The state of Vermont is calliing into question a national review of state business development tax incentives. Vermont, according to a report released Wednesday by the Pew Center on the States, is one of several states that is not looking hard enough at the results of tax incentives used for economic development. Vermont is among half the states “trailing behind” in its review of these incentive policies. However, that study did not include Vermont’s principal incentive program.The Vermont Agency of Commerce issued a statement Friday saying that while it appreciates the work done by the Pew Center for the States, including their recently released report, â Evidence Counts,’an evaluation of State tax incentives for jobs and growth, it is missing a key element in its evaluation of Vermont. The Pew report did not include Vermontâ s current and active business incentive program, the Vermont Employment Growth Incentive (VEGI) program. According to Josh Goodman of the Pew Center on the States, â While [the Center] was intrigued by the design of VEGI (and, in particular, your approach to “but for”), we concluded that VEGI is a cash incentive, rather than a tax incentive–it does not reduce companies’ tax liabilities. Therefore, we didn’t include the VEGI evaluation in our rating for Vermont.’ Pew cited the Vermont Economic Advancement Tax Incentive program, which ran through 2006. SEE APPENDIX D for all sources used by Pew.The Pew rating in the report does not include the many evaluations that have been done by the State of Vermont and others of the VEGI program because the program did not fit the profile of the programs Pew was evaluating, according to the Vermont statement sent by Deputy Secretary Pat Moulton Powden. Therefore, the Agency determined, it is incorrect to assign their rating to the current business incentive program. In fact, VEGI is one of the most studied state programs in existence, undergoing an audit every other year, several studies by Legislative committees, and most recently, a comprehensive evaluation by the Secretary of Commerce. The program was also recently rated among the top incentive programs in the country by Good Jobs First, a Washington, DC-based national policy resource center for grassroots groups and public officials, promoting corporate and government accountability in economic development.The Pew report said policy makers across the country spend billions of dollars annually on tax incentives for economic development. But no state ensures that policy makers rely on good evidence about whether these investments deliver a strong return, the Pew study concludes. Often, states that have conducted rigorous evaluations of some incentives virtually ignore others or assess them infrequently. Other states regularly examine these investments, but not thoroughly enough. The Pew study did not say exactly what incentives it did look at if it was not looking at the VEGI program.Pew said the use of these investments appears to have grown substantially. Today, every state has at least one tax incentive program, and most have at least several. Tax incentives are policy choices with significant implications, especially at a time when most states are trying to rebuild their budgets and many have not regained the private-sector jobs lost during the Great Recession. If states do not base decisions on evidence, they could have less money to spend on other critical services. By not using effective incentives, states could miss opportunities to create jobs and support businesses.A report by the Pew Center on the States concludes that 13 states are leading the way in generating much-needed answers about tax incentives’effectiveness. Twelve states have mixed results. Half the states have not taken the basic steps needed to know whether their incentives are effective. The study highlights a wealth of promising approaches states have taken to help lawmakers find those answers. Report AssetsPress Release Executive SummaryFull ReportSource DocumentsState Documents Reviewed for This ReportPEW April 12, 2012
The Vermont Agency of Transportation will be closing Bridge # 81B on I-93 in Waterford on Tuesday, September 11, 2012. The bridge will be closed while the contractor replaces pavement, a waterproof membrane and the finger plate joint. The bridge is located at the on ramp from I-93 North to I-91 South at Exit 19 of I-91. Traffic will be detoured north on I-91 to Exit 20, then south on US 5 and onto I-91 South at Exit 20. The entire detour is approximately 1 ½ – 1 3/4 miles in length. The bridge is expected to be closed for 30 days. Replacement of the finger plate expansion joint will reduce the width of the bridge to 22 feet 8 inches during construction, rendering the bridge too narrow to ensure the safety of the traveling public and work crews. VTrans said in a statement that the closing may cause some inconvenience, but the safety of motorists and work crews was a major consideration in this decision. Source: VTrans 9.5.2012
by Alicia Freese February 28, 2013 vtdigger.org Three House committees ‘ Appropriations, Ways and Means, and Education ‘ met Thursday to try to drill down into what is driving up school spending and how they can ‘ bend the cost curve.’But two superintendents, testifying about their school budgets, they warned lawmakers that they wouldn’ t find ‘ low-hanging fruit’ when looking for cost-cutting measures.For the most part, lawmakers threw out surprisingly concise three-or four-word solutions to the vexing issue of rising school costs ‘ and property taxes. The most common suggestion was to negotiate teacher contracts at a statewide level instead of at the local school board level.Townshend Elementary SchoolMultiple lawmakers also expressed a hankering to do away with so-called small schools support grants, which provide assistance for low-enrollment schools where the two-year average enrollment is less than 100 or where class size averages are 20 or fewer.Many of the ideas tossed around at the session were time-worn concepts that have consistently met with a frosty reception in local school districts, such as the calls for consolidation of supervisory unions and administrative costs, and recalibrating student-teacher ratios. There was also one suggestion to revamp the state’ s complex education finance system.Earlier in the afternoon, lawmakers had heard from the superintendents and the finance directors from two supervisory unions, Lamoille South and Rutland Northeast, who walked them through their budgets and discouraged them from pursuing school consolidation or doing away with grants that assist small schools with very few students.Rep. Peter Peltz, D-Woodbury, asked John Castle, the superintendent of Rutland Northeast Supervisory Union, if the district had contemplated consolidation when Act. 153, which provided consolidation incentives, was passed by the Legislature in 2009.‘ We had about a ten-minute conversation and we were done,’ Castle replied.Elmore, located in Lamoille South, runs a 20-student, one-room school for grades 1-3. It receives a small-school grant of about $40,000. At one point Rep. Martha Heath, chair of the Appropriations Committee, asked the superintendent, Tracy Wrend, which would be more cost-effective: keeping the school open or paying tuition for students to attend school at another location.Wrend said it was cheaper to keep the school open.Heath persisted, asking, ‘ If your small-school grant was taken, would it still be financially better?’‘ Yes,’ Wrend responded.John Pike, the finance director at Lamoille South, said increases in tuition rates to send students to adjacent schools and growing special education costs have fueled spending in the region, and declining enrollment is exacerbating the problem.Brenda Fleming, the business manager for Rutland Northeast Supervisory Union, said salaries and benefits increases ‘ and in particular the spike in health care premiums (now expected to rise 10.5 percent) ‘ along with growing special education costs are driving their spending.Both Castle and Wrend cautioned against legislation that will increase their costs. Castle pointed to Gov. Shumlin’ s proposal to make algebra and geometry mandatory for ninth and tenth graders; Wrend said agency fee bills, childcare unionization and pre-K bills will raise costs in her region.
