61 Integrated Health Systems to Know

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Becker's Hospital Review has named "61 Integrated Health Systems to Know" based on organizations' access to care, physician alignment and inclusion of numerous and varied services along the continuum of care. The systems have been recognized for integrated care by healthcare analytics company SDI, peer institutions via nominations and through careful research by the Becker's Hospital Review editorial team. Note: This list is not an endorsement of included health systems or associated healthcare providers, and health systems cannot pay for inclusion on this list. Health systems are presented in alphabetical order.

Advocate Health Care (Oak Brook, Ill.). Advocate Health Care is the largest integrated healthcare system in Illinois and one of Chicagoland's largest employers, with more than 30,000 employees and affiliated physicians. Advocate includes roughly 6,000 affiliated physicians, making it the state's largest network of primary care physicians, specialists and sub-specialists. Advocate physicians and other healthcare providers serve patients at more than 250 sites of care, including 10 acute-care hospitals, two children's hospitals and a variety of outpatient centers. In October, Advocate Christ Medical Center in Oak Lawn, Ill., opened a new $202 million Outpatient Pavilion. Advocate also has academic and teaching affiliations with all major universities in the Chicago metropolitan area.

Alegent Health (Omaha, Neb.). Alegent Health is the largest non-profit, faith-based healthcare provider in Nebraska and southwest Iowa, providing care at more than 100 sites. In addition to its nine hospitals, the system has multiple clinics, including urgent care clinics, three wellness centers and six pharmacies. The Alegent Health Clinic is a network of more than 250 physicians who provide care at 70 locations. Overall, Alegent Health has 1,300 physicians and 8,600 employees.

Aurora Health Care (Milwaukee). Aurora Health Care offers care at 15 hospitals; 185 clinics; 82 retail pharmacies; multiple diagnostic, treatment and rehabilitation centers; and home healthcare and social services agencies. As the largest private employer in Wisconsin, Aurora has roughly 30,000 caregivers, 1,400 employed physicians and 3,067 physicians on staff. Aurora is also affiliated with the University of Wisconsin Medical School and Medical College of Wisconsin. In June, Aurora St. Luke's Medical Center opened four specialty heart centers to treat patients with hypertrophic cardiomyopathy, adult congenital heart disease, Marfan syndrome and valvular heart disease.

Banner Health (Phoenix).
Banner Health delivers care in seven states through 23 hospitals, long-term care centers, pediatric facilities and family clinics. Banner has more than 35,000 employees and approximately 7,000 physicians on its hospitals' medical staffs. The health system has medical education programs at Banner Good Samaritan Medical Center in Phoenix and North Colorado Medical Center in Greeley and offers home care and home medical equipment services. In November, Banner became the first health system accepted by CMS for the Accountable Care Organization Pioneer Program.

Baptist Health Care (Pensacola, Fla.). Baptist Health Care is comprised of more than 6,000 employees, including physicians, making it the largest non-governmental employer in northwest Florida. The system includes four hospitals, two medical parks, a pharmacy and several other centers. Baptist Health Care also offers managed care contracting, home health and occupational health services. In 2011, Baptist Health Care celebrated its 60th anniversary and added its 100th physician to Baptist Medical Group, which includes primary care and specialty physicians.

Baptist Health South Florida (Coral Gables, Fla.).
Baptist Health South Florida is the largest faith-based non-profit healthcare organization in the region, with more than 13,500 employees and approximately 2,000 physicians. The system consists of seven hospitals and several outpatient facilities offering diagnostic, urgent care and surgical services. Baptist also includes the Baptist Health International Center of Miami, one of the largest hospital-based international programs in the country. In late April, Baptist Health opened 133-bed West Kendall Baptist Hospital, which is affiliated with Florida International University's Wertheim College of Medicine and was the first new, non-replacement hospital built in Miami in more than 35 years.

Baptist Memorial Health Care (Memphis, Tenn.). Baptist Memorial Health Care features 14 hospitals, 6 home care facilities, 6 hospice locations and four minor medical centers. The system employs 12,000 workers and has more than 4,000 physician providers. In addition, Baptist Memorial includes Baptist Health Services Group, a preferred provider organization with 54 hospitals and 200 ancillary facilities, and a multispecialty group called Baptist Memorial Medical Group. In September, BMMG formed Memphis Lung Physicians Foundation after acquiring Memphis Lung Physicians.

BayCare Health System (Clearwater, Fla.). BayCare Health System has approximately 3,100 physicians on staff and 18,500 employees and serves patients at more than 200 care locations, including 11 hospitals and approximately 70 outpatient facilities. The system's newest hospital, 108-bed St. Joseph's Hospital-North, opened in Feb. 2010 and is completely wireless. BayCare's Morton Plant North Bay Hospital opened a new 9,750-square-foot cardiovascular center in September and broke ground on a surgical center in mid-December.

