By seamlessly integrating internal data and external sources, Dexur provides a holistic understanding of the most crucial performance indicators. CMS created the HCAHPS Star Ratings to enable consumers to more quickly and easily assess the patient experience of care information that is provided on the Hospital Compare website. The Centers for Medicare & Medicaid Services (CMS) and the nation's hospitals work collaboratively to publicly report hospital quality performance information on Care Compare website located at www.medicare.gov/care-compare/ and the Provider Data Catalog on data.cms.gov. Copyright 2023 Becker's Healthcare. Dexur's mission is to enable hospitals to efficiently manage CMS programs, reduce unpredictability, and continuously improve quality outcomes to benefit their patients and communities. Assessing the stability of CMS new methodology by comparing hypothetical 2020 performance under the new methodology to 2021 actual performance; and. To view a list of CMS' one-star hospitals,click here. The Centers for Medicare & Medicaid Services' new Hospital Overall Star Ratings methodology preserves some year-to-year stability, but ratings remain Blog In 2020, the Centers for Medicare & Medicaid Services (CMS) overhauled the Hospital Overall Quality Star Ratings methodology with the expressed purpose of In the latest ranking, many large health systems had hospitals on the 5-star list. Maryellen Guinan is a principal policy analyst at America's Essential Hospitals. This compares to an estimated 455 hospitals when the previous ratings were last released in April 2021. The overall rating, between 1 and 5 stars, summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. AHA commissioned KNG Health to assess whether these methodological changes have fully achieved CMS' goals, while also estimating expected performance variation and drivers of performance and variation under the new methodology. An estimated 192 received the lowest, 1-star rating. To improve the stability and predictability of star ratings the weights applied to the different measures would be set in advance by CMS. Banner Goldfield Medical Center (Apache Junction), HonorHealth Thompson Peak Medical Center (Scottsdale), Summit Healthcare Regional Medical Center (Show Low), Stone County Medical Center (Mountain View), Barton Memorial Hospital (South Lake Tahoe), Cedars-Sinai Medical Center (Los Angeles), Eisenhower Medical Center (Rancho Mirage), Glendale Memorial Hospital and Health Center, Greater El Monte Community Hospital (South El Monte), Hoag Memorial Hospital Presbyterian (Newport Beach), Kaiser Foundation Hospital and Rehab Center (Vallejo)*, Martin Luther King, Jr. Community Hospital (Los Angeles), Mills-Peninsula Medical Center (Burlingame), Mission Community Hospital (Panorama City), Providence Redwood Memorial Hospital (Fortuna), Santa Monica-UCLA Medical Center and Orthopaedic Hospital, Sharp Coronado Hospital and Healthcare Center (Coronado), Sutter Auburn Faith Hospital (North Auburn), UC San Diego Health Hillcrest-Hillcrest Medical Center, Centura Health-Penrose St. Francis Health Services (Colorado Springs), Centura Health-St Anthony North Health Campus (Westminster), UCHealth Yampa Valley Medical Center (Steamboat Springs), Baptist Medical Center Beaches (Jacksonville Beach), Baptist Medical Center-Nassau (Fernandina Beach), Healthmark Regional Medical Center (Defuniak Springs), Memorial Health Meadows Hospital (Vidalia), North Hawaii Community Hospital (Kamuela), St. Luke's Regional Medical Center (Boise), St. Mary's Hospital and Clinics (Cottonwood), Advocate Good Shepherd Hospital (Barrington), Crossroads Community Hospital (Mount Vernon), Illinois Valley Community Hospital (Peru), NorthShore University Healthsystem-Evanston Hospital, OSF Saint Elizabeth Medical Center (Ottawa), Henry County Memorial Hospital (New Castle), Indiana University Health Bedford Hospital, Indiana University Health North Hospital (Carmel), St. Anthony Regional Hospital & Nursing Home (Carroll), Kansas Surgery & Recovery Center (Wichita), Saint Luke's South Hospital (Overland Park), Meadowview Regional Medical Center (Maysville), Christus Ochsner St. Patrick Hospital (Lake Charles), Mercy Regional Medical Center (Ville Platte), Ochsner Medical Center-Northshore (Slidell), Redington Fairview General Hospital (Skowhegan), Medstar Union Memorial Hospital (Baltimore), University of Maryland St. Joseph Medical Center (Towson), The Cooley Dickinson Hospital (Northampton), Mclaren Central Michigan (Mount Pleasant), Munson Healthcare Otsego Memorial Hospital (Gaylord), OSF St. Francis Hospital and Medical Group (Escanaba), Promedica Charles and Virginia Hickman Hospital (Adrian), Saint Joseph Mercy Livingston Hospital (Howell), Spectrum Health Gerber Memorial (Fremont), Spectrum Health United Hospital (Greenville), University