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During2012ConcordHospitaleitherachievedorexceededmanyoitsannualobjectivesandmadesignicantprogresstowardlong-termaspirationalgoals.Overthepastdecadeourorganizationhasevolvedromacommunityhospitaltoaregionalintegratedhealthcaredeliverysystem.InterestinglytheHospitalunctionswithapproximatelythesamenumberobedstodayasadecadeago.Butadecadeagowelloverhaloourrevenuecamerominpatientserviceswhiletodaymorethan70percentoourrevenueisromoutpatientandproessionalees.AdecadeagoConcordHospitalemployedarelativelysmallnumberoproviders.TodayConcordHospitalMedicalGroupamultispecialtygroupwithoutwallsemploysover240providersphysiciansnursepractitionersandphysicianassistants.Oneelectronicmedicalrecordisusedthroughouttheintegrateddeliverysystemtoenhancequalitymoreeectivelyengageconsumersandhelpacilitateasystemsapproachtoimprovingefciency.PartnershipswithDartmouth-HitchcockConcordDartmouth-HitchcockMedicalCenterConcordOrthopaedicsConcordEndoscopyCenterConcordAmbulatorySurgeryCenterConcordImagingCenterGraniteHealthcareNetworkandothersenhanceourcapabilityasaregionalintegratedhealthcaredeliverysystem.Oneothemostremarkableaspectsoourtransormationisthatdespitesignicantgrowthandaratherremarkableincreaseincomplexitytheorganizationretainsthevaluesandcharacteristicsoacommunityhospital.Ourocushasbeenandwillcontinuetobeonprovidingpatientsandtheiramilymemberswiththebestpossibleexperiencecontinuouslyimprovingthequalityocareanddoingourverybesttoeectivelymanagethecostocare.Theorganizationmeasurespatientsatisactionthroughoutallooursettingsandwereveryproudoourperormance.Werealmostalwaysinthetoptenpercentwhencomparedtohundredsopeerinstitutionsthroughoutthecountry.Werepassionateaboutqualityimprovement.Asyouwillreadinthisreportourstaisengagedinamyriadofprojectstoimproveperformanceandenhancequality.Ultimatelyoursuccessisdependentonthecompetencyandcommitmentostathroughouttheorganization.FortunatelyConcordHospitalhasbecometheemployerochoiceinourregionandweareortunatetohavewonderullytalentedanddedicatedsta.AtestamenttooursuccessisthatConcordHospitalwillreceiveanancialincentiveromtheCentersorMedicareandMedicaidServicesbasedonanalyticalevidencethatweveoutperormedourpeerswithregardtobothpatientsatisactionandqualityocare.ThisincentiveisintegraltothePatientProtectionandAordableCareActotencalledObamacareanditheorganizationunderperormedtheincentivewouldquicklybecomeanancialpenalty.Thisisbutoneoamyriadoexternalactorsthatincreasethecomplexityohealthcaredeliveryintodaysenvironment.AMessagetoOurCommunity2RepresentsConcordHospitalandConcordHospitalMedicalGrouplocations