Baylor Health Care System (Dallas).
Baylor Health Care offers care at more than 239 access points, including 27 owned, leased or affiliated hospitals; 26 ambulatory endoscopy centers; 69 outpatient clinics; four senior health centers; 2 retail pharmacies; and 156 access points to the HealthTexas Provider Network. HealthTexas is the largest group of employed physicians in Texas, with more than 450 primary care physicians, specialists and hospitalists. Overall, Baylor has nearly 20,000 employees and approximately 4,630 physicians on medical staff. In early November Baylor Regional Medical Center at Grapevine broke ground on a $100.5 million patient tower and expansion.

Baystate Health (Springfield, Mass.). Baystate Health employs nearly 10,000 people and has several care locations, including three hospitals, multiple outpatient centers and 580-physician Baystate Medical Practices. In addition, Baystate Medical Center is the Western Campus of Tufts University School of Medicine, which offers 10 residencies and 16 fellowships. Baystate Health is currently constructing a $296 million, 641,000-square-foot "Hospital of the Future," expected to open in March 2012. The facility will include a heart and vascular center; new patient care units with private rooms; an emergency department; and shell space for future growth.

Beaumont Hospitals (Royal Oak, Mich.). Beaumont Hospitals is a three-hospital system with a medical staff of more than 3,700 physicians and 4,000 full-time equivalent employees, making it the largest employer in Oakland County, Mich. The system also includes nursing homes, family medicine centers, rehabilitation facilities and other outpatient centers, home medical equipment stores and hundreds of physicians' offices. Beaumont Hospitals offers educational opportunities through its Oakland University William Beaumont School of Medicine and Applebaum Surgical Learning Center.

Bon Secours Virginia Health System (Richmond). Bon Secours Virginia Health System consists of Bon Secours Richmond and Bon Secours Hampton Roads with a total of seven hospitals and multiple primary care practices, ambulatory care sites and continuing care facilities. The health system employs nearly 11,000 people and Bon Secours Richmond's medical group includes more than 200 physicians at more than 70 locations. Bon Secours Richmond also includes Bon Secours Memorial College of Nursing, St. Mary's Hospital School of Medical Imaging and two family practice residency programs.

Carilion Clinic (Roanoke, Va.). Carilion Clinic is led by multi-specialty physician teams and includes 10 hospitals in addition to numerous other facilities along the continuum of care. Carilion has 600 physicians at 152 practice sites and includes approximately 11,000 employees. The health system offers two health plans — MajestaCare and Carilion Clinic Medicare Health Plan — and in March it partnered with Aetna for an accountable care organization initiative. Carilion also includes the Virginia Tech Carilion School of Medicine and Research Institute, created in partnership with Virginia Tech, and an affiliation with the Jefferson College of Health Sciences.

Carolinas HealthCare System (Charlotte, N.C.). Carolinas HealthCare System employs more than 1,400 physicians and mid-level providers at more than 600 care locations, including more than 30 affiliated hospitals. Carolinas Medical Center offers residency programs in 12 specialties, serves as an off-campus training site for three additional specialties and features the Carolinas College of Health Sciences as a subsidiary. Carolinas HealthCare System also provides Carolinas MED-1, the country's only mobile emergency center, and the air medical company MedCenter Air. In September, the health system was selected by the South Carolina Department of Health and Environmental Control to build and operate a new hospital in York County.

Catholic Health System (Buffalo, N.Y.).
Catholic Health System includes more than 8,200 full and part-time associates, 1,200 physicians, three hospitals and numerous primary care and imaging centers. The system offers the Catholic Health and Niagara University RN to BSN program and a Catholic Health Clinical Pastoral Education program. In addition, Catholic Health partnered with Mount St. Mary's Hospital in Lewiston, N.Y., and a network of nearly 900 associated physicians to create Catholic Medical Partners — the largest group of independent practicing physicians in western New York.

Community Health Network (Indianapolis).
Community Network has more than 11,000 employees and 1,400 physicians at its numerous sites of care, including six hospitals, several surgery centers, school-based clinics and other facilities. The system's Community Physicians of Indiana includes 200 primary care physicians and nurse practitioners in more than 80 locations. In November, Community Health Network entered into a joint venture with Centerre Healthcare in Nashville, Tenn., to build a $23 million inpatient rehabilitation hospital.

Covenant Health (Knoxville, Tenn.).
Covenant Health employs approximately 10,000 people and has more than 1,000 affiliated physicians who serve at eight hospitals in addition to outpatient centers and other facilities. Covenant Health operates the Fort Sanders Nursing Department, a baccalaureate nursing education program at Tennessee Wesleyan College, located in Athens. It also offers health screenings and other educational opportunities through its Center for Community Health. In addition, the system has a physician practice management company, Covenant Medical Management, which supports approximately 90 physicians in 40 medical practices.

