Allina Health and Mayo Clinic have been listed among the nation’s top 15 Health Systems by Fortune/IBM Watson Health.

This year’s ranking of top hospitals introduces a measure of hospitals’ contributions to community health with a focus on equity, along with measures of clinical outcomes, operational efficiency, patient experience and financial health.

A team of experts at the Johns Hopkins Center for Health Equity and the Bloomberg American Health Initiative at the Johns Hopkins Bloomberg School of Public Health, developed the measure of hospital contributions to community health with a focus on equity. For the ranking, hospitals were surveyed across three components: 1) assessing hospital contributions to community health as a provider of critical services for community health and preventive care; 2) identifying ways that hospitals contribute to community health as a community partner teaming up with local organizations to implement critical programs; and 3) focusing on ways that hospitals promote community health through their practices as anchor institutions supporting local economic and social progress.

“We believe that including a community measure as part of the Fortune/IBM Watson Health 100 Top Hospitals ranking can help begin the process of change and improvement across the hospital community,” said Irene Dankwa-Mullan, IBM Watson Health chief health equity officer and deputy chief health officer.

As compared to their peer health systems, the hospitals included on the Top Health Systems list had better results on performance indicators intended to measure clinical outcomes, operational efficiency and patient experience. These include lower inpatient mortality rates and fewer patient complications, considering patient severity; care that resulted in fewer healthcare-associated infections; lower 30-day readmission rates; shorter lengths of stay; faster emergency care; higher scores on patient ratings of their overall hospital experience: and lower episode-of-care expenses for the in-hospital through aftercare process.

To determine 15 Top Health Systems list, IBM Watson Health researchers evaluated 324 health systems and 2,522 hospitals that are members of health systems. All research was based on the following public data sets: Medicare cost reports, Medicare Provider Analysis and Review data, and data from the Centers for Medicare & Medicaid Services Hospital Compare website.

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