons, which recognizes individual and institutional commitment to total burn care and a formal system for quality burn care delivery. Besides providing expert treatment, the center's staff is actively involved in burn research and burn care training for professional and community groups. Total patient days for the burn center were 2,492 and 2,623 for 2019 and 2018, respectively. The Division of Emergency/Trauma Services supplies the emergency care needs of children from birth to twenty-one (21) years of age. As the sole pediatric institution in the area, the Division of Emergency/Trauma Services is the designated treatment center for all emergent pediatric problems. Children from Akron and the surrounding counties in Northeast Ohio accounted for the majority of the 1,212,882 visits during 2019. CHMCA is verified as a Level II pediatric trauma center by the American College of Surgeons. The pediatric trauma verification is based on its ability to provide quality trauma care to trauma patients and their families from the time of injury, through the acute care phase, into the rehabilitation phase. CHMCA's inpatient rehabilitation program has received three-year accreditation from the Commission on Accreditation of Rehabilitation Facilities (CARF). This is the highest level of accreditation that can be awarded to an organization by CARF and demonstrates CHMCA's conformance to CARF standards and successful completion of a rigorous peer-review process. CHMCA's inpatient rehabilitation program treats children, teens and young adults who have experienced traumatic and life-changing illness or injury. Thanks to the generosity of our donors, The Lois and John Orr Family Behavioral Health Center opened in October 2019 on the Akron campus. This new resource is making it easier for children, teens and their families to access mental health services. CHMCA also expanded behavioral health services in the Mahoning Valley on our Beeghly campus in Boardman in December 2019. This expansion allows us to double the number of patient visits in the Youngstown area within the first year. The building features nine individual therapy rooms, an assessment room and group therapy spaces. In addition to individual mental health therapy and psychiatry services, the new site will house a Partial Hospitalization Program for teens in need of more intense outpatient treatment. Another hospital based service is our Hematology and Oncology Center. CHMCA's cancer program has again received three-year accreditation with commendation from the Commission on Cancer, a quality program of the American College of Surgeons. As an accredited facility, the Showers Family Center maintains a cancer registry and contributes data to the National Cancer Database, a joint program of the Commission on Cancer and the American Cancer Society. This nationwide oncology outcomes database is the largest clinical disease registry in the world. Data on all types of cancer are tracked and analyzed to explore trends in cancer care.

Program Achievement #3 - Professional and Support Services Some of the key departments of these services include: Pharmacy, Centralized Core Lab, Microbiology/Virology labs, Cytogenetics, Radiology Diagnostic Imaging, Radiology MRI, Radiology CT, Radiology Ultrasound, and Radiology Nuclear Medicine. The Centralized Core Lab (CCL) includes the Chemistry, Hematology, Coagulation, Urinalysis, Special Chemistry and Blood Bank laboratories. In addition to routine chemistries, testing is performed for therapeutic and immunosuppressive drug monitoring. Instruments are selected to use the smallest amounts of blood for testing in order to minimize blood loss for our pediatric patients. In addition to the CCL, laboratory services are provided by the Infectious Disease Laboratories (Microbiology, Virology, Immunology, and Molecular Diagnostics). The Radiology Division at CHMCA performs a full spectrum of diagnostic imaging procedures inclusive of Diagnostic/Fluoroscopic xrays, CT, Nuclear Medicine, Ultrasound, and MRI.

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