Fletcher Allen Health Care has made Becker Hospital Review’s first annual list of ‘100 Integrated Health Systems to Know.’The list highlights health systems that focus on the continuum of care ‘ from wellness and prevention to emergency, inpatient, outpatient, and hospice care. In particular, the rankings recognize systems which have embraced care delivery and payment reform initiatives, including accountable care organizations (ACOs). ‘This ranking reinforces Fletcher Allen’s leadership in transforming the delivery of health care in Vermont, from our commitment to providing high quality patient care in the right place at the right time, to our leadership in the OneCare Vermont ACO, to the development of our regional integrated delivery system through Fletcher Allen Partners,’said John R. Brumsted, MD, president and CEO of Fletcher Allen and Fletcher Allen Partners. ‘In reviewing this list, I’m pleased to see we are in very good company.’ Health systems were selected by Becker’s editorial team based on rankings by healthcare analytics company IMS Health, and the overall strength of each system’s financial, clinical and operational activities. Systems do not and cannot pay to be included on the list. See the full listing BELOW or click here, in alphabetical order. Becker’s Hospital Review has named “100 Integrated Health Systems to Know,” a list based on health systems’ range and coordination of healthcare services. The health systems listed here focus on the continuum of care, from wellness and preventive services to urgent care, inpatient care, outpatient care, hospice, health plan offerings and more. Many of these health systems have also demonstrated innovation through their participation in care and payment reform initiatives, such as accountable care organizations.The Becker’s Hospital Review editorial team selected health systems based on rankings by healthcare analytics company IMS Health, as well as health systems’ financial, clinical and operational strength.Note: This list is not an endorsement of included health systems or associated healthcare providers, and organizations cannot pay for inclusion on this list. Health systems are presented in alphabetical order.Adventist Health (Roseville, Calif.). Adventist Health includes 19 hospitals, more than 150 clinics and outpatient centers, 39 rural health clinics, 14 home health agencies, six hospice agencies, four joint-venture retirement centers and 4,500 medical staff physicians. In addition to direct medical care, the system offers TelepharmacyWest ‘telepharmacy services specially designed for rural hospitals to improve pharmacy capabilities ‘and Adventist Health/Clinical Engineering Services, which includes imaging and therapy, clinical engineering, laboratory and medical gas services.Adventist Health System (Altamonte Springs, Fla.). Adventist Health System includes 44 hospital campuses, including its flagship, 2,247-bed Florida Hospital in Orlando. In addition, the health system offers nursing homes, home health, behavioral health, family practices and a range of specialty services. Adventist Health System has an employee wellness program, “Wellness Our Way,” that includes free health assessments and screenings and personal plans for nutrition and exercise. The system also offers medical externships and a healthcare leadership development program for college students.Advocate Health Care (Oak Brook, Ill.). Advocate Health Care is the largest integrated healthcare system in Illinois, with more than 30,000 employees and roughly 6,000 affiliated physicians. The system has more than 250 sites of care, including 10 acute-care hospitals, two children’s hospitals and a variety of outpatient centers. Advocate features a 4,000-member physician group called Advocate Physician Partners, which collaborates with the system’s hospitals through its clinical integration program. Advocate also has an accountable care organization called AdvocateCare ‘a partnership with Blue Cross and Blue Shield of Illinois ‘and a Medicare Shared Savings Program ACO.Alegent Creighton Health (Omaha, Neb.). Alegent Health, sponsored by Englewood, Colo.-based Catholic Health Initiatives, was formed in 1996. It changed its name to Alegent Creighton Health after it acquired Creighton Medical Associates and Creighton University Medical Center in fall 2012. With nearly 2,000 beds, 1,500 medical staff physicians and nearly 10,500 employees, Alegent Creighton Health is the largest non-profit, faith-based healthcare provider in Nebraska and southwest Iowa. The system includes 11 hospitals, a freestanding inpatient psychiatric facility, a spine hospital, skilled nursing facilities and Alegent Creighton Clinic, a multispecialty network with more than 100 locations.Ascension Health (St. Louis). With more than 1,400 locations in 21 states and the District of Columbia, Ascension Health is the largest Catholic, non-profit health system in the country. The system offers acute-care services, long-term care, community health services, psychiatric care, rehabilitation services and residential care. Ascension Health has a subsidiary, Ascension Health Ventures, which invests in health companies, and a health IT service company, Ascension Health Information Services. In addition, the system partnered with Oak Hill Capital Partners in 2011 to form Ascension Health Care Network, a joint venture that provides an alternate funding source for the acquisition of Catholic hospitals and other healthcare provider entities.Aurora Health Care (Milwaukee). Aurora Health Care offers care at 15 hospitals, 172 clinics, more than 70 pharmacies and the largest home care organization in the state. In fact, two-thirds of Aurora’s care is delivered outside hospitals. As the largest private employer in Wisconsin, Aurora has roughly 30,000 caregivers and more than 1,500 employed physicians. Aurora offers residencies in family practice, internal medicine, obstetrics/gynecology, pharmacy and radiology, as well as fellowships in cardiology, gastroenterology, geriatrics, MRI imaging and women’s health.Avera Health (Sioux Falls, S.D.). Avera Health offers a range of acute-care, specialty care and wellness services at more than 300 locations. The health system includes Avera Medical Group, which is comprised of more than 545 physicians and other health professionals, and Avera Rural Health, which was established to support rural healthcare. Avera Health also offers health plans for individuals, employers and Medicare patients.Banner Health (Phoenix). Banner Health delivers care in seven states through 23 acute-care hospitals and healthcare facilities, and offers hospice and home care. The health system participates as a Pioneer Accountable Care Organization and partnered with Cigna in October for an accountable care initiative. Seventeen Banner Health facilities achieved stage 7 under HIMSS Analytics ‘the highest stage of adopting electronic health records.Baptist Health Care (Pensacola, Fla.). Baptist Health Care includes four hospitals, two medical parks, an orthopedic and sports medicine facility, a network of physicians and an affiliated cardiology practice. Baptist Health Care also offers several unique services, including subacute services at Baptist Manor, behavioral healthcare and vocational services at Lakeview Center and patient-centered excellence consulting from the Baptist Leadership Group.Baptist Health South Florida (Coral Gables). Baptist Health South Florida includes approximately 14,000 employees and 2,000 physicians across its seven hospitals and cardiac and vascular institute. The system offers additional services through its outpatient diagnostic facilities, urgent care centers, sleep centers, endoscopy centers, rehabilitation facilities and home care program. Baptist Health South Florida is also partnered with Baptist Health Medical Group, a network of more than 100 physicians. In addition, Baptist Health South Florida includes the Baptist Health International Center of Miami, one of the largest hospital-based international programs in the country.Baptist Memorial Health Care Corp. (Memphis, Tenn.). Baptist Memorial Health Care Corp. includes 14 hospitals, six home care facilities, six hospice locations and four urgent care centers. Baptist Memorial also includes Baptist Health Services Group, a preferred provider organization with 54 hospitals and 200 ancillary facilities, and a multispecialty group called Baptist Memorial Medical Group. In addition, the system features Baptist Memorial College of Health Sciences, a private college for undergraduate healthcare education.Bassett Healthcare Network (Cooperstown, N.Y.). Bassett Healthcare has six hospitals in addition to skilled nursing facilities, community and school-based health centers and the Bassett Physician Group, a multispecialty group of more than 400 physicians and advanced practice clinicians. Its Bassett Regional Network, a group of physicians and other health professionals, offer primary, preventive and outpatient care. Bassett Healthcare Network also features a home care company and medical supply company.BayCare Health System (Clearwater, Fla.). More than 19,000 BayCare Health System employees and 2,800 physicians provide care at more than 200 care locations. The system features 10 hospitals in addition to BayCare Alliant Hospital, a 48-bed long-term acute-care facility on the first floor of one of BayCare’s hospitals. BayCare also has various outpatient facilities, with services such as behavioral health, home care, imaging, laboratory services, orthopedics and wellness services.Baylor Health Care System (Dallas). Baylor Health Care System offers more than 300 access points, including 30 owned, operated, joint ventured or affiliated hospitals, 28 ambulatory surgical/endoscopy centers, 91 satellite outpatient facilities, three senior health centers, six retail pharmacies, three Baylor Research Institute locations and 209 HealthTexas locations. HealthTexas Provider Network is a multispecialty physician group at Baylor that includes more than 590 primary and specialty care physicians. In addition to its care offerings, Baylor offers educational opportunities through the Texas A&M Health Science Center College of Medicine Clinical Training Program in Dallas.Baystate Health (Springfield, Mass.). Baystate Health has 783 beds and 57 bassinettes across four facilities. In addition to inpatient care, Baystate offers a range of services throughout the continuum of care, including home health, home infusion and respirator and rehabilitation services. The system employs nearly 10,000 people and includes a physician practice, Baystate Medical Practices, which has 580 physicians. Baystate Health also holds a majority interest in Health New England, a health maintenance organization.Beaumont Health System (Royal Oak, Mich.). Beaumont Health System is a three-hospital integrated system with numerous community-based medical centers, extended care centers, outpatient facilities and home medical equipment stores. Beaumont offers education through its Oakland University William Beaumont School of Medicine, which was created in 2011 in partnership with Oakland University, and the system is affiliated with the University of Michigan and Wayne State University schools of medicine. Bon Secours Virginia Health System (Richmond). Bon Secours Virginia Health System is comprised of Bon Secours Richmond and Bon Secours Hampton Roads, which together have seven hospitals, two health centers and several assisted living residencies and skilled nursing facilities, among other care settings. Bon Secours Medical Group, the physician practice of Bon Secours Virginia Health System, participates in an ACO with Cigna. Bon Secours Virginia is part of Marriottsville, Md.