A Tale of Two Births: High- and Low-Performing Hospitals on Maternity Measures in California
November 21, 2014
Bruce Spurlock, President and CEO, Cynosure Health
Anne Boyd Rabkin
The California Hospital Assessment and Reporting Taskforce (CHART) analyzed four measures of maternity care — low-risk c-section rates, episiotomy rates, rates of exclusive breastfeeding before discharge, and VBAC (vaginal birth after c-section) rates — and found wide variation in how hospitals performed.
The infographic below, available in English and Spanish, illustrates how two first-time expectant mothers, each with a low-risk pregnancy, can have very different delivery experiences depending on the hospital. Both infographics are available under Document Downloads.
The California Hospital Assessment and Reporting Taskforce (CHART) used data provided by the California Maternal Quality Care Collaborative (CMQCC) for this project. CHART is a nonprofit established to develop a statewide hospital performance reporting system using a multi-stakeholder collaborative process. CMQCC seeks to improve maternal and infant outcomes through rapid-cycle data analytics and collaborative action. “High performing” is defined as three or more Superior or Above Average scores and no Average, Below Average, or Poor scores on the four maternity measures available on CalHospitalCompare.org. “Low performing” is defined as three or more Below Average or Poor scores on the four maternity measures.