The nation’s top-performing multi-hospital health systems have driven significant reductions in mortality, complications and emergency department (ED) wait times, according to a new study by Truven Health Analytics,TM a provider of healthcare data and analytics solutions and services that was recently acquired by IBM. The eighth annual Truven Health 15 Top Health Systems study identifies the top health systems in the United States, based on balanced, system-wide clinical and administrative performance.
Among the key findings in this year’s study: winning health systems achieved higher survival rates and fewer errors at a lower overall treatment cost than non-winning health systems. Specifically, overall mortality rates were 14.7% lower for winning health systems versus non-winning peer group hospitals; complication rates were 15.1% lower; and ED wait times were 12.3 % lower.
“These 15 top-performing health systems prove that quality and efficiency can improve across entire systems, regardless of their size,” said Jean Chenoweth, senior vice president for performance improvement and 100 Top Hospitals programs at Truven Health Analytics. “It is clear from our data that many hospital systems have been able to implement a consistent, coordinated approach to quality improvement in the areas that matter most to patients and that is scalable across member hospitals.”
Additional winning health system performance metrics include:
- Lower cost per episode: The 15 Top Health System winners spent 5% less per care episode than non-winning peer systems.
- Shorter hospital stays: The 15 Top Health System winners discharged patients from the hospital a half-day sooner than non-winners.
- Higher patient satisfaction scores: Winning 15 health systems attained average Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores that were 7 percentage points higher than non-winning peers.
“Year after year the 100 Top program identifies the top performing hospitals and health systems,” said Mike Boswood, Truven Health Analytics president and CEO. “As healthcare evolves and value replaces volume, this program is increasingly important to help identify what constitutes quality.”
The 2016 15 Top Health Systems study evaluated 338 health systems and 2,912 member hospitals to identify the 15 U.S. health systems with the highest overall achievement on a balanced scorecard. The scorecard is based on the 100 Top Hospitals national balanced scorecard methodologies and focuses on five performance domains: inpatient outcomes, process of care, extended outcomes, efficiency, and patient experience. The study relied on public data from the 2013 and 2014 Medicare Provider Analysis and Review (MedPAR) data, CMS Hospital Compare datasets, and 2014 Medicare cost reports.
The study divides the top health systems into three comparison groups based on total operating expense of the member hospitals. The 2016 winners are as follows:
Large Health Systems (operating expense > $1.75 billion)
- Mayo Foundation – Rochester, MN
- Mercy – Chesterfield, MO
- Spectrum Health – Grand Rapids, MI
- Sutter Health – Sacramento, CA
- Sutter Health Valley Division – Sacramento, CA
Medium Health Systems (operating expense $750 million – $1.75 billion)
- Kettering Health Network – Dayton, OH
- Scripps Health – San Diego, CA
- St. Luke’s Health System – Boise, ID
- St. Vincent Health – Indianapolis, IN
- TriHealth – Cincinnati, OH
Small Health Systems (operating expense < $750 million)
- Asante – Medford, OR
- Lovelace Health System – Albuquerque, NM
- MidMichigan Health – Midland, MI
- Roper St. Francis Healthcare – Charleston, SC
- Tanner Health System – Carrollton, GA