Innovations in Maternity Care forum by National Coalition on Health Care (www.nchc.org)

1. NCHC CAPITOL HILL FORUM:
INNOVATIONS IN MATERNITY CARE
Leah Binder, President & CEO, The Leapfrog GroupMay 10, 2017

2. What is the most common reason for
hospitalization?2
Childbirth

3. What is the most common surgical procedure?
3
C-sections
Source: Becker’s Hospital Review

4. Medicaid pays for nearly half of all births
Purchasers pay the other half4
Source: Kaiser Family Foundation, Oct. 2016
Percentage of births paid for by Medicaid

5. Leapfrog: The Purchaser-Driven Movement for Quality
and Transparency
 Nonprofit publicly reporting by hospital on quality and safety
 Founded by purchasers in 2000 in response to 1999 IOM
Report To Err is Human
 National and regional influence
 Used by all national health plans, most public reporting sites

6. www.leapfroggroup.org
6

7. www.hospitalsafetygrade.org

8. Regional Leaders: The Heart and Soul of Leapfrog
8

9. Sole source of publicly reported data
by hospital9
Four key maternity measures
from the Leapfrog Hospital
Survey:
1. Early Elective Deliveries
2. Cesarean Sections
3. Episiotomies
4. Maternity Care Process
Measures

10. 1) Early Elective Deliveries
10
Hospitals’ efforts to reduce rates of early elective deliveries has
been a success, declining to just 1.9% compared to 17.0% in
2010
Source: Castlight Health Analysis

11. Leapfrog galvanized leadership to
bring down EEDs by 84%11

12. 2) Cesarean Sections
12
 NTSV C-section rates vary greatly (2016)
 Lowest: New Mexico had a rate of 17.1%
C-section rate
 Highest: Louisiana reported 32.1% C-
section rate
 Rates aren’t down from 2015

13. 3) Episiotomies
13
The rate of episiotomies has fallen to 9.6% compared to
13.0% in 2012, but is still too high

14. 4) Maternity Care Process Measures
14
Leapfrog examines two standard processes of maternity care
that all hospitals should have in place to provide safe care:
1. Appropriate DVT Prophylaxis (94.4% met standard)
2. Newborn Bilirubin Screening (96.7% met standard)
87.1% of applicable hospitals met the target
for both measures

15. Maternity care quality is unaffected by
hospital type15
Maternity quality performance
data is not significantly different
among hospital types

16. How purchasers can act
 Payment reform
 Employee
awareness/public
reporting
 Benefits design
 Contracting
16

17. Thank you
17
The Leapfrog Group (@LeapfrogGroup): www.LeapfrogGroup.org
Hospital Safety Score: www.HospitalSafetyScore.org
Leah Binder (@LeahBinder)
 Lbinder@LeapfrogGroup.org
 202-292-6713
www.forbes.com/sites/leahbinder/
www.huffingtonpost.com/leah-binder/
http://blogs.wsj.com/experts/tag/leah-binder/