CAL HOSPITAL COMPARE MANUAL

For example, having diabetes does not prevent the nurse from checking your wristband before giving a medication, so there should be no adjustment for diabetes in that measure. Some measures do not need to be risk adjusted. “Risk adjustment” is the process that levels the playing field among hospitals to fairly compare hospital performance. So it would not be fair for a hospital with more diabetic patients to have a worse rating just because they treat more sick patients. For example, having diabetes can reduce your chances of surviving heart surgery. Some patients respond better to treatment than others. Guidelines established by a technical oversight committee and expert statisticians determine how the data are processed. Ratings are assigned to measures when it is technically feasible (for example, a large enough sample or an accepted risk-adjustment approach) and there is an appropriate standard.Data are then compared to a benchmark value, either a national, state, or Cal Hospital Compare standard.Data are gathered by AIR from publicly available sources.To produce the hospital information available on Cal Hospital Compare, a rigorous process is followed: Cal Hospital Compare reports psychiatric measures for adult, acute care hospitals with dedicated inpatient behavioral health services and for standalone psychiatric hospitals.

California Department of Health Care Access and Information.

* Any analyses, interpretations, or conclusions reached regarding these results reflect those of the author and not CMQCC or CDPH.

Deliveries by Certified Nurse Midwives: CMQCC rates based Patient Discharge Data submitted to the CMQCC Maternal Data Center and linked to Birth Certificate Data from the California Department of Public Health-Vital Records*.

However, policies can change, so please contact the hospital directly to learn their current policy on VBACs.

This VBAC Routinely Available information was collected from a survey of hospitals conducted by the Hospital Quality Institute in 2016 and is regularly updated by the California Maternal Quality Care Collaborative upon hospital request.

Measure specifications: Agency for Healthcare Research and Quality Inpatient Quality Indicator (IQI) 34.

VBAC Rate: CMQCC based on Patient Discharge Data submitted by each hospital to the CMQCC Maternal Data Center.* Performance categories developed by Cal Hospital Compare.

Measure specifications: National Quality Forum 0470 ( NQF)

Episiotomy Rate: CMQCC based on Patient Discharge Data submitted by each hospital to the CMQCC Maternal Data Center Performance categories developed by Cal Hospital Compare.

CAL HOSPITAL COMPARE MANUAL

Measure specifications: Joint Commission PC-02 ( See Manual ) Performance categories developed by Cal Hospital Compare. Cesarean Birth Rate (NTSV): CMQCC rates based on Patient Discharge Data submitted by each hospital to the CMQCC Maternal Data Center and linked to Birth Certificate Data from the California Department of Public Health-Vital Records*.State Average – this average represents the 95% of January – December 2022 California deliveries reported to the CMQCC Maternal Data Center. The hospitals that did not report current performance data to CMQCC are listed here. Two of the hospitals listed in this section did not submit data to the CMQCC Maternal Data Center their results represent Calendar Year 2021 data available from the California Department of Health Care Access and Information. These 213 hospitals submitted data to the CMQCC Maternal Data Center to enable rapid-cycle reporting and quality improvement. Reporting Period for other Mother & Baby Measures (listed below): The ratings reflect January – December 2022 hospital discharge and birth certificate data from 213 California hospitals that offer maternity services and participate in the California Maternal Quality Care Collaborative’s Maternal Data Center (CMQCC’s MDC). Breastfeeding Rate (CDPH): California Department of Public Health.AIR delivers unbiased information, analytic tools, benchmarks, and services to hospitals, government agencies, employers, health plans, clinicians, and pharmaceutical and medical device companies. American Institutes for Research (AIR) provides data support and analysis. The hospital data presented on Cal Hospital Compare is the result of a partnership among independent organizations dedicated to improving health care quality.

Cal hospital compare