In its fifth annual study, Truven Health Analytics has listed the top 15 health systems based on scores from eight measures of quality, patient perception of care and efficiency.

These top systems experienced fewer deaths and complications than peer groups, had shorter hospital stays, and better safety and core measure adherence, according to Truven Health, formerly the health care business of Thomson Reuters. The study, available here, covered more than 300 health systems and 2,200 member hospitals. The winners are:

Large Health Systems (More than $1.5 billion in total operating expenses): Advocate Health Care, Oak Brook, IL; Banner Health, Phoenix; Memorial Hermann Health System, Houston; OhioHealth, Columbus; and Scripps Health, San Diego.

Medium Health Systems ($750 million to $1.5 billion): Alegent Creighton Health, Omaha, NE; Exempla Healthcare, Denver; Mission Health, Asheville, N.C.; Prime Healthcare Services, Ontario, Calif.; and TriHealth, Cincinnati, OH.

Small Health Systems (less than $750 million): Asante, Medford, OR; Cape Cod Healthcare, Hyannis, MA; Mercy Health Southwest Ohio Region, Cincinnati; Poudre Valley Health System, Fort Collins, CO; and Roper St. Francis Healthcare, Charleston, S.C.

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