Six delivery systems--Cleveland Clinic, Dartmouth-Hitchcock, Denver Health, Geisinger Health System, Intermountain Healthcare and Mayo Clinic--will share data on outcomes, quality and costs across a range of common and costly medical conditions and treatments.

The organizations will collaborate through the Dartmouth Institute for Health Policy and Clinical Practice, which will coordinate data sharing and analysis to aid in determining best practices, then disseminate recommendations to other providers across the nation.

The collaboration initially will focus on eight conditions: knee replacement, diabetes, heart failure, asthma, weight loss surgery, labor and delivery, spine surgery and depression. The first analysis will cover total knee replacement, a procedure performed more than 300,000 times annually in the United States at a cost of $16,000 to $24,000.

Work to define best practices for treating diabetes and heart failure will start in early 2011. More information about the Dartmouth Institute is available at

--Joseph Goedert


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