Truven Names Top 15 Health Systems

Winning hospitals achieve shorter ED wait times

Truven Health Analytics has released its annual study identifying the 15 top U.S. health systems, based on balanced, system-wide clinical and administrative performance.

Among the key findings in this year’s study: winning health systems achieved shorter emergency department (ED) wait times across all measures, which included median minutes to admission, to discharge from the ED, and to the receipt of pain medication for long-bone fractures. The study was based on public data from the 2014 and 2015 Medicare Provider Analysis and Review (MedPAR); from CMS Hospital Compare datasets; and from 2015 Medicare cost reports.

Additional winning health-system performance metrics, compared with those of nonwinning peer systems, included:

  • Shorter wait times in emergency departments: Patients at the 15 Top Health System winners had 17.5% shorter wait times in the emergency department.
  • Higher survival rates: The 15 Top Health System winners had 13.4% fewer in-hospital deaths.
  • Fewer complications: Patients treated at winning systems had 8.5% fewer complications.
  • Shorter length of stay: The average patient length of stay at winning health systems was 10.2% shorter.

This year’s 15 Top Health Systems study evaluated 337 health systems and 2,924 member hospitals to identify the 15 U.S. health systems with the highest overall achievement on a balanced scorecard, which focused on five performance domains: inpatient outcomes, process of care, extended outcomes, efficiency, and patient experience.

The study divided the top health systems into three comparison groups based on the total operating expense of the member hospitals. The 2017 winners are as follows:

  • Large Health Systems (Operating Expense Greater Than $1.75 billion)
    Mayo Foundation –– Rochester, Minnesota
    Mercy –– Chesterfield, Missouri
    Scripps Health — San Diego, California
    Spectrum Health — Grand Rapids, Michigan
    St. Luke’s Health System –– Boise, Idaho
     
  • Medium Health Systems (Operating Expense $750 million to $1.75 billion)
    HealthPartners –– Bloomington, Minnesota
    Kettering Health Network –– Dayton, Ohio
    Mercy Health Southwest Ohio Region –– Cincinnati, Ohio
    Mission Health –– Asheville, North Carolina
    Parkview Health –– Fort Wayne, Indiana
     
  • Small Health Systems (Operating Expense Less Than $750 million)
    Asante –– Medford, Oregon
    Lakeland Health –– St. Joseph, Minnesota
    Lovelace Health System –– Albuquerque, New Mexico
    Maury Regional Healthcare –– Columbia, Tennessee
    Roper St. Francis Healthcare –– Charleston, South Carolina

Source: Truven Health Analytics; April 24, 2017.