of Michigan Health System (Ann Arbor), Essentia Health St. Mary's Medical Center (Duluth), Golden Valley Memorial Hospital (Clinton), Lafayette Regional Health Center (Lexington), Missouri Baptist Medical Center (Town and Country), Western Missouri Medical Center (Warrensburg), Renown South Meadows Medical Center (Reno), St. Luke's Warren Hospital (Phillipsburg), New York University Langone Medical Center (New York), St. Francis Hospital-The Heart Center (Roslyn), Atrium Health University City (Charlotte), Novant Health Medical Park Hospital (Winston-Salem), Adena Regional Medical Center (Chillicothe), Crystal Clinic Orthopaedic Center (Akron), Mercer County Joint Township Community Hospital (Coldwater), Southwest General Health Center (Middleburg Heights), Summa Western Reserve Hospital (Cuyahoga Falls ), Surgical Hospital at Southwoods (Youngstown), University Hospitals Ahuja Medical Center (Beachwood), McBride Orthopedic Hospital (Oklahoma City), Oklahoma Heart Hospital South (Oklahoma City), St. Mary's Regional Medical Center (Enid), Asante Rogue Regional Medical Center (Medford), Asante Three Rivers Medical Center (Grants Pass), Kaiser Sunnyside Medical Center (Clackamas)*, Legacy Meridian Park Medical Center (Tualatin), Providence St. Vincent Medical Center (Portland), Chan Soon-Shiong Medical Center at Windber, Geisinger Wyoming Valley Medical Center (Wilkes-Barre), Hospital of the University of Pennsylvania (Philadelphia), Mount Nittany Medical Center (State College), Penn Presbyterian Medical Center (Philadelphia), Penn State Health Holy Spirit Medical Center (Camp Hill), St. Luke's Hospital-Anderson Campus (Easton), WellSpan Good Samaritan Hospital (Lebanon), Prisma Health Baptist Parkridge (Columbia), Prisma Health Hillcrest Hospital (Simpsonville), Prisma Health Patewood Hospital (Greenville), Avera Heart Hospital of South Dakota (Sioux Falls), Avera McKennan Hospital & University Health Center (Sioux Falls), Baylor Scott & White Heart & Vascular Hospital-Dallas, Baylor Scott & White Medical Center-Frisco, Baylor Scott & White Medical Center-Marble Falls, Baylor Scott & White Medical Center-Temple, Baylor Scott & White Texas Spine & Joint Hospital (Tyler), Baylor Scott & White The Heart Hospital-Plano, CHI St. Luke's Brazosport Hospital (Lake Jackson), CHI St. Luke's Health Memorial Livingston, Guadalupe Regional Medical Center (Seguin), Texas Health Harris Methodist Hospital Alliance (Fort Worth), Texas Health Harris Methodist Hospital Southwest Fort Worth, Texas Health Harris Methodist Hospital Stephenville, Texas Health Heart & Vascular Hospital Arlington, Texas Health Huguley Hospital Fort Worth South (Burleson ), Texas Health Presbyterian Hospital Rockwall, The University of Texas Health Science Center at Tyler, UT Southwestern University Hospital-William P. Clements Jr. (Dallas), University of Utah Hospitals and Clinics (Salt Lake City), University of Vermont-Fletcher Allen Health Care (Burlington), Carilion Giles Community Hospital (Pearisburg), Riverside Doctors' Hospital of Williamsburg, Sentara Martha Jefferson Hospital (Charlottesville), Sentara Williamsburg Regional Medical Center, Evergreenhealth Medical Center (Kirkland), Legacy Salmon Creek Medical Center (Vancouver), Providence Mount Carmel Hospital (Colville), Swedish Medical Center / Cherry Hill (Seattle), Stonewall Jackson Memorial Hospital (Weston), Community Memorial Hospital (Menomonee Falls), Crossing Rivers Health Medical Center (Prairie Du Chien), Door County Medical Center (Sturgeon Bay), Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System-Franciscan Medical Center (La Crosse), St. Croix Regional Medical Center (St. Croix Falls), St. Joseph's Community Hospital West Bend, University of Wisconsin Hospitals & Clinics Authority (Madison), Sheridan Memorial Hospital St. John's Medical Center (Jackson). Only hospitals that have at least three measures within three measure groups, with at least one of those groups being mortality or safety of care, are eligible for an overall star rating. Before sharing sensitive information, make sure youre on a federal government site. Of 4,586 hospitals, 13.5%, or 455 hospitals, received five stars; 988 received four stars; 1,018 received three stars; 690 received two stars; and 204 received one star. All Rights Reserved. The anticipated update is the second since the agency overhauled the ratings' methodology in 2020. Dexur has revolutionized the industry by equipping hospitals with indispensable resources, including specialized healthcare data, analytics, software solutions, and deep-rooted knowledge of CMS programs, delivering a decisive impact. The July 2022 Overall Star Ratings will include a correction to the OP-10 (Abdomen Computed Tomography [CT]-Use of Contrast Material) measure, which will be publicly reported at the same time. CMS recently