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Greenville Health System is a Level I Trauma Center located in the upstate region of South Carolina. The health system consists of many entities and is the largest non for profit healthcare system in South Carolina offering a variety of services (http://www.ghs.org, 2015). As a system GHS is rapidly growing and expanding its services to more and more communities in the region (http://www.ghs.org, 2015). While the system has always had a focus on providing excellent care the advent of Value Based Purchasing has place a renewed emphasis on providing the right care at the right time and ensuring the patients are receiving the excellent care they deserve. Greenville Health System has been in existence since 1912 and has grown in that time from a single free standing facility to an integrated delivery system with an academic medical center (http://www.ghs.org, 2015). The Greenville Health System mission as stated on their web site is to “Transform healthcare for the benefit of the people and communities we serve” (http://www.ghs.org, 2015). This health system has used both social media and the internet to reach out to the communities it serves as well as to the people it employees. Amongst the many ways it utilized the internet and social media are a robust web page, a Facebook page, electronic medical records, online employment opportunities, education for employees and the general public as well as transparently providing the public with budget and finance information (http://www.ghs.org, 2015). Value Based Purchasing has placed HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) on the radar of every healthcare system that receives payment from CMS (Centers for Medicare and Medicaid),(Raso, 2015). Greenville Health System is currently achieving scores on the HCAPS that minimally meet the national average

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