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New Childbirth Outcomes Measure Could Provide Hospitals with Performance Feedback

Pregnancy-related deaths and serious maternal complications during and after childbirth continue to rise in the United States, with wide variation across hospitals. New research published in the Online First edition of Anesthesiology, the peer-reviewed medical journal of the American Society of Anesthesiologists (ASA), reports on a new risk-adjusted, composite measure that allows maternal and newborn outcomes to be reported in a single measure. This measure is based on readily available data that are collected by all hospitals and could be used to provide accurate and meaningful feedback on outcomes.

The American College of Obstetricians and Gynecologists (ACOG) and ASA created the Maternal Quality Improvement Program (MQIP) outcomes registry in 2014 to serve as a platform for reporting risk-adjusted outcome metrics and improving the quality of obstetrical care. Because the use of MQIP-compliant electronic medical records among U.S. hospitals is still limited, it is not yet possible to create a national obstetric report card based on clinical data from the electronic medical record. However, this study shows that it is feasible to use widely available administrative and birth certificate data that are collected by all hospitals in the U.S. to measure and report risk-adjusted obstetrical outcomes for all U.S. hospitals.

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