OHCA Cesarean Section Quality Initiative
Over the last two decades, the Cesarean section (C-section) rate has continued to steadily and consistently increase without a corresponding improvement in maternal or neonatal outcomes. Professional sources report a range from 3% – 30% for operative deliveries performed without medical indication.
The Oklahoma Health Care Authority (OHCA) shares this concern for our members. In an attempt to lower the primary C-section rate performed without medical indication, OHCA has initiated an ongoing quality initiative.
Reduction of Primary Cesarean Sections Without Medical Indication.
- Beginning in January 2011 and continuing over the subsequent 8 months through August 2011, every contracted OHCA in-state provider & hospital that performed a minimum of 2 SoonerCare deliveries per a month received a letter with their primary C-section rate and total C-section rate every month. After August, 2011, rates have been reported quarterly. The rates are computed as follows:
- Primary C/S rate = Primary c-sections divided by the sum of primary c-sections + vaginal deliveries
- Total C/S rate = All c-sections divided by all deliveries
- Exclusions = Assistant surgeons and VBACs
|SoonerCare Rates||SFY 2009*||SFY 2017||SFY 2018||SFY 2019||SFY 2020||SFY 2021
|Total C-Section Rate||32.16%||30.0%||31.3%||31.1%||30.4%||31.4%||30.6%|
|Primary C-Section Rate||20.3%||15.5%||16.2%||16.5%||16.1%||17.3%||16.8%|
*Rates prior to Cesarean Section Quality Initiative
Details of the initiative have been mailed to both obstetrical providers and hospitals. If you have questions or comments please submit to CSectionFeedback@okhca.org, Jaclyn Mullen, MSN, RN, CPC.