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Related Experiment Video

Updated: Mar 15, 2026

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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Using publicly reported hospital data to predict obstetric quality.

Shravya Govindappagari1,2, Alexander M Friedman1,2, Ling Chen1

  • 1a Department of Obstetrics and Gynecology , Columbia University College of Physicians and Surgeons , New York , NY , USA.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|September 15, 2016
PubMed
Summary
This summary is machine-generated.

Publicly reported hospital data shows little association with obstetric quality, including patient satisfaction and surgical outcomes. New, obstetric-specific quality measures are needed to improve care.

Keywords:
Hospital CompareObstetricsqualitysatisfaction

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Area of Science:

  • Obstetrics and Gynecology
  • Healthcare Quality Improvement
  • Health Services Research

Background:

  • Publicly reported hospital data aims to inform patients and drive quality improvement.
  • Existing metrics may not adequately capture the nuances of obstetric care quality.

Purpose of the Study:

  • To determine the association between obstetric outcomes and publicly reported hospital data.
  • To evaluate the correlation between patient satisfaction, surgical quality, and medical outcomes with obstetric quality.

Main Methods:

  • Hospitals from the Nationwide Inpatient Sample (2011) were linked to Hospital Compare data.
  • Risk-adjusted rates of obstetric morbidity, episiotomy, and lacerations were compared across hospitals.

Main Results:

  • No significant association was found between most publicly reported metrics and risk-adjusted obstetric morbidity.
  • Hospitals with high pneumonia mortality showed higher rates of severe lacerations; those with high myocardial infarction mortality had lower episiotomy rates.
  • Differences in other reported metrics and obstetric outcomes were generally small and not statistically significant.

Conclusions:

  • Currently available public hospital data has limited association with obstetric quality.
  • There is a need for the development of obstetric-specific quality and patient satisfaction measures.