released its updated hospital quality star ratings on Medicare's Hospital Compare, marking the first release of the ratings since CMS updated its methodology last year. Dexur Goal Setting: Fostering Alignment and Success. CMS and the Agency for Healthcare Research and Quality have led a partnership of public and private organizations to publicly report patients perspectives of hospital care. The majority of hospitals received 3 or 4 stars, with 890 hospitals getting 4 stars and that same number receiving 3 stars. CMS rated over 4,500 hospitals from one to five stars, with five representing the highest quality rating. The clustering algorithm empirically determines the number of hospitals in each star rating category independently for each HCAHPS measure. The US Centers for Medicare and Medicaid Services (CMS) released the first ratings list for the Medicare Overall Hospital Star Ratings Program on July 27, 2016. Yale University has convened a national technical expert panel (TEP) of consumers, hospital representatives, public reporting experts, and methodology experts to provide feedback and guidance in developing this methodology. Dexur empowers healthcare providers to forecast their CMS Star Ratings, HRRP penalties, and VBP payouts well in advance, ranging from 1 to 3 years. These star ratings also determine quality bonus payments for plans. Dexur's services transcend geographical boundaries and extend their support to hospitals nationwide. 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Another 1,761 had no rating information available. On the other hand, top-box scores consist of only the most positive response to HCAHPS survey items. 202-690-6145. Learn more about Essential Hospitals Political Action Committee , Essential Data: Our Hospitals, Our Patients Results of Americas Essential Hospitals 2020 Annual Member Characteristics SurveyView the full Institute report , Access and Quality for AllMore on our mission and history , 401 Ninth St. NW, Suite 900, Improving the Patient Financial Experience Throughout the Patient Journey. Hospital leader will stay on to guide Tampas flagship hospital through $550 million expansion. CMS assigned star ratings to hospitals nationwide based on their performance across five quality categories. Jan 29, 2020 - 02:43 PM The Centers for Medicare & Medicaid Services today updated the overall hospital quality star ratings at Hospital Compare and data.medicare.gov as part of the quarterly refresh of the website's data. UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. Under an interim final rule released in August, CMS did not use quality data from January 1 through June 30. Privacy Policy| For more information, see the HCAHPS Fact Sheet available at http://www.hcahpsonline.org/Facts.aspx. By continuing to use our site, you acknowledge that you have read, that you understand, and that you accept our. CMS developed the program to help consumers make more informed decisions by giving them a way to compare hospitals based on quality ratings. For general questions regarding Hospital Public Reporting or Overall Hospital Quality Star Ratings go to the QualityNet Question and Answer Tool. The star ratings come from a patient experience of care survey called the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Reports are available until June 16. Customize your JAMA Network experience by selecting one or more topics from the list below. Molina will require Brand New Day and Central Health Plan to achieve star ratings of at least three out of five this year, according to the SEC filing. CMS believes that each measure is valid and is useful to consumers, and consumers have indicated these pieces of information are important in their decision making. "However, certain changes might not have the effect that CMS hopes, and there remain flaws in the methodology that CMS must address. The methodology for calculating the Overall Hospital Quality Star Rating was developed with input from stakeholders and members of the public and finalized in the Calendar Year (CY) 2021 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule (CMS-1736-P). The mock HSR provides information on how measure results are presented for facilities and can be used as a reference by facilities . Of 3,093 hospitals rated, 429 earned 5 stars in the Centers for Medicare and Medicaid Services 5-star rating system. The average is about 37 measures. Letsgetstarted. The update is the second since CMS revised its methodology to include the use of peer grouping in 2020. The measure groups are for mortality, safety of care, readmission, patient experience, and timely and effective care. Note: As asterisk denotesthis hospital's star rating only includes data reported on inpatient services. Although star ratings are not based on surgical care, for many procedures, surgical outcomes are concordant with star ratings. 