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18 edged for excellence in nursing with Magnet recognition from the American Nurses Cre- dentialing Center. rough the course of its more than 125-year history, e Christ Hospital has grown into the greater Cincinnati area's leading healthcare net- work, which extends across more than 100 out- patient locations. In 2015, the network opened its own high-tech Joint and Spine Center, fea- turing 87 private rooms designed precisely for patients with joint and spine conditions. Christiana Hospital (Newark, Del.). Christia- na Hospital, a 913-bed, 1.3 million-square-foot teaching hospital, is the namesake hospital for the Christiana Care Health System. e hos- pital opened in 1985, but the health system it brands has roots going back to 1890 when physicians purchased land in Wilmington, Del., and built the Delaware Hospital. Christi- ana Care Health System is the culmination of more than 100 years of healthcare history and the merging of separate hospitals into what has become one of the premiere healthcare systems on the East Coast. In 2015-16, U.S. News & World Report ranked Christiana Hospital No. 1 in Delaware and No. 3 in the Philadelphia metro area. e hos- pital contains Delaware's only Level I trauma center, which is also the only Level I trauma center on the East Coast corridor between Baltimore and Philadelphia. Christiana Care Hospital is the only high-risk delivering hos- pital in Delaware, offering Level III neonatal intensive care. Upwards of 7,200 babies are born at in the hospital each year. In 2010, Christiana Care achieved Magnet status for sustained excellence in nursing. Research has shown care provided by nurses with BSNs leads to better outcomes. Of the more than 2,500 nurses that work for Christiana Care, 67 percent have a BSN degree or higher. With their prepaid tuition program, Christiana Care hopes to meet the Institute of Medicine's goal of having 80 percent of its nursing staff hold BSN degrees or higher by 2020. Cincinnati Children's Hospital Medical Cen- ter. Cincinnati Children's is a nonprofit academ- ic medical center affiliated with the University of Cincinnati Department of Pediatrics. e medical center was founded in 1883 by three Cincinnati women who wanted to open a hospi- tal specifically for children, it is one of the oldest pediatric hospitals in the country. Cincinna- ti Children's was originally located in a rented three-bedroom house and was called e Hos- pital of the Protestant Episcopal Church. Cincinnati Children's has 629 registered beds, and in fiscal year 2015, hospital physicians facil- itated more than 1.2 million patient encounters with patients from all 50 states and 68 coun- tries. In the same year, 850 volunteers contrib- uted 90,263 hours at the hospital's facilities. e hospital has a total of 15,260 employees. Cincinnati Children's is widely recognized for its clinical care and performance, ranking No. 3 on U.S. News & World Report's Honor Roll for children's hospitals in 2015-16. It was one of three hospitals nationally ranked in all 10 pediatric specialties, including No. 1 in the country for pulmonology, No. 2 for cancer and No. 4 for orthopedics. Additionally, Cin- cinnati Children's has been Magnet-desig- nated by the American Nurses Credentialing Center since 2013. Cleveland Clinic. In 2015-16, U.S. News & World Report ranked the Cleveland Clinic as the No. 5 hospital in the country, as well as No. 1 in Ohio and No. 1 in the Cleveland area. e hospital is nationally ranked in 14 adult spe- cialties, including No. 1 in cardiology and heart surgery, and No. 2 in gastroenterology and GI surgery, nephrology, rheumatology and urolo- gy. Cleveland Clinic's main campus also holds a Magnet designation from the American Nurs- es Credentialing Center for nursing excellence. Founded in 1921, Cleveland Clinic now in- cludes 4,450 beds systemwide and more than 1,400 beds on its main campus. Cleveland Clinic has a global presence, with hospitals in Florida, Arizona, Abu Dhabi and Canada. In 2015, Cleveland Clinic physicians treated more than 4,700 international patients, 51 percent of them from the Middle East. Cleveland Clinic is home to a number of med- ical and clinical firsts, including isolating sero- tonin in the 1940s, the first minimally invasive aortic heart valve surgery in 1996, the first suc- cessful larynx transplant in 1998 and the coun- try's first near-total face transplant in 2008. In 2015, Cleveland Clinic's total research funding from all sources reached $251 million. Dana-Farber Cancer Institute (Boston). Sidney Farber, MD, founded the Children's Cancer Research Foundation in 1947 to con- duct research and provide state-of-the-art treatment to children with cancer. Dr. Farber also launched the first chemotherapy research program for children with cancer. In 1969, the foundation's mission officially expanded to include patients of all ages, and in 1983 the hospital's name was changed to its current it- eration to recognize not only Dr. Farber but also the Charles A. Dana Foundation, a phil- anthropic organization. Today, Dana-Farber Cancer Institute is a teach- ing affiliate of Boston-based Harvard Medical School, and it is also a federally designated Center for AIDS Research. e 30-bed hospi- tal employs more than 4,000 people who treat close to 400,000 patients each year. Addition- ally, 510 volunteers contributed a combined 232,892 hours of service in fiscal year 2014. at same year, Dana-Farber was involved in 761 clinical trials. Dana-Farber has clinical affiliations with sev- eral prominent healthcare organizations in the Boston area to provide patients with the best possible care, including Brigham and Women's Hospital, Boston Children's Hospital and Part- ners HealthCare. In its 2015-16 rankings, U.S. News & World Report ranked Dana-Farber as No. 1 in the country for pediatric cancer care and No. 4 hospital in the country for adult cancer care. e hospital has been designated as a Magnet hospital since 2005 by the American Nurses Credentialing Center. Dartmouth-Hitchcock Medical Center (Lebanon, N.H.). Dartmouth-Hitchcock Medical Center is the flagship hospital of Dartmouth-Hitchcock, a nonprofit academic health system that serves a patient population of roughly 1.9 million in New England. e hospital was founded in 1893. e Dartmouth-Hitchcock system is the largest private employer in the state, with more than 9,000 permanent full- and part-time workers, including more than 1,395 physicians, resi- dents, fellows and associated providers; 1,925 direct-care nurses; and 1,437 allied health pro- fessionals. e 396-bed Dartmouth-Hitchcock Medical Center is the only academic medical center with a Level I trauma center and air ambulance service in the state. James N. Wein- stein, DO, a researcher and internationally re- nowned spine surgeon, serves as president and CEO of the medical center. U.S. News & World Report ranked Dart- mouth-Hitchcock Medical Center the No. 1 hospital in New Hampshire and a high per- forming hospital in cancer treatment in its 2015-16 rankings. Dartmouth-Hitchcock's Norris Cotton Cancer Center is designated by the National Cancer Institute as a comprehen- sive cancer center, making it one of the only such designated cancer centers in the region. Duke University Hospital (Durham, N.C.). Duke University Hospital is the flagship hos- pital for Duke Health and is licensed for 938 beds. e hospital has more than 10,000 full- time employees, including 1,925 faculty in the clinical program, 211 faculty in the basic sci- ences and 90 faculty in the nursing school. Although the hospital is just 76 years old — open- ing to patients as Duke Hospital on July 21, 1930 — its history is rich with medical firsts. Duke surgeons were first to use systemic hypothermia during cardiac surgery in 1956, and Duke estab- lished the first physician assistant program in the