A Tale of Two Births: High- and Low-Performing Hospitals on Maternity Measures in California

Bruce Spurlock, California Hospital Assessment and Reporting Taskforce; Anne Boyd Rabkin, Consultant; and Truven Health Analytics

Expectant mothers can have different delivery experiences depending on the hospital. This analysis of maternity care measures finds wide variation in how California's hospitals performed.

November 2014

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.

Users are free to reproduce and distribute the infographic as long as they adhere to CHCF's terms of use.

Learn about the performance of hospitals near you at www.CalHospitalCompare.org.

Infographic: A Tale of Two Births in California

Infografia: La Historia de Dos Nacimientos