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September 12, 2011 01:00 AM

Quality connection

Health system members more likely to achieve 100 Top Hospitals status

Jean Chenoweth
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    Jean Chenoweth, senior vice president of perfomance improvement and 100 Top Hospitals Programs, Thomson Reuters

    Health systems are increasing community value. Most studies examining the value produced by the formation of health systems have shown increased prices but did not explore improvement in quality. Our analysis shows that hospital members of health systems are starting to pull ahead of independent hospitals in delivering higher quality.

    For this year's Modern Healthcare supplement, we examined correlations among health-system membership, high performance on the 100 Top Hospitals National Balanced Scorecard and pharmaceutical intensity. Previous analyses of health systems have not always demonstrated a significant benefit in terms of quality or cost. In fact, formation of systems has often been associated with higher costs and little or no change in quality.

    Our results show that hospitals that are members of a health system are significantly more likely to achieve

    100 Top Hospitals status and have lower pharmaceutical intensity. The analysis of individual metrics of the

    100 Top Hospitals Balanced Scorecard reveals that lower pharmaceutical intensity is correlated with better inpatient clinical outcomes, shorter stays and lower expense. These results, downloadable at 100tophospitals.com, suggest that hospitals belonging to health systems in 2009 were more likely to “do the right thing at the right time,” and may have been adhering to protocols to raise quality and lower costs more consistently than stand-alone hospitals.

    Related content

    • Read "Rx for a larger dose of quality," on how reduced drug spending affects healthcare outcomes
    • Read "Pursuing value," a detailed look at Medicare's value-based purchasing program.
    • Study shows doing less means more
    • View the list of Thomson Reuters' 100 Top Hospitals, 2011.

    As healthcare reform drives greater industry consolidation, there has been concern whether value will really increase. Thomson Reuters is committed to identifying new intelligence. To establish whether we are seeing a new trend or a blip on the radar, the 10 Top Health Systems study will be published in January rather than June of 2012 and will include five-year rates of improvement for each health system. Stay tuned.

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    • News
      • Current News
      • Providers
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      • Government
      • Finance
      • Technology
      • Safety & Quality
      • Digital Health
      • Transformation
        • Patients
        • Operations
        • Care Delivery
        • Payment
      • ESG
      • People
      • Regional News
        • Midwest
        • Northeast
        • South
        • West
      • Digital Edition (Web Version)
    • Opinion
      • Bold Moves
      • Breaking Bias
      • Commentaries
      • Letters
      • Vital Signs Blog
      • From the Editor
    • Events & Awards
      • Awards
        • Nominate/Eligibility
        • 100 Most Influential People
        • 50 Most Influential Clinical Executives
        • Best Places to Work in Healthcare
        • Excellence in Governance
        • Health Care Hall of Fame
        • Healthcare Marketing Impact Awards
        • Top 25 Emerging Leaders
        • Top Innovators
        • Diversity in Healthcare
          • - Luminaries
          • - Top 25 Diversity Leaders
          • - Leaders to Watch
        • Women in Healthcare
          • - Luminaries
          • - Top 25 Women Leaders
          • - Women to Watch
      • Conferences
        • Digital Health Transformation Summit
        • ESG: The Implementation Imperative Summit
        • Leadership Symposium
        • Social Determinants of Health Symposium
        • Women Leaders in Healthcare Conference
      • Galas
        • Best Places to Work Awards Gala
        • Health Care Hall of Fame Gala
        • Top 25 Diversity Leaders Gala
        • Top 25 Women Leaders Gala
      • Virtual Briefings
        • - Hospital of the Future
        • - Value Based Care
        • - Hospital at Home
        • - Workplace of the Future
        • - Digital Health
        • - Future of Staffing
        • - Hospital of the Future (Fall)
      • Webinars
    • Multimedia
      • Podcast - Beyond the Byline
      • Sponsored Podcast - Healthcare Insider
      • Video Series - The Check Up
      • Sponsored Video Series - One on One
    • Data Center
      • Data Center Home
      • Hospital Financials
      • Staffing & Compensation
      • Quality & Safety
      • Mergers & Acquisitions
      • Data Archive
      • Resource Guide: By the Numbers
      • Surveys
      • Data Points
    • Newsletters
    • MORE+
      • Contact Us
      • Advertise
      • Media Kit
      • Jobs
      • People on the Move
      • Reprints & Licensing