FACT FILE PARTNER:
ABOUT THE DATA: The 15 Top Health Systems study is an ongoing study that is adjusted as changes occur in the healthcare environment, new public data and metrics become available, and managerial practices evolve. The 15 Top Health Systems
study is uniquely focused on objectively measuring the impact of managerial excellence, and providing valuable guidance to health
system leaders who use these critical, quantitative performance insights to adjust continuous improvement targets, ensure the
collaboration of member hospitals, and achieve systemwide alignment on common performance goals. Only impartial, public data
sources are used for calculating study metrics. This eliminates bias, ensures inclusion of as many health systems as possible, and
guarantees uniformity of definitions and data. At the heart of the 15 Top Health Systems research is the methodology used for
the Truven Health 100 Top Hospitals national balanced scorecard. This proven scorecard and its peer-reviewed, risk-adjusted
methodologies are the foundation for the comparison of health system-to-peer rate of improvement and performance. The 15 Top
Health Systems scorecard also goes beyond these insights by adding a third measurement dimension—alignment. The alignment
factor is particularly useful to health system leaders as they work to empirically assess the degree of consistency achieved across
system facilities and develop action plans to strengthen it. The end result is distinctive: a comprehensive analysis of the improvement, resultant performance, and alignment of America’s health systems. Additional findings are available in the full study
overview at http://100tophospitals.com/studies-winners/15-top-health-systems.
The Truven Health Analytics TM 15 Top Health Systems study identifies U.S. health
system leadership teams that have most effectively aligned outstanding performance
across their organizations, and achieved more reliable outcomes in every member hospital.
The study measures relative balanced performance across a range of organizational
key performance indicators including care quality, use of evidence-based medicine,
postdischarge outcomes, operational efficiency, and patient perception of care. Just as
evidence-based medicine is key to exceptional patient care, evidenced-based management
is key to the well-being and success of health systems. H
Health System Performance
BETTER PATIENT OUTCOMES
The 15 Top Health System winners posted better survival rates and fewer patient complications. The
winners had nearly 15% fewer in-hospital deaths than their nonwinning peers, considering patient
severity. Patients treated at the winning systems’ member hospitals had significantly fewer complications.
Their rates were 15% lower than at nonwinning system hospitals, considering patient severity.
Survival rates Complications
Better Survival Rates Fewer Patient Complications
SOURCE: Truven Health Analytics.
n Winners n Nonwinners
BETTER CARE PROTOCOL
The top health systems focused on two new groups of core measures: stroke and blood clot prevention,
which challenged healthcare organizations to address basic standards of care, and is evident by the
somewhat lower performance on these new measures. Overall, the winning systems’ higher core
measures mean percentage of 95.3 was more than 2 percentage points better than nonwinning peers.
Small winning health systems showed both best overall core measures performance (96.5%) and
the greatest difference between winners and nonwinners (more than 4 percentage points). Large
health system winners lagged behind their peers in core measures compliance (93.3% and 93.7%,
93.5% 93.3% 93.7%
SOURCE: Truven Health Analytics.
n Winners n Nonwinners
All in study Small Medium Large
District of Columbia 88,421
New Hampshire 266,210
New Jersey 1,492,066
New Mexico 372,685
New York 3,343,349
North Carolina 1,769,074
North Dakota 118,883
Rhode Island 203,289
South Carolina 941,169
South Dakota 156,127
West Virginia 416,820
American Samoa 4,375
Northern Mariana Islands 2,075
Puerto Rico 756,971
U.S. Virgin Islands 19,291
NOTES: Data include aged and/or disabled individuals enrolled in
Medicare Part A and/or B through Original Medicare or Medicare
Advantage and other health plans during the calendar year specified.
Medicare enrollment is based on the Centers for Medicare & Medicaid
Services administrative enrollment data and are calculated using a
person-year methodology. Data may not sum to total due to rounding.
For more information, please see CMS Program Statistics Data Source
and Methodology. In 2015, the U.S. total includes Medicare beneficiaries
residing in the following territories: American Samoa, Guam, the Northern
Mariana Islands, Puerto Rico, and the U.S. Virgin Islands. Additionally,
432,840 Medicare beneficiaries residing in foreign countries and other
outlying areas and 3,256 beneficiaries in unknown areas of residence are
also included in this total.
SOURCE: Kaiser State Health Facts, Total Number of Medicare
Beneficiaries, http://kff.org/medicare/state-indicator/total-medicare-beneficiaries/; CMS, CMS Program Statistics, accessed
> Impact of Consumer-Directed Health Plans
Total U.S. Medicare Beneficiaries
The total number of Medicare beneficiaries in the United
States, including beneficiaries in U.S. territories, is 55. 5 million. By state, the number of Medicare beneficiaries ranges
from a high of 5. 6 million in California to a low of 83,863 in
Alaska. Of the Medicare beneficiaries residing in U.S. territories, Puerto Rico has the most beneficiaries at 756,971, and
the Northern Mariana Islands have the least at 2,075.
Location Total Medicare Beneficiaries
United States 55,504,005