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Hospitals and health systems have been merging with each other, acquiring each other and strategically partnering with each other for decades. These deals offer the potential to improve quality, efficiency and more.

But the post-merger process often can be complex as crafting the merger agreement itself. What’s needed is a detailed plan — an operator’s manual, if you will — to execute the integration of two organizations. Follow this 10-step process to develop an operator’s manual to ensure a successful post-merger transition.

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Cover, Assembly Required: An Operator’s Manual for Post-merger Integration 
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Post-merger Integration Assembly Instructions

Building an integrated hospital or health system after a merger can be complicated because hospitals and health systems are some of the most complicated and sophisticated organizations. Yet the general steps taken to successfully integrate hospitals and health systems are strikingly similar to the steps and concepts required to build a shelving unit, for example.

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Exterior of Henry Ford Health

Case Study: Henry Ford Health and Ascension Michigan

Putting a Premium on Change Management and Cultural Integration

In October 2023, Henry Ford Health and Ascension Michigan agreed to transfer majority ownership of eight Ascension Michigan hospitals to Henry Ford Health through a joint venture. The parties completed the deal in fall 2024, making Henry Ford Health a 13-hospital system. Key to the successful integration of the two organizations has been the creation of a physician advisory council and a cultural integration team to ensure that physicians and valued team members closest to the care team are on the same page from both change-management and cultural-integration perspectives.

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Exterior of  USA Health

Case Study: USA Health

Operating Model First, Technology Second

In April 2023, USA Health acquired Providence Hospital. The transaction brought the hospital and 14 clinics into USA Health, which operates University Hospital and Children’s and Women’s Hospital, and the Mitchell Cancer Institute. The integration focused on developing a common mission, vision and culture. In their post-integration operating model, the two organizations determined that tech infrastructure along with the details of how the two organizations would combine into one should support the operating model.

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Cover of Assembly Required: An Operator’s Manual for Post-merger Integration