Toledo Talk

Probmesica

How has Promedica grown so large and so fast, largely unchecked? Yes I'm aware of the St Luke's ruling (still branded with neon on the façade).

How are they not canalizing themselves with every new facility? Are they bringing in patients from outside our area? Is NWO the new mecca of medical tourism?!

What about staffing? Does this area have a surplus of highly trained medical experts? Are these experts being recruited from around the country (or even world) to relocate to NWO? Certainly not hearing about this anywhere. Maybe we’ll be in for a treat when 2016 populations are available! LOL

I'm shocked the Southwyck field wasn't snatched up by them. They are still lacking oversaturation in that area of town, between UTMC (former Medical College of Ohio) and St Lukes.

Something just doesn't add up. In 10, 20, 50 years, I really hope we don't have mothballed medical facilities all over the place complete with the remnants of neon lighting.

Have a good day :)

created by presbacon on Jun 13, 2016 at 01:16:23 pm     Comments: 18

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As far as I know, they haven't built new hospitals, just bought existing hospitals that were already servicing the population, so it's not like they had to find new markets or something. And though the population is certainly not growing, it is growing older, which means more people are requiring medical services.

posted by Johio83 on Jun 13, 2016 at 01:56:47 pm     #  

largely unchecked

How should it be 'checked'? Should we have to beg at the doorstep of government for a business to be able to expand to meet the needs of the market (St. Luke's notwithstanding)?

Promedica is providing a service that almost all of us need, to some extent or another. They seem to do it efficiently, effectively, and ... well, I can't say that healthcare is affordable, but I don't think Promedica is priced outside of the market as it currently exists.

Reality is that we are using more and more healthcare services as we are extending life expectancies and finding cures for more diseases (or at least ways to put off death). Promedica is meeting the demand that consumers are making.

posted by MsArcher on Jun 13, 2016 at 02:59:06 pm     #  

The other thing with medical is that the technology is rapidly changing which requires the companies that provide the medical service to change.

In many cases its easier to build a new modern building that is more efficient than to try and rehab an existing building. I believe that is the case with many of their new developments.

posted by Xbuckeyex on Jun 13, 2016 at 03:20:51 pm     #  

The other thing with medical is that the technology is rapidly changing which requires the companies that provide the medical service to change.

In many cases its easier to build a new modern building that is more efficient than to try and rehab an existing building. I believe that is the case with many of their new developments.

posted by Xbuckeyex on Jun 13, 2016 at 03:20:51 pm     #  

The other thing with medical is that the technology is rapidly changing which requires the companies that provide the medical service to change.

In many cases its easier to build a new modern building that is more efficient than to try and rehab an existing building. I believe that is the case with many of their new developments.

posted by Xbuckeyex on Jun 13, 2016 at 03:20:52 pm     #  

Also, medical nonprofits are not allowed to earn gigantic profits. They can use up some potentially embarrassing revenue by building "sports medicine rehab" and "wellness" gyms like the facility on Central Avenue near the car dealerships.

In the new economy, it's considered to be a blessing to have "eds and meds" -- colleges and medical corporations -- in your metro area because they are the entities most likely to keep spending money on real estate, construction, human resources, etc. Not to mention advertising!

posted by viola on Jun 13, 2016 at 04:03:05 pm     #  

Not entirely true, Johio. Promedica opened the big new health & wellness center on monroe street in sylvania and are doing a major expansion at Toledo Hospital. While they aren't opening a lot of new facilities, they are increasing capacity and attempting to extend their reach, like the ill-fated St Luke's acquisition. With them buying up homes for Toledo hospital, the steam plant, and now marina district (middleman), it might seem to some like they're buying up land left and right. Obviously they have plenty of capital. I am glad they didn't buy the southwyck site - at least I hope they didn't. It's possible but unlikely they are the secret buyer. There's enough medical already in the south metro, and honestly, for Reynolds Road that would be boring.

posted by mixman on Jun 13, 2016 at 07:17:04 pm     #  

The facility on Monroe in Sylvania is a consolidation of other offices, although it probably does have some new stuff in it as well - but again, it is serving the demands of the community. And quite honestly, got rid of a freakin' eyesore on Monroe.

Promedica has been buying up housing around Toledo Hospital for ... almost 2 decades. A relative sold a house he owned over there to Toledo Hospital something like 20 years ago.

Part of the expansion of hospitals is the demand from consumers. No one wants to have a semi-private room with a new baby - we all want private rooms where daddy can sleep comfortably, blah, blah, blah, and they have to build it or the money goes somewhere else.

Promedica has been good to our community. They sold a piece of property on McCord to Sylvania Township for a new fire station several years ago. There wasn't even any hassle or hesitation when they were approached, it was just a matter of making sure they didn't have long-term plans for it, and getting approvals.

posted by MsArcher on Jun 13, 2016 at 08:40:12 pm     #   1 person liked this

Private rooms make sense in an era of sudden epidemics. If we had an ebola or SARS-type problem, there would be no way to hospitalize everyone who needed attention unless a substantial number of private rooms were available. I think hospitals are on board with this new approach.