-based Bon Secours Health System, a non-profit system with locations in six states.Broward Health (Fort Lauderdale, Fla.). Broward Health, a six-hospital safety-net system, includes a multispecialty medical group with more than 60 physicians. It also offers outpatient services and home and hospice services in addition to inpatient care. The health system partners with the community to provide education and free screenings through Broward Health Community Health Services. Broward Health also provides a variety of healthcare and related services to the homeless through its Bernard P. Alicki Health Center.Carilion Clinic (Roanoke, Va.). Carilion Clinic includes 10 hospitals, the medical group Carilion Clinic Physicians and numerous physician offices, urgent care centers and outpatient facilities providing breast, sleep and wound care, in addition to other services. Carilion Clinic has a 50-percent ownership in both Roanoke (Va.) Ambulatory Surgery Center and New River Valley Surgery Center in Christiansburg, Va. The system also participates in Doctors Connected, a Medicare accountable care organization, and offers health plans through Carilion Clinic Medicare Health Plan and MajestaCare.Carolinas HealthCare System (Charlotte, N.C.). Carolinas HealthCare System includes more than 790 care locations, including academic medical centers, hospitals, surgical and rehabilitation centers, home health agencies and more. The system has more than 60,000 full- or part-time employees and serves as the Charlotte campus of the University of North Carolina School of Medicine.Catholic Health East (Newtown Square, Pa.). Catholic Health East includes 35 acute-care hospitals, four long-term acute-care hospitals, 26 freestanding and hospital-based long-term care facilities, 12 assisted living facilities, four continuing care retirement communities, eight behavioral health and rehabilitation facilities, 31 home health/hospice agencies and multiple ambulatory and community-based health services. CHE is the largest non-profit provider of home health services based on the number of visits, and it also offers the most programs under CMS’ Program of All Inclusive Care for the Elderly.Catholic Health Initiatives (Englewood, Colo.). Spanning 17 states, Catholic Health Initiatives’ facilities include 78 hospitals, 40 long-term care settings and assisted and residential-living facilities, two community health services organizations, two accredited nursing colleges and home health agencies. CHI also features an Institute for Research and Innovation, which includes centers for healthcare innovation, clinical research and translational research.Catholic Health Partners (Cincinnati). Catholic Health Partners includes 24 hospitals in addition to long-term care facilities, home health agencies and nearly 5,600 affiliated physicians. CHP owns HealthSpan, a preferred provider organization that offers health benefits management, wellness and care management programs, among other services. CHP is currently implementing CarePATH, a comprehensive electronic heath record system, across all of its facilities. Catholic Health System (Buffalo, N.Y.). Catholic Health System includes more than 8,200 full- and part-time associates, 1,200 physicians, four hospitals and numerous primary care, outpatient surgery and imaging centers. The system offers a clinical pastoral education program and the “RN to BSN” program, through which students can earn a bachelor of science degree in nursing. Catholic Health System also provides services through Catholic Medical Partners, a physician group created by a partnership between Catholic Health, Mount St. Mary’s Hospital in Lewiston, N.Y., and a network of associated physicians.Christus Health (Irving, Texas). Christus Health encompasses nearly 350 facilities, including more than 60 hospitals and long-term care facilities, 175 clinics and outpatient centers and other facilities. The health system also includes a continuing care division that provides home care, palliative care, hospice and other post-acute care services, and co-owns a seven-hospital system in Mexico. Christus offers the US Family Health Plan, a TRICARE Prime option for family members of active-duty military members, retirees and their eligible family members.Cleveland Clinic. Cleveland Clinic integrates healthcare, education and research through locations in Ohio, Canada, Florida and the United Arab Emirates. Cleveland Clinic offers care at more than 50 buildings on its main campus alone, in addition to family health and surgery centers, specialty centers and other outpatient sites. The system promotes healthcare innovation through several ventures, including CCF Innovations, which commercializes Cleveland Clinic-developed technologies. In February, Cleveland Clinic Florida and Florida Blue signed a letter of intent to create an accountable care program.Community Health Network (Indianapolis). Community Health Network has more than 200 sites of care, including specialty and acute-care hospitals, surgery centers, school-based clinics, nursing homes and patient-centered medical home practices. The system includes Community Physician Network, a primary care and multispecialty physician group, and offers insurance through Community ProHealth. In February, Community Health Network entered into a partnership agreement with Indianapolis-based Wishard-Eskenazi Health to improve access to high-quality healthcare.Covenant Health (Knoxville, Tenn.). Covenant Health has more than 1,000 affiliated physicians and includes seven acute-care hospitals, a psychiatric hospital, a rehabilitation center, a nursing home and a hospice and home care agency. Covenant Health also operates the Fort Sanders Nursing Department, a baccalaureate nursing education program at Tennessee Wesleyan College in Athens. In addition, the system owns a physician practice management company, Covenant Medical Management, which supports approximately 125 physicians in roughly 45 medical practices.CoxHealth (Springfield, Mo.). CoxHealth is a five-hospital system with more than 70 physician clinics in addition to various outpatient facilities. Cox HealthPlans, an affiliate of CoxHealth, provides insurance for nearly 45,000 enrollees. CoxHealth also includes CoxHealth Network, a company focused on enterprise growth through contracting, sales and business development.Dignity Health (San Francisco). Offering services in 17 states, Dignity Health is one of the largest hospital providers in the country and the largest hospital system in California. The system offers services across the continuum of care, from urgent care to inpatient care to chronic care management, home care and palliative care. Dignity Health also participates in an accountable care organization with a physician group and payor to serve members of the California Public Employees’ Retirement System.Fairview Health Services (Minneapolis). Fairview Health Services is an academic health system affiliated with the University of Minnesota, and includes seven hospitals and more than 40 primary care clinics, among other sites of care. Fairview’s physician network includes an integrated medical practice of more than 700 employed physicians and more than 700 affiliated academic physicians within University of Minnesota Physicians. The system also works with Fairview Physician Associates, a group of 630 independent physicians, and operates a Pioneer Accountable Care Organization.Fletcher Allen Health Care (Burlington, Vt.). Fletcher Allen Health Care is partnered with the University of Vermont College of Medicine and the College of Nursing and Health Sciences, creating Vermont’s University Medical Center. Fletcher Allen offers primary care and is creating patient-centered medical homes. In addition, Fletcher Allen co-founded an accountable care organization, OneCare Vermont, with Lebanon, N.H.-based Dartmouth-Hitchcock health system.Franciscan Health System (Tacoma, Wash.). Franciscan Health System, an affiliate of Englewood, Colo.-based Catholic Health Initiatives, includes five hospitals in addition to surgery centers, dialysis centers and occupational health and physical therapy clinics, among other facilities. The system’s physician-led Franciscan Medical Group provides primary and specialty care at more than 100 clinics. Franciscan Health System also has a scholarship program that supports full-time study in selected healthcare-related fields in college or vocational school programs. Geisinger Health System (Danville, Pa.). Geisinger Health System serves more than 2.6 million residents throughout 44 counties in central and northeastern Pennsylvania at hospitals, outpatient clinics and other care facilities. In addition to providing medical care, the system provides tools to other organizations through the Geisinger Consulting Group. For example, the group offers ProvenHealth Navigator, Geisinger’s advanced medical home model, and ProvenCare, a methodology for implementing evidence-based care. Geisinger also offers insurance through its Geisinger Health Plan.Genesis Health System (Davenport, Iowa). Genesis Health System includes four hospitals, a medical education foundation, a visiting nurse association and numerous specialty centers and outpatient facilities. The system also operates Genesis Health Group, a network of physicians, and Genesis Psychology Associates, a behavioral health services practice. Genesis Health System offers home care, hospice and HealthQuest, a free membership program for people ages 50 and older that includes community discounts, educational opportunities and meal programs.Greenville (S.C.) Health System. Greenville Health System, an academic healthcare delivery system, has four acute-care hospitals across five medical campuses, two specialty hospitals, three long-term facilities, a variety of outpatient facilities and approximately 1,270 affiliated and employed medical staff members. Greenville Health System also includes University of South Carolina School of Medicine-Greenville and a simulation center.Gundersen Health System (La Crosse, Wis.). Physician-led Gundersen Health System, formerly Gundersen Lutheran Health System, consists of three hospitals, four nursing homes, 24 medical clinics and a variety of other health clinics. The system is undergoing a “campus renewal” project that will result in all private rooms, new operating rooms, a trauma and emergency center and enhanced behavioral health services. The health system also offers the Gundersen Lutheran Health Plan.HCA Midwest Health System (Kansas City, Mo.). HCA Midwest Health System, part of Nashville, Tenn.