Page 39 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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39
HOSPI TALS IN INTEGRATED SYSTEMS
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
Numbers of Practices and FOSCs in 20 Selected Systems Decline
• After a 3.4% growth between 2009 (380) and
2010 (393), the total number of medical group
practices within the 20 selected integrated
health systems dropped 5.3% in 2011, to 372.
• These 20 selected systems also collectively
trimmed their number of affiliated freestanding
outpatient surgery centers (FOSCs) by 3.2%
during this time, to 90 from 93 the year before.
Data source: IMS Health © 2013
DEMOGRAPHICS
20 Selected integrated health systems and their facilities
# of Licensed
Hospitals
# of Medical
Group
Practices
# of DICs
1
(Free-
Standing)
# of FOSCs # of Licensed
HHAs
2
Integrated health system
2010 2011 2010 2011 2010 2011 2010 2011 2010 2011
Advocate Health Care
11
11
35
35
9
13
4
4
7
6
Allina Hospitals and Clinics
16
16
50
50
6
6
2
2
0
0
Banner Health
23
23
17
17
5
6
7
7
3
3
Baylor Health Care System
22
22
16
16
15
17 21
21
1
1
BJC HealthCare
12
12
6
5
1
1
3
3
4
4
Carle Foundation Hospital
1
1
15
15
0
0
4
4
1
1
Carolinas HealthCare System 26
27
47
46
7
8 13
13
6
7
Department of Health Services
4
4
38
38
1
1
1
1
0
0
Detroit Medical Center
7
7
1
1
3
3
3
3
0
0
Geisinger Health System
4
5
32
32
4
4
2
2
1
1
HCA Houston
16
16
0
0
0
0
3
2
0
0
Henry Ford Health System
7
6
28
20
1
0
3
1
2
2
Legacy Health System
5
5
5
5
2
2
0
0
0
0
Ministry Health Care
15
15
6
6
0
0
1
1
8
7
Presbyterian Healthcare Services
7
7
15
15
4
3
3
3
2
2
Sentara Healthcare
10
11
20
11
16
14
6
6
6
9
Sharp HealthCare
7
7
14
13
17
17
3
3
1
1
Sutter Health
34
33
47
46
14
20 11
11
15
15
Temple University Health System 3
3
1
1
0
0
1
1
1
1
Tenet South Florida Health System 11
11
0
0
3
3
2
2
0
0
Total
241 242 393 372 108 118 93
90
58
60
• After earlier gains, the numbers of FOSCs
operated by the three selected systems
profiled held steady between 2010 and 2011.
• Growth in this metric may have slowed due to
a revised payment system for FOSCs and lower
reimbursement rates vs. outpatient departments.
3
NUMBER OF FOSCs BY SYSTEM, 2007–2011
Affiliated FOSC Counts Level Off for Three Systems in 2010 and 2011
LONG-TERM TREND
1
Diagnostic imaging center
2
Home health agency
3
Medicare Payment Advisory Commission. (2012). Report to the Congress. Medicare Payment Policy. Retrieved from
0
6
12
18
24
Number of FOSCs
Baylor Health Care System
Carolinas Health Care System
Sutter Health
16
16
19
21 21
8
14
13 13 13
9
11
10
11
11
2007
2008
2009
2010
2011