I just witnessed a relative in a small town calling every rehab place within 200 miles to try to find a private room for 2 days. She was unwilling to be in a shared room for even 24 hours after knee surgery :-)

posted by viola on Jun 13, 2016 at 09:31:09 pm     #  

Mrs archer...since a big chunk of promedica's reimbursements are coming from the government, why shouldn't the government have a bigger say?

Since the government is basically paying, wouldn't it make sense to remove a layer of bureaucracy and simply have the government administer it? Look how much money Promedica spends on advertising, etc. That is money that is being spent that does not improve health outcomes .

posted by Dappling2 on Jun 13, 2016 at 09:48:35 pm     #  

How has Promedica grown so large and so fast, largely unchecked?

They are good at getting other people to pay for assets that ultimately produce revenue and they are excellent at keeping patients in their system regardless of patient choice and have almost every person of influence on one PM related board or another?

Is this a trick question?

posted by justread on Jun 14, 2016 at 05:05:33 am     #   2 people liked this

My retina doctor was in that tiny building at Monroe and Talmadge, that formerly held Reed Vision, and it sucked. I started driving to his office in Monroe MI just to keep from driving to Franklin Park. He has moved to the new building in Sylvania and that shit is amazing. It's the most comfortable, patient-friendly set-up I have ever been in. I was just notified that my family physician has jumped ship from Mercy to PM and will be in that building, too. I was not a big fan of Promedica before the last year but I am firmly in the system now and I am glad that they decided to invest in NWO so heavily! They are making it better!

posted by nana on Jun 14, 2016 at 07:16:37 am     #  

We are finally getting investment that could help transform the Toledo economy a little bit away from the manufacturing/supplier town it has always been.....and Im consistently reading negative posts and hand wringing about Promedica. Just sit back and enjoy the ride. Worry about empty medical buildings next to empty factories if and when the time ever comes.

posted by BulldogBuckeye on Jun 14, 2016 at 08:41:51 am     #   3 people liked this

Mrs archer...since a big chunk of promedica's reimbursements are coming from the government, why shouldn't the government have a bigger say?

Where do you draw the line? At what point do we just hand everything over to the government and let them control it because they have their hand in the till? A 'big chunk' means what?

It does not make sense to remove a layer of bureaucracy because removing said layer does not improve outcomes, care, or control costs. Just look at the VA - the feds can't/won't do anything to fix that mess, and we're supposed to hand over more to them?

Bottom line I want nothing to do with government-run health care - single-payer or otherwise. I want the private sector, which is incentivized to work by the private market, to control health care.

posted by MsArcher on Jun 14, 2016 at 08:42:02 am     #   1 person liked this

Promedica also purchased the site at Central and Reynolds where the former bowling alley was, as well as the street behind it. I'm assuming they want to expand the Wildwood campus.

posted by Anniecski on Jun 14, 2016 at 08:44:54 am     #  

was not a big fan of Promedica before the last year but I am firmly in the system now and I am glad that they decided to invest in NWO so heavily! They are making it better!

I wish I could agree with this, and perhaps it's just a matter of growing pains, but I've been seeing a decline in service over the past couple of years. I've been dealing with the same docs/facilities for the past five years of post-breast cancer treatment. The level of care itself has not changed--once I can get in to see someone--but getting accurate information and trying to schedule appointments has become a nightmare. A fellow TT'er that I know in real life just had a very unpleasant experience thanks to their new electronic charting, but that's not my story to tell.

Maybe it's just staff shortages. I know my daughter-in-law had no luck finding a PCP in the ProMedica system who was taking new patients. Perhaps those shortages are across the board and there aren't enough people with the right information. I hope it gets better soon.

posted by valbee on Jun 14, 2016 at 09:08:33 am     #   1 person liked this

nana posted at 08:16:37 AM on Jun 14, 2016:

My retina doctor was in that tiny building at Monroe and Talmadge, that formerly held Reed Vision, and it sucked. I started driving to his office in Monroe MI just to keep from driving to Franklin Park. He has moved to the new building in Sylvania and that shit is amazing. It's the most comfortable, patient-friendly set-up I have ever been in. I was just notified that my family physician has jumped ship from Mercy to PM and will be in that building, too. I was not a big fan of Promedica before the last year but I am firmly in the system now and I am glad that they decided to invest in NWO so heavily! They are making it better!

My experience with the new facility in Sylvania has been the opposite. My kids' pediatrician office consolidated their offices into that building and I don't like it. I don't like the wide open, cattle call-like waiting room and the very busy and loud check in area.

posted by JoeyGee on Jun 14, 2016 at 01:10:30 pm     #  

The new facility in Sylvania feels very much like a small airport.

posted by Anniecski on Jun 14, 2016 at 01:20:27 pm     #   1 person liked this