2. October – December 2014 ~1 every 3.5 days

3. Qtr 1 2011: January 1 – March 31, 2011Qtr 4 2014: October 1 – December 31, 2014 ~8/day ~1 every 3.5 days

4. 41% 94% 23% *Comparison is difference between Q1 2011 & Q4 2014

5. 15%* 10%* 98%* *Comparison is difference between Q1 2011 & Q4 2014

6. 0.6% 4.7% 17% 8% Comparison is Q1 2011 to Q4 2014

7. 96%* *Comparison is difference between Q1 2011 & Q4 2014

8. 6 Hospitals 12 Hospitals 38 Hospitals October – December 2014 Baseline Data: Dec 2010 – March 2011 --

9. <300300 - 499 500 - 9991000+ 7 10 11 ORANGE number = approximate number of annual deliveries GREEN number = number of hospitals reporting zero rate October - December 2014

10. Scheduled Deliveries <39 Weeks October – December 2014

11. Scheduled Deliveries <39 Weeks October – December 2014 1.9% of Scheduled Deliveries <39 weeks do not have a documented indication 25

12. TJC Perinatal Care Core Measure * PC-01: Elective Delivery *Data collected via the EWC Data Collection Tool is used to estimate TJC PC-01 Data.

14. October – December 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. October – December 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. October – December 2014 37 Hospitals 13 Hospitals

17. Oklahoma Birth Certificate Data

18. Comparison is Q1 2011 to Q4 2014 Provided by Oklahoma Vital Records

19. 2.5%* 20%* 11%* Induction – 39-41 Weeks Induction – 36-38 Weeks Augmentation – 36-38 Weeks Augmentation – 39-41 Weeks Provided by Oklahoma Vital Records EWC Begins 9%* * comparison is Q1 2011 to Q4 2014