-based HCA, is comprised of nine hospitals, six surgery centers and one psychiatric care facility. Its physician network, Midwest Physicians, includes more than 280 physicians at more than 130 locations.Health First (Rockledge, Fla.). Health First includes four hospitals, multiple outpatient and wellness services, trauma and heart centers and four fitness centers. In February, Health First launched Health First Medical Group, a collaboration of Health First’s existing physician group and physicians of Melbourne Internal Medicine Associates, certain assets of which Health First recently acquired. With 246 physicians and more than 1,040 associates, the combined group is the largest multispecialty physician group in Brevard County, Fla. Health First also offers commercial and Medicare health plans.Henry Ford Health System (Detroit). In addition to providing acute care at five hospitals, Henry Ford Health System provides primary care, preventive services and specialty services along with its educational and research offerings. The system includes Henry Ford Medical Group, one of the country’s largest group practices with more than 1,200 physicians, and Henry Ford Physician Network, a physician-led subsidiary of the system focused on clinical integration. The system also offers health insurance through its Health Alliance Plan, which covers more than 648,000 members and companies.Indiana University Health (Indianapolis). Indiana University Health is partnered with Indiana University School of Medicine and offers care at 19 hospitals, numerous outpatient centers and homes. IU Health includes IU Health Physicians, a group of more than 900 physicians and 1,500 staff members, and IU Health Quality Partners, a physician-led clinical integration program. In addition, the system offers Medicare Advantage health plans and business solutions, such as occupational health and pharmacy benefit management. Inova Health System (Falls Church, Va.). Inova Health System is a network of six hospitals, numerous outpatient facilities, primary and specialty care physician practices, nursing homes, assisted living facilities, emergency and urgent care centers and more. The health system conducts research through its Inova Translational Medicine Institute and research programs on neuroscience and liver and obesity issues. In addition, Inova offers educational opportunities for undergraduates and provides residencies and fellowships for graduates.Intermountain Healthcare (Salt Lake City). Intermountain Healthcare is comprised of 22 hospitals, including an orthopedic specialty hospital, more than 185 physician clinics and Intermountain Medical Group, which has more than 900 physicians and clinicians. Intermountain is home to the Institute for Health Care Delivery Research, which supports clinical research and process management, and an Invention Management Office, which translates physicians’ and employees’ ideas into products and services. Intermountain also has an affiliated health insurance company, called SelectHealth.Jackson Health System (Miami). Jackson Health System offers care at six hospitals, including a rehabilitation hospital, behavioral health hospital and children’s hospital. The county-owned system also includes long-term, primary and specialty care centers and school-based clinics, among other sites of care. The system has primary academic affiliations with the University of Miami Miller School of Medicine and Florida International University Herbert Wertheim College of Medicine. Jackson Health System also includes Jackson Health Plans, which offers HMO and special needs HMO plans.Kaiser Permanente (Oakland, Calif.). Kaiser Permanente is comprised of Kaiser Foundation Hospitals and subsidiaries, Kaiser Foundation Health Plan and The Permanente Medical Groups, a physician-owned and -operated practice. As of 2011, Kaiser had 37 hospitals, 611 medical offices, more than 16,600 physicians and roughly 173,000 employees. Kaiser Permanente also has an advanced health information system, Kaiser Permanente HealthConnect, which connects all the system’s medical facilities. KP HealthConnect is the largest private deployment of an electronic health record in the world, according to the system. KentuckyOne Health (Louisville). KentuckyOne Health was created in 2012 through the partnership of Jewish Hospital & St. Mary’s HealthCare in Louisville, Ky., and Saint Joseph Health System in Lexington, Ky. The system later partnered with the University of Louisville (Ky.) Hospital and the James Graham Brown Cancer Center in Louisville. KentuckyOne delivers care in nearly 200 locations, including hospitals, physician groups, specialty institutes and more. In addition to inpatient and specialty services, KentuckyOne offers home and palliative care.Lancaster (Pa.) General Health. Lancaster General Health consists of Lancaster General Hospital, Women & Babies Hospital, a range of outpatient centers, VNA Community Care Services, co-owned Lancaster Rehabilitation Hospital and Lancaster General Medical Group, which includes more than 100 family physicians and specialists. The health system also offers patient portal MyLGHealth, which allows patients to manage their health online. Legacy Health (Portland, Ore.). Legacy Health provides care at six hospitals, two affiliated ambulatory surgery centers, numerous medical office buildings and specialty care and primary care clinics. All of Legacy’s primary care clinics are transitioning to patient-centered medical homes. Legacy includes Legacy Medical Group, which consists of more than 300 employed physicians and other providers. Legacy Health also has a research institute and the Legacy Institute for Surgical Education and Innovation.Lehigh Valley Health Network (Allentown, Pa.). Lehigh Valley Health Network has two full-service hospitals at three hospital campuses; community clinics, including 40 primary and specialty clinics; and a variety of other care facilities. The health system is partnered with the University of South Florida Morsani College of Medicine in Tampa. The health system and medical school created a program called SELECT to prepare medical students for leadership roles in medicine. LVHN also offers Valley Preferred ‘a preferred provider organization.MaineHealth (Portland). In addition to several health systems and hospitals, MaineHealth includes Maine Mental Health Partners, a network of mental health providers; HomeHealth Visiting Nurses; Maine Physician Hospital Organization; NorDx, a laboratory services company; and Synernet, an outsourced provider of administrative services to healthcare providers. MaineHealth also has an accountable care organization that participates in CMS’ Medicare Shared Savings Program.Mayo Clinic (Rochester, Minn.). Mayo Clinic has hospitals at its three healthcare campuses in Scottsdale, Ariz., Jackson, Fla., and Rochester, Minn. Mayo Clinic also includes Mayo Clinic Health System, which is a group of clinics, hospitals and other facilities serving more than 70 communities in Iowa, Georgia, Wisconsin and Minnesota. In addition, Mayo Clinic offers the Mayo Clinic Care Network, which connects member healthcare organizations with Mayo Clinic expertise through online tools and other resources. Besides direct healthcare services, Mayo Clinic offers an array of educational and research opportunities.McLaren Health Care (Flint, Mich.). McLaren Health Care includes 10 hospitals as well as ambulatory surgery centers, a regional network of cancer centers, assisted living facilities and more. McLaren Medical Group manages McLaren Health Care’s ambulatory network and employs more than 150 primary care physicians and specialists. MHC offers commercial and Medicaid HMOs and point-of-service and preferred provider organization products through McLaren Health Plan. In addition, MHC owns a medical malpractice insurance company called McLaren Insurance Company. MedStar Health (Columbia, Md.). MedStar Health is comprised of 10 hospitals as well as nursing homes, ambulatory care centers and other facilities. The system also has 20 health-related businesses, including a visiting nurse association, a managed care organization and an orthotics and prosthetics company. MedStar Health includes MedStar Physician Partners, a network of more than 100 physicians across nearly 30 offices. In addition, MedStar Health has a health business diversity program called MedStar Partners. The program connects MedStar Health with local small businesses and minority- and woman-owned businesses.Memorial Hermann Healthcare System (Houston). With 12 hospitals, numerous specialty services and 5,500 affiliated physicians, Memorial Hermann Healthcare System is the largest non-profit health system in southeast Texas. Memorial Hermann-Texas Medical Center is the primary teaching hospital for The University of Texas Health Science Center at Houston Medical School. The Memorial Hermann Physician Network includes physicians from Memorial Hermann Medical Group and UTHealth, as well as private physicians and specialists. In addition, the system includes MHealth and MHealth Insurance Company.MemorialCare Health System (Fountain Valley, Calif.). MemorialCare Health System includes six hospitals, two medical groups, an independent practice association, retail clinics and various outpatient health centers. The system offers residency and fellowship programs at two of its hospitals. MemorialCare also features myMemorialCare, an ambulatory electronic medical record system, and MemorialCare Link, a web-based application connecting providers to information in the health system’s EMR.Mercy (Chesterfield, Mo.). Mercy is the sixth largest Catholic healthcare system in the country, with 32 hospitals, 300 outpatient locations and 1,700 integrated physicians across four states. Mercy also has outreach ministries, including a behavioral health clinic and a health advocacy program, in Louisiana, Mississippi and Texas. In addition to having an integrated electronic health record system throughout the organization, Mercy offers its patients an online portal called MyMercy to access their records, schedule appointments and communicate with providers. Mercy Health System (Janesville, Wis.). Mercy Health System has 68 facilities, including three hospitals, in 26 communities across Wisconsin and Illinois. The health system has four core service areas: hospital-based services; clinic-based services; post-acute care and retail services; and insurance products. MercyCare Insurance Company offers several insurance products, including an HMO, Medicare supplement and Medicaid HMO.Mercy Springfield (Mo.) Communities. Mercy Springfield Communities, formerly known as St. John’s Health System, is part of Chesterfield, Mo.