1. Oklahoma Aggregate Data 1st Quarter 2013 January 1 – March 31, 2013 EVERY WEEK COUNTS

2. ~1.5/day January – March 2013

3. Qtr 1 2011: January 1 – March 31, 2011Qtr 1 2013: January 1 – March 31, 2013 ~8/day~1.5/day

4. 39% 76% 30% *Comparison is difference between Q1 2011 & Q1 2013

5. 13%* 11%* 80%* *Comparison is difference between Q1 2011 & Q1 2013

6. 81%* *Comparison is difference between Q1 2011 & Q1 2013

7. Baseline Data: Dec 2010 – March 2011 -- January – March 2013 26 Hospitals 6 Hospitals 28 Hospitals

8. <300300 - 499500 - 9991000+ 58 9 4 ORANGE number = approximate number of annual deliveries GREEN number = number of hospitals reporting zero rate January – March 2013

9. Scheduled Deliveries <39 Weeks

10. 141 Scheduled Deliveries <39 Weeks 10.2% 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 PERINATAL CARE CORE MEASURE* PC-01: ELECTIVE DELIVERY

12. 5% Benchmark TJC Perinatal Care Core Measure (PC-01) – Rate By Quarter

13. January – March 2013 Total Bar = Denominator (Measure Population) Red Section = Numerator (Non-medically Indicated Scheduled Deliveries) (# indicates number of non-medically indicated scheduled deliveries) Blue Section = Remainder (Non-scheduled Deliveries) TJC Perinatal Care Core Measure (PC-01) – Numerator and Denominator

14. overlaid with corresponding hospital’s Core Measure Rate Hospitals with smaller denominators are more likely to have higher rates, unless the numerator is zero. TJC Perinatal Care Core Measure (PC-01) – Numerator and Denominator January – March 2013

15. 17 Hospitals January – March 2013 31 Hospitals TJC Perinatal Care Core Measure (PC-01) – Rate By Hospital

16. 5% Rate 22 out of 48 Reporting Hospitals had a Core Measure Rate <5% TJC Perinatal Care Core Measure (PC-01) – Rate By Hospital January – March 2013

17. Provisional April 2009 – March 2013 OKLAHOMA BIRTH CERTIFICATE DATA

18. 9%* 14%* *comparison is Q1 2011 to Q1 2013 Provisional Data provided by Oklahoma Vital Records EWC Begins 39-41 weeks 36-38 weeks

19. 6%* 16%* 8%* * comparison is Q1 2011 to Q1 2013 Induction – 39-41 Weeks Induction – 36-38 Weeks Augmentation – 36-38 Weeks Augmentation – 39-41 Weeks Provisional Data provided by Oklahoma Vital Records NO CHANGE* EWC Begins