As commented by others, it depends on what one means by "health care organizations"; for example, Eli Lilly has a very aggressive and mature PdM process in the manufacturing plants; Baxter HealthCare was a former client of mine - and they ignored everything they paid me for.
My experience with hospitals has been sad...many are to one degree or another publicly funded, and their keepers give them no money, and don't remotely understand the issues. One remarkable exception is St Jude's here in Memphis. They do most of their stuff in house, with only specialty stuff outsourced, and do a darn good job. They are an admirable organization on a number of fronts (if you ever think you have it rough, I suggest you take a hike through their wards sometime.......). I find it interesting that an organization that is legendary in its service to patients also takes facility maintenance very seriously.