-based Mercy and includes approximately 85 facilities and more than 500 integrated physicians. In addition to inpatient care, the health system offers home and hospice care, palliative care, pastoral care and research and development, among other services. In January, Mercy Hospital Springfield (Mo.) and Mercy Clinic Springfield Communities were selected to participate in CMS’ Medicare Shared Savings Program as an accountable care organization. Methodist Healthcare (Memphis, Tenn.). Methodist Healthcare features seven hospitals, home health services, outpatient surgery centers, urgent care centers, diagnostic centers, sleep centers and a hospice residence. The health system has primary teaching partnerships with the University of Tennessee and the University of Memphis. Methodist Healthcare and the University of Memphis created the Maurice Elliott Leadership Institute for Methodist managers and directors, the Center for Health Care Economics and the Center for Health Care Technology.Mountain States Health Alliance (Johnson City, Tenn.). Mountain States Health Alliance encompasses 13 hospitals, 21 primary and preventive care centers, multiple outpatient care sites and a medical group with more than 250 providers. The system also includes Mountain States Healthcare Network, a group of more than 50 acute-care and long-term care providers with access to MSHA services, such as group purchasing, home health management and strategic planning support. MSHA also participates in an accountable care organization called AnewCare Collaborative.MultiCare Health System (Tacoma, Wash.). MultiCare Health System includes five hospitals, as well as numerous outpatient specialty centers, primary and urgent care clinics and other services and community outreach programs. In addition to health services, MultiCare offers revenue cycle assessment, strategy and optimization assistance for healthcare providers through MultiCare Consulting Services. The system connects inpatient and outpatient physicians with patients’ medical records through MultiCare Connect, an electronic health record system. Patients can contact providers and schedule appointments via the online service MyChart.NewYork-Presbyterian Healthcare System (New York City). NewYork-Presbyterian Healthcare System consists of a host of acute-care hospitals ‘including its flagship, 2,409-bed NewYork-Presbyterian Hospital ‘specialty facilities, continuing care facilities and ambulatory care centers across New York, New Jersey and Connecticut. Most members of the health system are academic affiliates of either Weill Cornell Medical College or Columbia University College of Physicians and Surgeons in New York City.North Mississippi Health Services (Tupelo). North Mississippi Health Services includes a medical center, a community hospital system, a regional network of more than 30 primary and specialty clinics and nursing homes. The health system offers managed care programs to industry and business employers through HealthLink, its preferred provider organization, and third party administrator services through Acclaim.North Shore-Long Island Jewish Health System (Great Neck, N.Y.). North Shore-LIJ Health System offers care at 16 hospitals, three skilled nursing facilities and nearly 400 ambulatory physician practices. In addition, the system includes North Shore-LIJ Medical Group, which has more than 2,400 full-time physicians, the Center for Learning and Innovation and the Patient Safety Institute. North Shore-LIJ has nursing school affiliations with 15 colleges and universities, and is preparing to offer health plans.NorthShore University HealthSystem (Evanston, Ill.). Four-hospital NorthShore University HealthSystem has approximately 2,100 affiliated physicians, more than 800 of whom are part of the multispecialty group practice NorthShore Medical Group. The health system is also the principal teaching affiliate for the University of Chicago Pritzker School of Medicine, and offers a range of educational programs. In 2003, NorthShore became one of the first healthcare organizations in the country to successfully launch a system-wide electronic medical record, which is called NorthShoreConnect.Northwestern Memorial HealthCare (Chicago). Northwestern Memorial HealthCare has two hospitals and a physician group, Northwestern Memorial Physicians Group. The system’s flagship hospital, Northwestern Memorial Hospital, has approximately 1,600 affiliated physicians and is the primary teaching hospital for Northwestern University’s Feinberg School of Medicine. Northwestern Memorial HealthCare also includes an insurance company that provides professional and general liability coverage to the health system and professional liability coverage to the physician group Northwestern Medical Faculty Foundation.Novant Health (Winston-Salem, N.C.). Novant Health, which includes 13 acute-care facilities, more than 100 outpatient facilities and more than 350 physician practice facilities across four states, recently launched a branding campaign to more visibly unite its facilities. In March, Novant Health began a collaborative accountable care initiative with Cigna that will affect more than 60,000 Cigna health plan members who receive care from a Novant Health physician. The health system also offers Novant Health Shared Services, a company that provides shared services and management models with partnered healthcare organizations.Ochsner Health System (New Orleans). Ochsner Health System has eight hospitals and more than 38 health centers. As one of the largest non-university-based physician training centers in the nation, Ochsner hosts more than 200 Ochsner-sponsored medical residents, more than 300 medical residents from affiliated residency programs, more than 600 medical students and 400 allied health students annually. In addition to inpatient, primary and specialty care, Ochsner also offers pharmacy services.OhioHealth (Columbus). OhioHealth includes seven hospitals and multiple outpatient facilities, such as imaging centers, mammography centers and urgent care centers. OhioHealth also offers occupational health services, home health, hospice and clinical trials. In addition, OhioHealth features a Research and Innovation Institute. In June 2011, OhioHealth partnered with health insurer Medical Mutual and the Medical Group of Ohio to form an accountable care organization called Health4.OSF HealthCare (Peoria, Ill.). OSF HealthCare includes OSF Healthcare System, OSF Medical Group, OSF Home Care Services, OSF Saint Francis ‘which includes healthcare-related businesses ‘and OSF Healthcare Foundation. OSF Healthcare System consists of eight hospitals and medical centers, one long-term care facility and two colleges of nursing. In addition, OSF Healthcare participates in CMS’ Pioneer Accountable Care Organization program.Palmetto Health (Columbia, S.C.). Palmetto Health offers care at four hospitals, a facility featuring an ambulatory surgery center, diagnostic center and medical office building, facilities designed for elderly patients and other sites of care. In addition, Palmetto Health operates Baptist Easley (S.C.) Hospital through a joint venture with Greenville (S.C.) Health System. Palmetto Health also has a simulation center and 12 medical residency and eight fellowship programs.Partners HealthCare (Boston). Founded by Boston-based Brigham and Women’s Hospital and Massachusetts General Hospital in 1994, Partners HealthCare now includes more than 20 health centers in addition to community and specialty hospitals, a physician network, a home care agency and a health plan, among other entities. As a teaching affiliate of Harvard Medical School, the health system focuses on medical research and education. Partners HealthCare also participates in CMS’ Pioneer Accountable Care Organization program.Presbyterian Healthcare Services (Albuquerque, N.M.). Eight-hospital Presbyterian Healthcare Services is a non-profit health system, the largest managed care organization in New Mexico and a Pioneer Accountable Care Organization. The health system includes Presbyterian Medical Group, which has more than 500 physicians and practitioners at more than 30 locations, as well as women’s, children’s, heart and cancer centers.ProMedica (Toledo, Ohio). ProMedica has 11 member and affiliate hospitals and a medical practice, ProMedica Physicians, which includes more than 300 physicians and midlevel providers. In addition to clinical care services, ProMedica includes Paramount, a regional maintenance organization in northwest Ohio, and the Academic Health Center, an academic collaboration with The University of Toledo. ProMedica also formed ProMedica Physicians Accountable Care Organization, which is part of the Medicare Shared Savings Program.Providence Health & Services (Renton, Wash.). Providence Health & Services has 27 hospitals, 250 physician clinics and numerous assisted living facilities, long-term care facilities and hospice and home health agencies across five states. Providence offers insurance for commercial groups, Medicare and Medicaid members and individuals and families through Providence Health Plans. In addition, an affiliation between Providence and Seattle-based Swedish Health Services aims to improve quality, increase access to care and lower costs.Riverside Health System (Newport News, Va.). Riverside Health System includes five hospitals, a long-term acute-care hospital, a rehabilitation hospital, a behavioral health center, medical group practices, retirement communities and outpatient facilities, including diagnostic and surgery centers. The