Inter-mountain Health Care (IHC) is an HMO system which controls 22 hospitals an

Inter-mountain Health Care (IHC) is an HMO system which controls 22 hospitals and some 70 other clinical sites. It has had a substantial history of clinical and administrative process analysis and standardization. Top management has committed to a strategic plan which has included physician self-governance and common protocols for care. Exhibit 4 shows a twenty million dollar net annual clinical savings already achieved. There are more savings still to be identified. The organization is committed to both clinical process improvement and to organizational learning.