CMQCC programs result in real performance
Improving Support for Vaginal Birth and Reducing Primary C-sections
CMQCC’s Collaborative to Support Vaginal Birth and Reduce Primary focused on helping hospitals reduce their first-birth, low-risk (NTSV) cesarean rate to meet the California statewide target of 23.9%. The 2018 average of all CA hospitals was 23.4% compare to the national average of 25.9% (Figure 1). The percent of CMQCC member hospitals with NTSV cesarean rates less than or equal to 23.9% continues to grow while the percent of hospitals with NTSV cesarean rates above 26% is decreasing (Figure 2).
Reducing Severe Maternal Morbidity from Hemorrhage
Severe maternal morbidity was reduced by 20.8% among 126 hospitals (288,210 births) participating in the California Partnership for Maternal Safety Collaborative from 2014-2016; in contrast, a 48-hospital (83,632 births) comparison sample had a 1.2% reduction in maternal morbidity.
Reducing Mortality and Prematurity
Additional key indicators of improvement in perinatal care include:Results from some of the CMQCC stars look like this:
- California’s maternal mortality rate declined more than 55% from 2006 to 2013, saving 9.6 lives per 100,000
- 120,000 early births were prevented from 2009 to 2014, with an additional 8% of births reaching full term.