38
HOSPI TALS IN INTEGRATED SYSTEMS
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
DEMOGRAPHICS
Southwest Region Lags National Rate in Hospital Integration
• Of 1,188 hospitals located in the Southwest
Region, 386 (32.5%) were affiliated with highly
integrated systems in 2012, the lowest share by
region and well below the national rate (43.0%).
• The number of hospitals in the state of
Colorado owned by or contracted to highly
integrated systems declined by a substantial
31.0% in 2012, to 20 from 29 the previous year.
About This Map
This map provides a state-by-state breakdown of
the short-term, acute-care, nonfederal hospitals
that were part of the 332 highly integrated health
systems in 2012. The first number is the number of
hospitals in that state that were either owned by
or contracted to highly integrated systems. The
second number represents the total number of
hospitals in that state. For example, of 388 hospitals
in the state of California, 189 were either owned by
or contracted to highly integrated health systems.
HOSPITALS OWNED BY OR CONTRACTED TO HIGHLY INTEGRATED SYSTEMS, 2012
1
VT
NH
ME
MA
RI
CT
PA
NJ
NY
WI
OH
IL
MI
IN
NE
IA
SD
ND
MN
KS
MO
LA
OK
AR
TX
TN
KY
AL
MS
MD
WV
VA
NC
SC
FL
DE
GA
WA
CA
OR
HI
AK
UT
MT
CO
AZ
NM
WY
ID
NV
17 /
38
6 / 15
9 / 27
21 / 35
4 / 12
46 / 83
90 / 194
98 / 207
34 / 72
99 /
193
67 /
130
84 /
189
90 /
131
82 /
142
59 / 125
36 / 122
65 /
136
17 / 42
40 / 56
19 / 92
24 / 139
165 / 462
34 / 124
34 / 82
29 /
137
33 /
95
44 / 98
59 / 101
75 / 133
50 / 146
77 /
218
4 / 8
34 / 48
34 / 70
63 / 118
56 / 87
21 /
53
28 / 61
189 / 388
53 / 98
4 / 19
7 / 16
25 / 74
26 / 47
7 / 43
20 / 81
8 / 27
15 / 58
21 / 38
14 / 33
4 / 8
DC
MIDWEST REGION
NORTHEAST
REGION
SOUTHEAST
REGION
SOUTHWEST
REGION
WEST
REGION
Total Number of Hospitals in Systems: 2,240
Total Number of Hospitals: 5,211
2
Key Takeaway
Nationally, the percentage of hospitals affiliated with highly integrated systems was essentially
flat between 2011 (43.1%) and 2012 (43.0%), perhaps a sign that system administrators are still
evaluating recent accountable care organization pilots (both Medicare and private) and other
newly developed models of coordinated care. Moving forward, provisions of the Affordable Care
Act and continued pressures to control health costs and maximize efficiencies will likely result in
renewed growth in the number of facilities owned by or contracted to highly integrated systems.
1
Data are based on short-term, acute-care, nonfederal hospitals.
2
Includes 59 hospitals in Puerto Rico and one hospital in the U.S. Virgin Islands.
Data source: IMS Health © 2013
I...,28,29,30,31,32,33,34,35,36,37 39,40,41,42,43,44,45,46,47,48,...IV