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The BJC Collaborative

In October 2012, the BJC Collaborative, LLC (the “BJC Collaborative”) was created by its four founding members, BJC HealthCare of St. Louis, Mo., Saint Luke’s Health System of Kansas City, Mo., CoxHealth of Springfield, Mo., and Memorial Health System of Springfield, Ill.

Since the BJC Collaborative was founded, additional systems have joined, including Blessing Health System of Quincy, Ill., Southern Illinois Healthcare of Carbondale, Ill., and Sarah Bush Lincoln Health System of Mattoon, Ill.

Over the years, Collaborative members have worked together to enhance the quality of care, increase access to health services through meaningful population health benefits, and reduce the total cost of care within our Midwest region. By pooling our individual strengths as market-leading, independent, non-profit health care systems, we have been able to make a significant impact for our patients and the communities we serve.

BJC Collaborative members are currently pursuing joint work efforts in the following areas:

COVID-19 Efforts

  • ​​While leaders across the Collaborative have been busy responding to COVID-19 in their local communities, they have continued to meet virtually in response to COVID-19 to share best practices, discuss obstacles, and plan for the safety of their patients and employees. The relationships developed through the Collaborative have strengthened the regional response to COVID-19, ensuring the highest quality of care for our patients during these unprecedented times.

Oncology Collaborations

  • I-STEP Clinical Trial – I-STEP (Increasing Screening Through Engaging Primary Care Providers) is a joint research endeavor between BJC Collaborative (BJCC) and Washington University School of Medicine that is focused on increasing referrals for and improving the quality of lung cancer screening with low-dose CT (LDCT). I-STEP began with a clinical trial in January 2019 that aimed to offer a site-specific Toolkit of lung cancer screening materials to providers in order to help them identify eligible patients and refer them for lung screening. The clinical trial concluded in March 2021, with the participating sites having completed over 10,000 lung cancer screenings throughout the course of the trial. A second I-STEP study is now underway to understand barriers and facilitators to increasing lung screening as well as how different types of lung nodules can be most effectively managed.

Councils - In 2019, BJC Collaborative formed three Councils to pool their resources, knowledge, and expertise in pursuing joint opportunities and developing solutions to common challenges in the areas of virtual care, cybersecurity, and government relations.

  • Virtual Care – BJC Collaborative believes that through the development of virtual care arrangements, they can greatly impact access to care and decrease health care costs. As a result, the Virtual Care Council was created so leaders from across the BJC Collaborative could engage in developing best practices together and share information about their respective platforms.
  • Cybersecurity – This Council focuses on sharing ideas and best practices from across Collaborative members in respect to cybersecurity. Together the Council tracks and benchmarks key security metrics from each respective health system and works to identify projects that each Collaborative member can independently implement to keep their network and data safe. A recent focus of the Council has been investigating how to keep network connected medical devices safe and secure from cyberattacks
  • Government Relations – As the political and legislative landscape continues to evolve, the Government Relations Council responds with their collective voice to pressing issues from a federal and state perspective. Their primary objective is working with government leaders to improve health care quality and access to the communities they serve.

Achieving Savings Through Group Purchasing – Through 2020, the BJC Collaborative has achieved $499 million in savings. The Clinical Engineering Operations Committee (CEOC) and Clinical Asset Management (CAM) Shared Services account for $374 million of the savings, and have played a crucial role in reducing costs and achieving operational efficiencies. Through a unique and disciplined process, Collaborative members identify clinical asset needs at each organization and work with vendors to secure vital equipment.

System-to-System Initiatives – BJC Collaborative facilitates opportunities to implement and expand clinical programs and services between and among its members, creating opportunities for pooling the resources and talents available across the region to improve care and access for patients in their local communities.

Sharing Best Practices: Leadership Roundtables – Leaders from each health system are sharing best practices and developing solutions to shared challenges in Clinical and Service Quality, Emergency Preparedness, Human Resources, Legal Services, Credentialing, and Public Relations/Communications.


BJC Collaborative continues to look for new opportunities to improve care, while reducing cost. In 2021, the Collaborative is pursuing new and transformational initiatives in the following areas:

  • Academic collaborations with Washington University School of Medicine
  • Collaborations between member hospitals and the Siteman Cancer Network
  • Accelerating capital asset management functions

BJC Collaborative logo

BJC HEALTHCARE • COXHEALTH • MEMORIAL HEALTH SYSTEM • SAINT LUKE’S HEALTH SYSTEM
BLESSING HEALTH SYSTEM • SARAH BUSH LINCOLN HEALTH SYSTEM • SOUTHERN ILLINOIS HEALTHCARE

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St. Louis, Missouri 63108
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