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Copyright © 2023 Becker's Healthcare. CMS uses star ratings for its Compare website for consumers to choose highly rated hospitals and other providers in their area. The star rating summarizes a variety of measures across five areas of quality into a single star rating for each hospital. Large nonprofit Texas health system Baylor Scott & White had six facilities on the 5-star list, including its Medical Center in Marble Falls, Texas; the Heart Hospital in Plano, Texas; Spine and Joint Hospital in Tyler, Texas; its Medical Center in Frisco, Texas; Heart & Vascular Hospital in Dallas; and theMedical Center in Temple, Texas. The HCAHPS summary star rating combines information about different aspects of patient experience of care to make it easier for you to compare hospitals. In the latest ranking, many large health systems had hospitals on the 5-star list. The new HCAHPS Star Ratings summarize one aspect of hospital qualitypatients experience of care. Sixty percent of hospitals could have expected to receive the same score in 2020, with 36% seeing an increase or decrease of one star rating. When applying the new methodology to both 2020 and 2021 the distribution of ratings are similar (see Figure 1). Understanding and managing risk factors is vital for hospitals aiming to improve quality measures. While many healthcare providers believe that improving the patient financial experience is a critical step for their organization, few have done so successfully. Jul 27, 2022 - 03:32 PM The Centers for Medicare & Medicaid Services today updated with 2021 data the Overall Hospital Quality Star Ratings at its Care Compare website and Provider Data Catalog. The star ratings includes a variety of the more than 100 measures CMS publicly reports, divided into five measure groups or categories. It is tied as the third-highest-ranked hospital in Florida in U.S. News & World Report's 2022-23 Best Hospitals. Visit Dexur.com or email dexur@dexur.com to request an exclusive, free sample prediction and simulation report for CMS Star Ratings, HRRP Readmission, Mortality, and VBP/MSPB. The ever-evolving nature of CMS Star Ratings, HRRP penalties, and VBP payouts introduces disruptions and uncertainties. ", Twitter: @SusanJMorse Through the simulations, Dexur empowers hospitals to gain an understanding of the outcomes resulting from different scenarios and interventions, thereby steering them toward the most impactful strategies for advancement. CMS did not update the hospital star ratings this past January, so as to allow time to review comments and finalize proposed changes to the new star ratings methodology. IPPS hospitals are required to report HCAHPS as part of the Hospital Inpatient Quality Reporting (IQR) Program and CAHs voluntarily participate. CMS assigned star ratings to hospitals nationwide based on their. CMS compiles the star ratings by assessing hospitals in five sets of quality measures: mortality, safety of care, readmissions, patient experience, and timeliness and effectiveness of care. Headline CMS updates overall hospital star ratings Apr 28, 2021 - 01:19 PM The Centers for Medicare & Medicaid Services today updated the overall hospital quality star ratings at Care Compare. 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We believe that an overall hospital rating will be helpful to consumers by allowing them to more easily compare the quality provided by hospitals. Healthcare organizations ask HHS to delay quality measure reporting for ACOs. 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By leveraging data-driven insights, hospitals can effectively address challenges and capitalize on opportunities for enhanced patient outcomes. You entered an invalid username or password. The goal of QualityNet is to help improve the quality of health care . Also, check out 2024, 2025 & 2026 HRRP Readmission and Mortality measures predictions here. BAPTIST MEMORIAL HOSPITAL JONESBORO, INC. PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER, UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI, ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC, ADVENTIST HEALTHCARE WHITE OAK MEDICAL CENTER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON, HACKENSACK MERIDIAN HEALTH PASCACK VALLEY MEDICAL, NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER, JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC, SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY, VALLEY BAPTIST MEDICAL CENTER- BROWNSVILLE, BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE, ASCENSION COLUMBIA ST MARY'S HOSPITAL MILWAUKEE, BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY, THE HOSPITALS OF PROVIDENCE TRANSMOUNTAIN CAMPUS, CALIFORNIA PACIFIC MEDICAL CENTER - MISSION