The 15 Top Health Systems Trend Proﬁle analyzes your health system's rate of performance improvement over ﬁve years (three years for mortality, complications, PSI and average length of stay), using a balanced scorecard of critical performance metrics:
- Risk-Adjusted Mortality (in-hospital)
- Risk-Adjusted Complications
- Risk-Adjusted Patient Safety
- Core Measures Mean Percent
- Severity-Adjusted Average Length of Stay
- HCAHPS Score (Patient Overall Hospital Rating)
PERFORMANCE REPORT NOTES
HEALTH SYSTEM SELECTION
In the Truven Health Analytics 15 Top Health Systems study, we identify health systems as follows:
- Must have at least two acute care hospitals
- Must report a parent or related organization relationship on the hospital Medicare cost report
We also include Women’s, Cardiac and Orthopedic hospitals, as well as Critical Access Hospitals in the system analysis.
If a health system has separately reported subsystems as members, we rank each subsystem's performance independent of its parent, as well as including it in its parent system. A hospital may be included in both a parent system and a subsystem analysis.
HEALTH SYSTEM COMPARISON GROUPS AND WINNERS
We divide health systems into three comparison groups to develop more actionable performance benchmarks. Total operating expense was used to classify:
|Comparison Group||Total Operating Expense||Winners|
|Large Health System||>$1.5 billion||5|
|Medium Health System||$750 million - $1.5||5|
|Small Health System||<$750 million||5|
We select 15 Benchmark health systems (winners) based on overall performance across all included measures, in the most recent year of data available. Overall performance is determined by ranking each measure individually, by comparison group, summing the ranks and re-ranking overall.
Peer health systems include all U.S. health systems in our study database, excluding benchmark systems.
To read more about the methodology for selection, please review the full report.