health system also offers several home care services, including hospice, medical equipment, pharmacy and in-home private care. Riverside Health System is also part owner of Virginia Health Network, a preferred provider organization.Rochester (N.Y.) General Health System. Rochester General Health System is comprised of eight integrated affiliates: two hospitals, including its flagship Rochester General Hospital, an assisted living and nursing rehabilitation center, a short- and long-term care living center, a medical group with more than 40 practices, a behavioral health network, an independent living program for seniors and an ambulatory services division. Through Rochester General Hospital Research Institute and partnerships with institutions like the Cleveland Clinic, the health system also includes clinical and translational research programs.Roper St. Francis Healthcare (Charleston, S.C.). Roper St. Francis Healthcare has more than 90 facilities and physician offices, including three hospitals and plans to build another. The system also includes diagnostic centers, outpatient surgery centers and urgent care centers. The health system has nearly 800 physicians on staff in addition to more than 180 physicians who are part of the network Roper St. Francis Physician Partners.Saint Francis Health System (Tulsa, Okla.). Saint Francis Health System is comprised of five hospitals, including two acute-care hospitals, a children’s hospital, a heart hospital and a psychiatric hospital. The health system also includes Warren Clinic, a physician group with more than 350 physicians and providers in more than 70 locations. In addition, Saint Francis Health System offers home care and hospice services.Sanford Health (Sioux Falls, S.D., and Fargo, N.D.). Sanford Health is the largest rural non-profit healthcare system in the country, with 126 locations across eight states. Sanford Health includes 35 medical centers, 140 clinic locations and 1,360 physicians, and is developing international clinics in Ghana, Israel and Mexico. Sanford Health also offers its own health plan for individuals and Medicare members.Scripps Health (San Diego). Scripps Health includes four acute-care hospitals on five campuses, a network of outpatient facilities and home care. In addition, the system offers Scripps Coastal Medical Center, a group of more than 100 primary care and specialty physicians, and Scripps Clinic, a network of more than 500 physicians covering 50 medical and surgical specialties. Scripps Health also offers residency and fellowship programs.Sentara Healthcare (Norfolk, Va.). Sentara Healthcare has more than 100 care sites, including 10 acute-care hospitals, a variety of outpatient centers, home care and hospice services and nursing and assisted living centers. The health system has 3,680 providers on its medical staff and three medical groups with nearly 620 providers combined. In addition, Sentara Healthcare offers its own health plan called Optima Health.Sharp HealthCare (San Diego). Sharp HealthCare includes four acute-care hospitals, three specialty hospitals and two affiliated medical groups with more than 1,000 physicians, among other healthcare facilities and services. The system offers the Sharp Health Plan, the only San Diego-based commercial health plan. Sharp HealthCare is also one of CMS’ Pioneer Accountable Care Organizations.Spectrum Health (Grand Rapids, Mich.). Spectrum Health includes nine hospitals, 130 ambulatory sites, two physician groups totaling more than 750 providers and a health plan. Spectrum Health’s continuing care division offers home care, hospice, palliative care, rehabilitation services and infusion pharmacy services, among others. The system also features Spectrum Health Physician Alliance, which is a network of physician groups and includes physician-hospital organizations and independent practice organizations.SSM Health Care (St. Louis). SSM Health Care owns 18 hospitals, has a minority interest in five hospitals, manages one hospital, has affiliations with several rural hospitals and owns two nursing homes. The system also has more than 7,000 employed and affiliated physicians. In April, SSM Health Care and Madison, Wis.-based Dean Health Systems, a multispecialty physician group, signed an agreement to integrate Dean into SSM Health Care.Steward Health Care System (Boston). In addition to 11 hospitals, Steward Health Care System features a medical group, a home care company, a college offering nursing degrees, a charitable medical service organization and a physician network. This network, called Steward Health Care Network, provides physicians with medical management services and financial expertise, among other services. Steward operates a Pioneer Accountable Care Organization called Steward Promise.Sutter Health (Sacramento, Calif.). Sutter Health includes 24 hospitals, 27 ambulatory surgery centers, behavioral health centers, long-term care facilities and research institutes. The health system has nearly 5,000 affiliated physicians in its Sutter Medical Network, which includes multiple medical foundations and medical groups. Sutter Health is also affiliated with Sutter Physician Services, which provides healthcare management services to providers, facilities and payors.Texas Health Resources (Arlington). Texas Health Resources includes 25 owned, operated, joint ventured or affiliated acute-care and short-stay hospitals. The system also includes 18 outpatient facilities, more than 250 additional community access points and a physician group with more than 500 physicians and more than 200 physician assistants and nurse practitioners. Its Texas Health Research & Education Institute offers research, continuing education and training.TriHealth (Cincinnati). TriHealth offers care at more than 80 locations, including its four hospitals, three ambulatory centers and five specialty institutes, in addition to numerous physician offices. Many primary care physician practices owned by TriHealth have been accredited as patient-centered medical homes by the National Committee for Quality Assurance. The health system also offers a research institute and is affiliated with the University of Cincinnati College of Medicine.Trinity Health (Novi, Mich.). Trinity Health includes 47 acute-care hospitals, 432 outpatient facilities, 33 long-term care facilities, multiple home health offices and hospice programs and 3,400 employed physicians and residents. The system also includes Trinity Health International, which provides aid to healthcare organizations across the world, and Mount Carmel Health Plan, an operator of a Medicare Advantage program in Ohio.Trinity Mother Frances Hospitals and Clinics (Tyler, Texas). Trinity Mother Frances Hospitals and Clinics has five hospitals, including a rehabilitation hospital and a long-term acute-care facility, several urgent care locations and a multispecialty medical group with more than 350 physicians and mid-level providers at 36 clinic locations. The health system also offers Senior Insurance Services, a program to help senior citizens understand Medicare supplemental insurance plans.UC Davis Health System (Sacramento, Calif.). UC Davis Health System includes UC Davis Medical Center, UC Davis School of Medicine, Betty Irene Moore School of Nursing at UC Davis and UC Davis Medical Group, a 1,000-member physician group. The health system also has specialty clinical and research centers, including the Institute for Population Health Improvement, the Center for Health and Technology and the UC Davis Comprehensive Cancer Center.UnityPoint Health (Des Moines). UnityPoint Health, formerly called Iowa Health System, offers care in eight large regions across Illinois and Iowa. The health system includes 15 owned and 14 affiliated hospitals, 280 physician clinics and home care and hospice locations. UnityPoint Health offers MyUnityPoint, a patient portal for health management, and HealthNet, a private network connecting healthcare facilities throughout the Midwest.University Hospitals (Cleveland). University Hospitals encompasses the tertiary medical center University Hospitals, a children’s hospital, a women’s hospital, a cancer center, a large network of primary care physicians and outpatient centers, and more than 24,000 physicians and employees. The system’s flagship hospital, University Hospitals Case Medical Center, is an affiliate of Case Western Reserve University. The health system also operates the independent UH Accountable Care Organization and a Medicare Shared Savings Program ACO called UH Coordinated Care Organization.University of Michigan Health System (Ann Arbor). University of Michigan Health System includes three hospitals, six specialty centers and more than 120 clinic locations in addition to a medical school, a school of nursing and a faculty group practice. The system’s U-M Faculty Group Practice participated in CMS’ five-year Physician Group Practice Demonstration ‘a precursor to accountable care organizations. The health system also has a Pioneer ACO and participates in a separate Medicare Shared Savings Program ACO.University of Pittsburgh Medical Center. The University of Pittsburgh Medical Center integrates medical, insurance and international services through its three major operating units. The system offers patient care at more than 20 hospitals and more than 400 outpatient locations, and employs more than 3,200 physicians. UPMC’s Insurance Services Division offers health plans to employers and their employees, individuals and Medicare, Medicaid and Children’s Health Insurance Program members. Through its International and Commercial Services Division, UPMC extends its expertise to markets around the world, including Ireland, Kazakhstan and Japan.WellSpan Health (York, Pa.). WellSpan offers care at three hospitals, including a surgery and a rehabilitation hospital, and 35 outpatient locations. The health system also includes WellSpan Medical Group, which has more than 500 members, WellSpan VNA Home Care and business services. WellSpan’s healthcare management company, South Central Preferred, offers preferred provider organization services, third party administrator services and worksite wellness services.WellStar Health System (Marietta, Ga.). WellStar Health System has five hospitals, 14 satellite diagnostic imaging centers, a skilled nursing facility, an inpatient hospice facility, a skilled nursing facility and more than 100 outpatient locations. The health system’s physician group, WellStar Medical Group, has more than 500 primary care providers, specialists and advanced practitioners.Wheaton Franciscan Healthcare (Glendale, Wis.). Wheaton Franciscan