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MHC and Thomson Reuters list health systems

Modern Healthcare has published the latest in their annual surveys of health systems, which summarizes trends and identifies the largest systems according to number of hospitals and beds.  According to this survey of roughly 200 multi-hospital systems, systems engaged in effective cost-control efforts in 2010.  The 5 largest systems in the Modern Healthcare list include (in descending order):

  • HCA
  • VA
  • Community Health Systems
  • Catholic Health Initiatives
  • Ascension Health

Thomson Reuters has been comparing hospitals for some time in their top 100 hospitals lists and has recently expanded that effort to include comparing health systems.  About 300 systems were evaluated on eight measures, with data drawn from the CMS MEDPAR database (Medicare patient data) and the CMS Hospital Compare dataset.  Systems on the Thomson Reuters top 10 list include (in alphabetical order):

  • Advocate Health (Oak Brook, IL)
  • Cape Cod Healthcare (Hyannis, MA)
  • CareGroup Healthcare System (Boston)
  • Kettering Health Network (Dayton, OH)
  • Maury Regional Healthcare System (Columbia, TN)
  • Mayo Foundation (Rochester, MN)
  • NorthShore University HealthSystem (Evanston, IL)
  • OhioHealth (Columbus)
  • Partners HealthCare (Boston)
  • Spectrum Health (Grand Rapids, MI)

Table 1 in this white paper includes performance comparisons for the 8 measures, showing the median for all systems and the performance of the top systems.  The 8 measures include:  mortality index, complications index, patient safety index, core measures mean percent, 30-day mortality rate, 30-day readmission rate, average length of stay, and HCAHPS score (patient satisfaction).

Sources: Carlson, J., and Galloro, V.  A solid year: annual survey shows health systems posted strong revenue and earnings, but expenses are also risingModern Healthcare;41(23):26-30, June 6, 2011; and, 10 Top Health Systems: Study Overview and Research Findings, 3rd ed.  Ann Arbor, MI: Thomson Reuters, May 31, 2011.  http://www.100tophospitals.com/assets/Health%20Systems%20Abstract_2011.PDF

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