1. 1st Quarter 2014: January – March 2014

2. January – March 2014 ~1 every 3 days

3. Qtr 1 2011: January 1 – March 31, 2011Qtr 1 2014: January 1 – March 31, 2014 ~8/day ~1 every 3 days

4. 38% 93% 18% *Comparison is difference between Q1 2011 & Q1 2014

5. 13%* 6%* 95%* *Comparison is difference between Q1 2011 & Q1 2014

6. 1% 6% 20% 9% Comparison is Q1 2011 to Q1 2014

7. 95%* *Comparison is difference between Q1 2011 & Q1 2014

8. 36 Hospitals 6 Hospitals 15 Hospitals January – March 2014 Baseline Data: Dec 2010 – March 2011 --

9. <300300 - 499500 - 9991000+ 8 13 10 5 ORANGE number = approximate number of annual deliveries GREEN number = number of hospitals reporting zero rate January - March 2014

10. Scheduled Deliveries <39 Weeks January – March 2014

11. Scheduled Deliveries <39 Weeks January – March 2014 2.6% of Scheduled Deliveries <39 weeks do not have a documented indication 35

12. *Data collected via the EWC Data Collection Tool is used to estimate TJC PC-01 Data.

14. January – March 2014 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)

15. January – March 2014 overlaid with corresponding hospital’s Core Measure Rate Hospitals with smaller denominators are more likely to have higher rates, unless the numerator is zero.

16. January – March 2014 27 Hospitals 21 Hospitals

18. Comparison is Q1 2011 to Q1 2014 Provided by Oklahoma Vital Records

19. 2%* 5%* 10%* Induction – 39-41 Weeks Induction – 36-38 Weeks Augmentation – 36-38 Weeks Augmentation – 39-41 Weeks Provided by Oklahoma Vital Records EWC Begins 4%* * comparison is Q1 2011 to Q1 2014