Healthcare is comprised of seven acute-care and specialty hospitals, two outpatient centers, three long-term care facilities and hospice and home health agencies. The system’s Wheaton Franciscan Medical Group and Metro Physicians includes more than 360 physicians. Wheaton Franciscan is also affiliated with more than 1,300 local physicians.Yale New Haven (Conn.) Health System. Yale New Haven Health System encompasses four delivery networks: Bridgeport, Greenwich, Yale-New Haven and the Northeast Medical Group. Together, these delivery networks include five hospitals, rehabilitation centers, a visiting nurse association, a hospice provider, an ambulatory services corporation, a physician-hospital organization, an independent physicians association, a real estate management company and a system-wide physician group. The system also offers graduate medical education programs through its affiliation with the Yale School of Medicine, managed care services and Yale New Haven Health Senior Assurance, a Medicare supplemental insurance program. © Copyright ASC COMMUNICATIONS 2012.About Fletcher AllenFletcher Allen Health Care, together with our partners at the University of Vermont College of Medicine and the College of Nursing and Health Sciences, is Vermont’s academic medical center. Fletcher Allen, along with Central Vermont Medical Center, CVPH Medical Center and Elizabethtown Community Hospital, are members of Fletcher Allen Partners, established to develop a more coordinated system of care throughout the region. Fletcher Allen’s mission is to improve the health of the people in the communities it serves by integrating patient care, education and research in a caring environment. Fletcher Allen also serves as a regional referral center — providing advanced care to approximately one million people in Vermont and northern New York — and as a community hospital for approximately 150,000 residents in Chittenden and Grand Isle counties. For more information about Fletcher Allen, find us online at http://www.fletcherallen.org(link is external) or on our Facebook, Twitter, YouTube, and blog sites at www.fletcherallen.org/socialmedia(link is external).
KeyBank and FreePressMedia have launched the Build a Stronger Vermont grant giving competition; offering grants to three Vermont nonprofits, ranging from $10,000 to $25,000. All eligible Vermont Nonprofits are invited to submit a plan detailing their efforts to improve financial literacy or workplace development and how they would use the grant funds to aid in this process. Submissions are due by 5 pm on October 15, 2013.As part of Build a Stronger Vermont, a select panel of judges will narrow the field of entries to a maximum of eight finalists. Vermont residents are charged with the process of selecting the final grant recipients by voting for their favorite plans online or using the ballot in the Burlington Free Press. Ballots may be dropped off at any KeyBank branch or mailed in. Voting begins on November 18, more details can be found at http://www.burlingtonfreepress.com/legacy/customers/MD/KeyBank/KeyBankAp…(link is external)‘Financial education and workplace development are the cornerstones of any financially sound business and household,’ said Don Baker, president, Vermont Market, KeyBank. Baker added, ‘There are many deserving organizations in Vermont, and we are excited to be able to share this grant money and have a significant impact on the community in which we do business.’‘It’s great to be involved with a project that will significantly impact local non-profits and members of our community in such a positive way,’ noted Jim Fogler, president and publisher of the Burlington Free Press. ‘Once again we’re pleased to be partnering with KeyBank on an initiative which directly ties to our purpose of serving the greater good of Burlington and the Vermont communities we serve”.The nonprofit with the most votes will receive a one-time $25,000 grant from KeyBank Foundation. The first runner up will receive a $15,000 grant and the second runner up will receive a $10,000 grant.KeyBank Foundation is a nonprofit, charitable foundation that through its: civic programs, corporate contributions, and volunteerism; supports organizations and programs that foster economic self-sufficiency.Qualifying nonprofits can request more information from [email protected](link sends e-mail) or call 802-660-4223.
Joined by Vermont National Guard Adjutant General Steven Cray and other officials, Governor Peter Shumlin today, at the Guard offices in Colchester, outlined the ongoing impacts of the federal shutdown on Vermont and urged an end to the congressional impasse. “This shutdown may play well with Washington Republicans who are holding up the federal government for their own political purposes, but it’s hurting real people in Vermont and across the country,’ Shumlin said. ‘This also will hurt our country’s overall job growth and economy. It’s time for those stalling progress in Congress to stop hampering our fragile economic recovery and start demonstrating a willingness to find a responsible solution to this manufactured crisis.’ Administration Secretary Jeb Spaulding said the State is actively monitoring the flow of federal funds and has some ability to minimize the impact of the shutdown on Vermont, but that even so, large numbers of Vermonters are already feeling the effects of the shutdown. ‘Before the shutdown, departments were instructed to draw down all eligible federal funds to prepare for the lapse in funding,’ Spaulding said. ‘That in combination with an already strong cash position has put the State in a position to weather a short-term disruption, but as the shutdown drags on, more and more people will be hurt, some of them badly.’ The state Agency of Administration has researched the implications of the federal government shutdown for Vermont, an analysis which can be found on the agency’s web site (http://spotlight.vermont.gov/sites/finance_transperancy/files/Budget/FY2…(link is external)). The analysis contains information on Vermont programs and is updated regularly with new information. Vermont State Treasurer Beth Pearce said the possibility of a lack of action before the impending debt ceiling limit deadline is another worry. ‘The United States must not default on its financial obligations. The world economy and financial markets operate under the expectation that our leaders will act responsibly,’ Pearce said. ‘It is time for Congress to end the standoff and take action.’ Immediate disruptions include: · Putting Vermonters out of work ‘ an estimated 5,000 federal employees who reside in Vermont are seeing reduced hours or indefinite furloughs. · Preventing training and other activities by the Vermont National Guard, including cancellation of a monthly training weekend affecting 3,000 troops. · Delaying support for Vermont small businesses ‘ the processing of Small Businesses Administration (SBA) loans, a critical source of credit for small businesses, is being affected. · Delaying the processing of benefits for seniors and veterans ‘ although Social Security checks will continue to go out and Veterans Administration hospitals and clinics will remain open, seniors and veterans applying for new benefits could see significant delays in the processing of those claims. · Affecting educational programs ‘ Head Start programs, depending on when in the year federal grants are received, may have to cease operations because of a lack of funding. · With the federal offices that handle housing matters, including USDA Rural Development, closed in the state and the region, new loan and loan guarantees can’t be made. In addition, if the shutdown continues into November it is not clear what will happen with Housing and Urban Development programs. Delays in rental subsidies could affect nearly 14,000 low income Vermonters. · Shuttering federal lands to Vermont hunters and sportsmen ‘ The Nullhegan Basin Division and Putney Mountain Unit of the Silvio Conte National Fish and Wildlife Refuge and the Missisquoi National Wildlife Refuge have been closed and activities such as hunting and fishing on those lands have been suspended. · Halting important agricultural programs ‘ many U.S. Department of Agriculture (USDA) programs have been impacted, including farm loans, market assistance loans, disaster assistance programs, assistance for the control of most plant and animal pests and diseases, and grants for research, education, and extension.Source: Governor’s office. 10.7.2013
Rep Peter Welch (D-Vermont) is leading a bipartisan effort in the House to reauthorize Brand USA, a voluntary public-private partnership that promotes global tourism to the United States. Today, Rep. Welch and Rep. Gus Bilirakis (R-FL) introduced the Travel Promotion, Enhancement, and Modernization Act of 201 (H.R.4450), which extends the Brand USA program for five years. According to the Vermont Department of Tourism, tourism contributed $1.7 billion of economic activity in Vermont in 2013, with almost 14 million visitors. “Brand USA is making a tremendous contribution to US tourism,” said Welch. “This program works with the private sector to attract visitors to Vermont and attractions across the country. It’s a no-brainer to continue this partnership that is clearly having a positive economic impact.” “Having just returned from IPW in Chicago which is the largest international trade show in the US, it is clear that BrandUSA is leading us to much success in the marketplace,” said Megan Smith, Vermont’s Commissioner for Tourism and Marketing. “Vermont had a team of 12 people in our booth and had the best set of appointments we have ever experienced from both media and tour operators. The interest in Vermont is from all over the world.” “Brand USA has been a crucial partner in our efforts to attract international visitors to Vermont’s ski areas,” said Ski Vermont President Parker Riehle. “The reauthorization of this program is a key ingredient to boosting Vermont’s critically important tourism economy and we are extremely grateful to Congressman Welch for leading this bipartisan effort.” A recent study by Oxford Economics, estimates that Brand USA attracted 1.1 million additional visitors to the US in 2013, who spent $3.4 billion. It’s estimated that each overseas visitor to the United States spends an average of $4,300 on their trip. Brand USA attracts visitors through a global marketing campaign that promotes the United States as a premier travel destination. The program does not cost the taxpayer as it is funded through private sector investment and matching funds collected from international visitors through the Visa Waiver Program.
