HRET logo, click here to go to the site home page

Transforming health care
through research and education

Hospitals in the Pursuit of Excellence logo, click here to go to the HPOE home page

Educational Resources

Educational resources broken down by research area.

Resources section header image

Click here to subscribe to HRET Resources RSS feed A Guide to Achieving High Performance in Multi-Hospital Health System

- March 01, 2010

Click here to access this resource

Due to the size and breadth of their organizations, multi-hospital health system leaders have a significant impact on the quality of health care in the United States. More than half of all U.S. hospitals belong to multi-hospital health systems, and about 60 percent of all hospital admissions occur in system hospitals. Yet, while a wide range of quality improvement (QI) mechanisms can be applied in individual hospitals, there has been a lack of actionable information that leaders of multi-hospital systems can leverage to improve quality across their systems.
Through support from The Commonwealth Fund, HRET studied best practices in QI strategies among multi-hospital health systems. The project collected data from a variety of sources--including public databases about system quality (Hospital Compare), claims data, and surveys of system leaders (AHA Annual Survey)--and compiled characteristics of systems that are associated with high measures of quality.

The resulting publication, A Guide to Achieving High Performance in Multi-Hospital Health Systems, distills the good being done by top-performing health systems into a quick, easily read format that will fuel discussion at the highest levels of leadership. The guide gathers information from HRET's research and interviews of leaders from a diverse group of 45 health care systems. The information asserts that system leaders can dramatically impact care quality across their systems. The guide provides nearly 20 best practices as well as specific examples from the systems interviewed.

Terms of Use  | Privacy Policy

©2006-2017 by the American Hospital Association. All rights reserved. Noncommercial use of original content on is granted to AHA Institutional Members, their employees and State, Regional and Metro Hospital Associations unless otherwise indicated. AHA does not claim ownership of any content, including content incorporated by permission into AHA produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content. To request permission to reproduce AHA content, please click here.