Development and Implementation of an External Peer-Review Process (Fellow Project‪)‬

ORGANIZATIONAL INFORMATION The network of hospitals described in this case report is part of an integrated healthcare system that owns, manages, and leases 15 hospitals. In addition, it includes numerous senior care facilities, behavioral health, rehabilitation services, and physician practices. In aggregate the network has more than $3 billion in annual net revenue and employs 27,000 people. The system's flagship hospital was founded in 1940 and now serves as the largest tertiary hospital in the state, with 816 beds and a comprehensive teaching hospital for multiple residency programs and allied health professions. Most of the other hospitals within this network have their own independent origins but joined together to form one system in the mid-1990s and now serve more than 2 million patients per year in two states. Thirteen of the 15 hospitals are community hospitals with fewer than 300 beds, and each hospital has its own independent medical staff.