Data from a new government report show that if all the structurally deficient bridges in the United States were placed end-to-end, it would take you 25 hours driving 60 miles per hour to cross them. That’s like driving the 1,500 miles between Boston and Miami. And it’s a problem that’s close to home.An analysis of the 2013 National Bridge Inventory database released this month by the U.S. Department of Transportation (USDOT) shows cars, trucks and school buses cross Vermont’s 251 structurally compromised bridges 344,436 times every day. The problem could get a lot worse, the chief economist for the American Road & Transportation Builders Association (ARTBA) says, as states across the nation face a slowdown in reimbursements for already approved federal-aid highway projects in August. Without congressional action, Dr. Alison Premo Black says there will be no Highway Trust Fund support for any new road, bridge, or public transportation projects in any state during FY 2015, which begins October 1.”Letting the Highway Trust Fund investment dry up would have a devastating impact on bridge repairs,” Black says, noting the trust fund supports an average $59.6 million annually in Vermont bridge work. “It would set back bridge improvements for years.””The bridge problem sits squarely on the backs of our elected officials,” Black says. “The state transportation department can’t just wave a magic wand and make the problem go away. It takes committed investment by our legislators. Members of Congress need to come to grips with that. Some of our most heavily travelled bridges were built in the 1930s. Most are more than 40 years old.”Bridge decks and support structures are regularly inspected by the state transportation departments for deterioration and are rated on a scale of zero to nine—nine being “excellent” condition. A bridge is classified as structurally deficient and in need of repair if its overall rating is four or below.While these bridges may not be imminently unsafe, ARTBA suggests they be sign posted so the public knows they have structural deficiencies that need repair.The ARTBA analysis of the bridge data supplied by the states to the USDOT found:Vermont ranks 43rd nationally in its number of structurally deficient bridges—251.Vermont ranks 31st in the percentage of its bridges that are classified as structurally deficient—9.0%.A list of the 10 structurally deficient bridges in Vermont that carry the most traffic daily is available in the “Economics” section of www.artba.org(link is external).Established in 1902, ARTBA is the “consensus voice” of the U.S. transportation design and construction industry in the Nation’s Capital.SOURCE WASHINGTON, April 24, 2014 /PRNewswire-USNewswire/ — American Road & Transportation Builders Association
The US Department of Agriculture has awarded the Center for Agriculture and Food Systems(link is external) (CAFS) at Vermont Law School and the Northeast Organic Farming Association of Vermont (NOFA-VT) a $500,000 grant to strengthen farmers’ market organizations through legal education.Awarded by the USDA’s National Institute of Food and Agriculture(link is external) (NIFA), the $.5 million Agriculture and Food Research Initiative(link is external) (AFRI) grant enables CAFS and NOFA-VT(link is external) to create “Farmers’ Market Legal Research and Extension.” The integrated research and extension project is designed to build stronger market organizations by developing a legal resources toolkit for market organizers and educating them on complex legal issues facing farmers’ markets.Phases of the CAFS-NOFA project are established for the next four years and include the development of toolkit resources in three areas: year one, governance; year two, liabilities related to the use of Electronic Benefits Transfer (EBT)(link is external) and Supplemental Nutrition Assistance Program (SNAP) tokens(link is external); and year three, general risk management.Year four is dedicated to toolkit training for farmers’ market organizers nationwide. CAFS and NOFA-VT have partnered with the Farmers Market Coalition(link is external) to take advantage of its national network of farmers’ market leaders and communications resources to disseminate the toolkit across the country.“We are grateful for this USDA grant, as it will directly benefit not only farmers’ markets in our region but also across the country,” said CAFS Director Laurie Ristino(link is external), associate professor at Vermont Law School. “We’re eager to begin our research and stakeholder outreach to farmers and farmers’ market administrators, and we look forward to collaborating with the Northeast Organic Farming Association of Vermont.”As part of the extension work, NOFA-VT plans to gather information directly from farmers’ markets, pilot toolkit resources at annual marketing conferences, and assist CAFS in training farmers’ market organizers.“The Northeast Organic Farming Association of Vermont is very excited to be a partner in this important work providing robust legal resources for farmers’ markets to increase their stability, which in turn has the potential to improve direct-to-consumer sales for hundreds of Vermont agricultural producers,” said Erin Buckwalter(link is external), NOFA-VT market development and community food security coordinator.The Center for Agriculture and Food Systems at Vermont Law School supports scholars and practitioners in producing practical, robust scholarship for use by the food and agriculture community. CAFS offers an expanding curriculum in food and agriculture for law and policy students, and training and legal tools to help build sustainable local and regional food systems. For more information about CAFS, including the extension project with NOFA-VT, call Laurie Ristino at (802) 831-1230 or email [email protected](link sends e-mail).SOUTH ROYALTON, Vt., May 1, 2014––The US Department of Agriculture
The University of Vermont Medical Center,Fletcher Allen has been selected for the National Kidney Registry’s (NKR) Excellence in Teamwork award to honor its participation in the world’s 2nd longest kidney “swap” procedure chain last year. In most swaps, as in this one, it starts with a living donor whose kidney is not a good match for a loved one in need. That donor offers a kidney to the NKR with the promise that their loved one will get one in return from another donor in the same situation. The Registry finds as many matches as possible until the chain cannot be continued. In some cases the first donor has no intended recipient and is just doing it out of generosity.Meeting this complicated challenge in last year’s swap resulted in 19 top centers providing lifesaving transplants for 28 people, 10 of whom were very difficult to match. This chain was also completed in the shortest period of time to date for such a large number of patients.”NKR has exceeded what I thought would be possible,” said Carlos Marroquin, MD, division chief of Transplant Surgery at Fletcher Allen and a professor at the UVM College of Medicine. “They have successfully increased the number of transplants in far greater numbers of patients who were previously transplantable at an appreciable rate. Specifically, we refer patients who are highly sensitized with few opportunities for transplant. We are proud and excited to part of this very successful effort.”About the National Kidney RegistryThe National Kidney Registry www.kidneyregistry.org(link is external) is a nonprofit organization with the mission to save and improve the lives of people facing kidney failure by increasing the quality, speed, and number of living donor transplants. It has coordinated 1,000 transplants since its inception in 2007.About Fletcher AllenFletcher Allen Health Care, together with our partners at the University of Vermont College of Medicine and the College of Nursing and Health Sciences, is Vermont’s academic medical center. Fletcher Allen, along with Central Vermont Medical Center, CVPH Medical Center and Elizabethtown Community Hospital, are members of Fletcher Allen Partners, established to develop a more coordinated system of care throughout the region. Fletcher Allen’s mission is to improve the health of the people in the communities it serves by integrating patient care, education and research in a caring environment. Fletcher Allen also serves as a regional referral center — providing advanced care to approximately one million people in Vermont and northern New York — and as a community hospital for approximately 150,000 residents in Chittenden and Grand Isle counties. For more information about Fletcher Allen, find us online at http://www.fletcherallen.org(link is external) or on our Facebook, Twitter, YouTube, and blog sites at www.fletcherallen.org/socialmedia(link is external).