Performance Improvement Leaders:
   Introduction
   Methodology
   Findings
   Winners

100 Top Hospitals®:
Performance Improvement Leaders—2005

Findings

Our study revealed that in recent years, the hospital industry's ability to improve performance over time has been minimal, and the challenge health care executives face in aligning their organizations for continuous performance improvement is staggering.

The good news is that such improvement is possible. Although the vast majority of hospitals have shown little ability to improve performance, 100 hospitals from all across the nation—the 2005 Solucient Performance Improvement Leaders—have shown a clear ability to improve, raising clinical outcomes and efficiency, and growing financial strength and the percent of community served.

The winners of the 2005 Performance Improvement Leaders Award made the following gains between 2000 and 2004:

• Went from having more patient deaths, complications, and adverse safety events than expected to having fewer than expected
• Rose from being barely profitable to maintaining a healthy positive profit margin of 5.8%
• Discharged patients two-thirds of a day earlier
• Increased their expenses by only 8%, while their peers' expenses increased 20%.
• Grew their patient volume 5.3 percent, while their peers lost 1.5 percent of their patient volume.

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