1. Oklahoma Aggregate Data 4 th Quarter 2012 October 1 – December 31, 2012 EVERY WEEK COUNTS

2. ~1.7/day October – December 2012

3. Qtr 1 2011: January 1 – March 31, 2011Qtr 3 2012: October 1 – December 31, 2012 ~8/day~1.7/day

4. 35% 75% 2% *Comparison is difference between Q1 2011 & Q4 2012

5. 12%* 10%* 73%* *Comparison is difference between Q1 2011 & Q4 2012

6. 77%* *Comparison is difference between Q1 2011 & Q4 2012

7. 31 Hospitals 19 Hospitals 6 Hospitals Baseline Data: Dec 2010 – March 2011 -- October – December 2012

8. <300300 - 499500 - 9991000+ 4 6 4 5 ORANGE number = number of deliveries in 2011 GREEN number = number of hospitals reporting zero rate October – December 2012

9. Scheduled Deliveries <39 Weeks

10. 158 Scheduled Deliveries <39 Weeks 11.1% of Scheduled Deliveries <39 weeks do not have a documented indication

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

12. 5% Benchmark

13. October – December 2012 Total Bar = Denominator (Measure Population) Red Section = Numerator (Non-medically Indicated Scheduled Deliveries) (# indicates number of elective deliveries) Blue Section = Remainder (Non-scheduled Deliveries)

14. October – December 2012 overlaid with corresponding hospital’s Core Measure Rate Hospitals with smaller denominators are more likely to have higher rates, unless the numerator is zero.

15. 18 Hospitals October – December 2012 28 Hospitals

16. October – December 2012 5% Benchmark 25 out of 46 Reporting Hospitals had a Core Measure Rate <5%

17. Provisional April 2009 – December 2012 OKLAHOMA BIRTH CERTIFICATE DATA

18. 8%* 11%* *comparison is Q1 2011 to Q4 2012 Provisional Data

19. 6%* 3%* 21%* 7%* * Comparison is Q1 2011 to Q4 2012 Induction – 39-42 Weeks Induction – 36-38 Weeks Augmentation – 36-38 Weeks Augmentation – 39-42 Weeks Provisional Data