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Leah Binder Presentation on Leapfrog Group on Maternity Care

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

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NCHC CAPITOL HILL FORUM:
INNOVATIONS IN MATERNITY CARE
Leah Binder, President & CEO, The Leapfrog GroupMay 10, 2017
What is the most common reason for
hospitalization?2
Childbirth
What is the most common surgical procedure?
3
C-sections
Source: Becker’s Hospital Review
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
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
www.leapfroggroup.org
6

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Leah Binder Presentation on Leapfrog Group on Maternity Care

  • 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
  • 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/