CoxHealth (Springfield, Mo.).
As of fiscal year 2010, CoxHealth had nearly 8,800 employees and 500 physicians on staff. The health system provides care in three hospitals, more than 60 physician clinics and numerous urgent care facilities and other outpatient sites. CoxHealth offers several educational opportunities, including Cox College, Cox Family Medicine Residency, PGY-1 Pharmacy Residency and the School of Medical Technology. The health system also includes Cox HealthPlans, which offers individual, HMO and PPO plans.

Fairview Health Services (Minneapolis). Fairview Health Services has 22,000 employees, 2,500 affiliated physicians, more than 40 primary care clinics, 10 hospitals and a variety of other care facilities. The system partners with the University of Minnesota and owns the University of Minnesota Medical Center, Fairview and the University of Minnesota Amplatz Children's Hospital. Fairview also has 700 affiliated academic physicians in the group practice University of Minnesota Physicians and a network of 630 independent physicians in Fairview Physician Associates. In November, the system acquired Bloomington Lake Clinic, which has locations in Minneapolis and Bloomington, Minn.

Franciscan Health System (Tacoma, Wash.). Franciscan Health System, part of Englewood, Colo.-based Catholic Health Initiatives, includes five hospitals and multiple surgery centers, medical clinics and centers for advanced medicine. The system employs 8,100 people and has approximately 1,400 medical staff members. In addition, Franciscan Health System includes the Franciscan Medical Group, the largest physician-led, multi-specialty group in the South Puget Sound area. The system's St. Clare Hospital in Lakewood plans to begin a $15.5 million renovation project in early 2012.

Geisinger Health System (Danville, Pa.). Physician-led Geisinger Health System includes 37 community practice sites and numerous hospitals, outpatient centers and other care facilities. Geisinger employs roughly 14,400 people, including 880 physicians/scientists and 470 advanced practitioners. The health system offers multiple health plans and owns a technology company called ISS Solutions, which provides technology lifecycle management solutions to a variety of industries. In September, Geisinger partnered with Schuylkill Health System in Pottsville, Pa., to create a cancer treatment facility on the Schuylkill Medical Center campus.

Genesis Health System (Davenport, Iowa). Genesis Health System includes four hospitals, numerous medical centers and clinics, a home equipment store and First Med Pharmacy, among other resources. The system has more than 600 physicians and 5,000 staff members and operates Genesis Health Group, a network of physicians. In November, Genesis Health System announced plans to build an approximately 45,000-square-foot medical park, including a medical office building, at an estimated cost of $10 million.

Gundersen Lutheran Healthcare (La Crosse, Wis.).
Physician-led Gundersen Lutheran Healthcare consists of three affiliated hospitals, four affiliated nursing homes, 23 medical clinics, three podiatry clinics, eight behavioral health clinics, 12 eye clinics and two sports medicine clinics. The system includes more than 700 medical, dental and associate staff and a support staff of more than 5,500. The Gundersen Lutheran Health Plan offers several health insurance options, including HMO plans, point of service plans and a Medicare plan. Gundersen Lutheran Healthcare, which is the designated Western Clinical Campus for the University of Wisconsin School of Medicine & Public Health and School of Nursing, also features an environmental program called Envision to lower costs and improve the environment.

HCA Midwest Health System (Kansas City, Mo.).
HCA Midwest Health System, the largest healthcare network in the greater Kansas City area, has more than 8,000 employees and 1,500 physicians. Its physician network, Midwest Physicians, includes 230 physicians at 58 practices in 77 locations. The system, part of Nashville, Tenn.-based HCA, is comprised of nine hospitals, six surgery centers and one psychiatric care facility. In late summer, HCA Midwest's Research Belton (Mo.) Hospital broke ground on an 82,000-square-foot, $39.1 million expansion and renovation project, which will include a new emergency department, surgery department and medical office building as well as updated patient rooms and support offices.

Health First (Rockledge, Fla.). Health First includes four hospitals, one of which — Viera (Fla.) Hospital — was added in April. The health system has the largest multi-specialty physician group in central Brevard, Fla., and Health First is also Brevard's largest commercial health insurer. Health First Health Plans offers Medicare Advantage, commercial point of service plans and commercial HMO plans. In April, Health First formed a partnership with Jacksonville, Fla.-based Nemours to expand its pediatric care.

Henry Ford Health System (Detroit). Henry Ford Health System, which is affiliated with Wayne State University's School of Medicine, consists of six hospitals, 29 medical centers, 20 pharmacy locations and several medical centers. HFHS includes the Henry Ford Medical Group, one of the country's largest group practices with more than 1,200 physicians. Employing more than 23,000 people, the health system is the fifth-largest employer in metro Detroit. HFHS also offers PPO, HMO, Value and Medicare insurance plans via the Health Alliance Plan, medical supplies through its Henry Ford Health Products and eye care through a partnership between Henry Ford OptimEyes and Eye Care Services.  

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