Obstetric Reports

Log into the OBI Registry to See Your Hospital’s Obstetric Reports                                            Data Sources                                                                                                                          Cesarean Delivery Rates                                                                                                   AVAILABLE REPORTS BCBSM                                                                                                                          - Hospital Summary Report                                                                                                     - Maternal Outcomes Report                                                                                                   - Maternal Utilization Report     Birth Certificate Data            - NTSV Rate Trend Report     - NTSV Ranking Report                                                                                        Definitions & References

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The Obstetrics Initiative provides Obstetric Reports to support your obstetric quality improvement efforts. 

Want to see your hospital's Obstetric Reports?

log into the OBI registry

The Obstetric Reports provide rich data to understand your hospital’s cesarean delivery and vaginal delivery rates for “low” and “non-low” risk groups of patients [ref], and to assess maternal and fetal outcomes after adjusting for your patient population. These reports can also help hospitals monitor maternal and neonatal outcomes after implementing interventions to improve maternity care quality and support vaginal birth. 

The Obstetric Reports are optimized for peer-to-peer comparison and monitoring trends over time. Our reports provide data-driven insights into areas for focused quality improvement.

OBI Data Sources

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Insurance claims data for patients treated at 66 Michigan maternity hospitals. Includes beneficiaries covered by Preferred Provider Organization (PPO) and Blue Care Network (BCN).

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Birth certificate data (from MDHHS) matched with inpatient hospital discharge data (from the Michigan Hospital Association). Includes all patients treated at all 81 Michigan maternity hospitals.

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Patient level data on Nulliparous, Term, Singleton, Vertex (NTSV) patients from OBI Hospitals (starting Fall 2019).

Cesarean Delivery rates

Nulliparous Term Singleton Vertex (NTSV) Cesarean Delivery Rate: Using birth certificate data from the Michigan Department of Health & Human Services, the NTSV Cesarean Delivery rate is the percentage of nulliparous women who have a Cesarean Delivery and who are term (>=37 weeks gestation) with a singleton, vertex gestation. 

Society for Maternal Fetal Medicine (SMFM) Cesarean Delivery Rate: Using claims data for the Preferred Provider Organization (PPO) patients in Blue Cross Blue Shield (BCBS), the SMFM Cesarean Delivery rate is the percentage of women who have a Cesarean Delivery and who are term (>=37 weeks) with a singleton, vertex, live born gestation and without a relative or absolute contraindications to vaginal delivery.

AVAILABLE REPORTS

BCBSM REPORTS

Obstetrics Hospital Summary Report 

The Obstetrics Hospital Summary Report benchmarks your hospitals performance, against other Michigan hospitals for the following outcomes with Blue Cross Blue Shield of Michigan claims data.    - Vaginal and cesarean birth rates among low risk and non-low risk singleton births     - Vaginal birth after cesarean (VBAC) rates     - Standardized facility, professional, post discharge care payments    - Analysis of the proportion of patients considered “non-low risk” deliveries Need help navigating the report and running queries? Check out our report navigation guide. The registry report does not provide a further breakdown of the outpatient facility-based rate to determine categories unless you drill down and filter to view those details for BCBSM patients. You could do this by going to the Episode Cost Table ($), filtering for OBGYN (and applying any other filters you would need) and then drilling down into the episode list via the hyperlink in the drop down legend. After this, you would perform an advanced export for the data to include all of the different outpatient facility-based categories. Here is a step-by-step walk you through of the export process.

Maternal Outcomes Report

Maternal Outcomes Report shows the maternal outcomes against other Michigan hospitals with Blue Cross Blue Shield of Michigan claims data. This report is important because as we work to safely reduce the use of primary cesarean delivery, we have to carefully monitor maternal and neonatal outcomes. This report was developed with these Severe Maternal Morbidity (SMM) Definitions: ICD-9 & ICD-10 codes. The  Neonatal Outcomes Report is in development. The Reports has four sections: Severe Maternal Morbidity (SMM) Overall; Severe Maternal Morbidity, Cardiovascular; Severe Maternal Morbidity (SMM), Non-Cardiovascular; and Obstetric Morbidity (not SMM).

Maternal Utilization Report

The Maternal Utilization Reports shows the maternal utilization against other Michigan hospitals with Blue Cross Blue Shield of Michigan claims data. This report was developed with these Severe Maternal Morbidity (SMM) Definitions: ICD-9 & ICD-10 codes. This report also has four sections: Procedures; Hospital Utilization; Cardiopulmonary (SMM); and Payment.

Birth certificate data REPORTS

ntsv rate trend report

The NTSV Cesarean Delivery (CD) rate is the percentage of nulliparous women who have a Cesarean Delivery and who are term (>=37 weeks gestation) with a singleton, vertex gestation.  This report uses birth certificate data from the Michigan Department of Health & Human Services to show your hospital’s NTSV CD rate compared to the statewide NTSV average over time.

ntsv ranking report

This is a ranking report that shows where your hospital’s NTSV CD rate is in comparison the rest of the 81 Michigan maternity hospitals.

definitions & References

Low-Risk vs. Non-Low Risk Definitions: ICD-9 & ICD-10 codes

Low-Risk for Claims Data: Comparing variation in hospital rates of cesarean delivery among low-risk women using 3 different measures. Armstrong, Joanne C. et al. American Journal of Obstetrics & Gynecology, February 2016, 214:2, Pages 153–163.

Severe Maternal Morbidity (SMM) Definitions: ICD-9 & ICD-10 codes

Nulliparous, Term, Singleton, Vertex (NTSV)

Nulliparous, Term, Singleton, Vertex (NTSV)

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