Oklahoma Aggregate Data 1st Quarter 2013 January 1 – March 31, 2013 EVERY WEEK COUNTS

~1.5/day January – March 2013

Qtr : January 1 – March 31, 2011Qtr : January 1 – March 31, 2013 ~8/day~1.5/day

39% 76% 30% *Comparison is difference between Q & Q1 2013

13%* 11%* 80%* *Comparison is difference between Q & Q1 2013

81%* *Comparison is difference between Q & Q1 2013

Baseline Data: Dec 2010 – March January – March Hospitals 6 Hospitals 28 Hospitals

< ORANGE number = approximate number of annual deliveries GREEN number = number of hospitals reporting zero rate January – March 2013

Scheduled Deliveries <39 Weeks

141 Scheduled Deliveries <39 Weeks 10.2% of Scheduled Deliveries <39 weeks do not have a documented indication

*Data collected via the EWC Data Collection Tool is used to estimate TJC PC-01 Data. TJC PERINATAL CARE CORE MEASURE* PC-01: ELECTIVE DELIVERY

5% Benchmark TJC Perinatal Care Core Measure (PC-01) – Rate By Quarter

January – March 2013 Total Bar = Denominator (Measure Population) Red Section = Numerator (Non-medically Indicated Scheduled Deliveries) (# indicates number of non-medically indicated scheduled deliveries) Blue Section = Remainder (Non-scheduled Deliveries) TJC Perinatal Care Core Measure (PC-01) – Numerator and Denominator

overlaid with corresponding hospital’s Core Measure Rate Hospitals with smaller denominators are more likely to have higher rates, unless the numerator is zero. TJC Perinatal Care Core Measure (PC-01) – Numerator and Denominator January – March 2013

17 Hospitals January – March Hospitals TJC Perinatal Care Core Measure (PC-01) – Rate By Hospital

5% Rate 22 out of 48 Reporting Hospitals had a Core Measure Rate <5% TJC Perinatal Care Core Measure (PC-01) – Rate By Hospital January – March 2013

Provisional April 2009 – March 2013 OKLAHOMA BIRTH CERTIFICATE DATA

9%* 14%* *comparison is Q to Q Provisional Data provided by Oklahoma Vital Records EWC Begins weeks weeks

6%* 16%* 8%* * comparison is Q to Q Induction – Weeks Induction – Weeks Augmentation – Weeks Augmentation – Weeks Provisional Data provided by Oklahoma Vital Records NO CHANGE* EWC Begins