BERNAL, PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO, UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER, PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE, OSF LITTLE COMPANY OF MARY MEDICAL CENTER, PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER, SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH, UNIVERSITY OF KS HLTH SYSTEM GREAT BEND CAMPUS, UMASS MEMORIAL HEALTHCARE-MARLBOROUGH HOSPITAL, SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY, SOUTHEASTHEALTH CENTER OF STODDARD COUNTY, SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER, MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS, CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER, MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER, JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY, SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER, SANA HEALTHCARE CARROLLTON D/B/A CARROLLTON REGIONAL MEDICAL CENTER, BAYLOR SCOTT & WHITE MEDICAL CENTER PLANO, MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM, VAUGHAN REGIONAL MEDICAL CENTER PARKWAY CAMPUS, EMANATE HEALTH FOOTHILL PRESBYTERIAN HOSPITAL, NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL, ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER, NORTH MISSISSIPPI MEDICAL CENTER-GILMORE AMORY, SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE, MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD), MEDICAL CENTER OF PEACH COUNTY, NAVICENT HEALTH, UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS, SSM HEALTH ST. FRANCIS HOSPITAL- MARYVILLE, BON SECOURS SOUTHERN VIRGINIA MEDICAL CENTER, SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD, SAINT ROSE DOMINICAN HOSPITALS - ROSE DE LIMA, BAPTIST MEMORIAL HOSPITAL - CARROLL COUNTY, PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO, SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT, KAISER FOUNDATION HOSPITAL - SAN FRANCISCO, UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW, NORTHEAST ALABAMA REGIONAL MEDICAL CENTER, BANNER - UNIVERSITY MEDICAL CENTER TUCSON CAMPUS, TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST, ASCENSION SE WISCONSIN HOSPITAL - ST JOSEPH CAMPUS, NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER, SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET, UNIVERSITY OF TEXAS MEDICAL BRANCH GALVESTON, SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS, INSIGHT HOSPITAL AND MEDICAL CENTER CHICAGO, UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER, UMASS MEMORIAL HEALH - HARRINGTON HOSPITAL, UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS, UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA, VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY, UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER, MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD, PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL, TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH, BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER, BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE, HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER, SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES, RIVERSIDE UNIVERSITY HEALTH SYSTEM-MEDICAL CENTER, LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA, ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY, PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER, THE HOSPITALS OF PROVIDENCE - SIERRA CAMPUS, THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE- LV STABLER HOSPITAL, CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP, INDIANA UNIVERSITY HEALTH WHITE MEMORIAL HOSPITAL, OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER, LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CTR, INC, BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC, HOLY CROSS HOSPITAL A DIV OF TAOS HEALTH SYSTEMS, FINGER LAKE HEALTH-GENEVA GENERAL HOSPITAL, BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL, NOVANT HEALTH UVA HEALTH HAYMARKET MEDICAL CENTER, BAPTIST HEALTH MEDICAL CENTER-ARKADELPHIA, FOUNTAIN VALLEY REGIONAL HOSPITAL & MEDICAL CENTER, VIA CHRISTI HOSPITAL WICHITA ST TERESA, INC, LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES, INC, UNIVERSITY OF MD BALTIMORE WASHINGTON MEDICAL CENTER, ADVENTIST HEALTHCARE FORT WASHINGTON MEDICAL CTR, MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER, CAREPOINT HEALTH - BAYONNE MEDICAL CENTER, GARNET HEALTH MEDICAL CENTER CATSKILLS - (CSK), TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE, SCENIC MOUNTAIN MEDICAL CENTER, A STEWARD FAMILY H, THE HOSPITALS OF PROVIDENCE - EAST CAMPUS, KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND, BAYLOR SCOTT & WHITE MEDICAL CENTER-WHITE ROCK, MASON GENERAL HOSPITAL & FAMILY OF CLINICS, TUBA CITY REGIONAL HEALTH CARE CORPORATION, KAISER FOUNDATION HOSPITAL - WALNUT CREEK.
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