Transforming Care in Labor and Delivery

Unnecessary variation in care for pregnant women in the U.S. has resulted in a C-section rate more than three times the World Health Organization recommended rate, as well as higher neonatal mortality rates in the U.S. than in other developed countries.  This labor and delivery team found and addressed unwanted variation in its cost of care for uncomplicated vaginal deliveries and cesarean deliveries. By establishing cost quality goals, redesigning workflow, standardizing supplies, and sharing provider-specific performance data they were able to achieve cost savings and reduce their C-section rate while maintaining 99th percentile patient satisfaction ranking.


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