Large variations among hospitals persist in the quality of maternity and cardiac care for women, according to a new study released today by HealthGrades, the leading independent healthcare ratings organization.
The Fifth Annual HealthGrades Women's Health in American Hospitals study analyzes the quality of care at U.S. hospitals in 17 states for treatment of heart disease and stroke among women and for women giving birth, with ratings for individual hospitals posted to www.HealthGrades.com. The study also identifies those hospitals performing in the top 10 percent in the nation in the area of women's health and maternity care.
Key findings of this year's study include:
- The best-performing hospitals had almost 51 percent fewer maternal complications among women who had vaginal births compared to poor-performing hospitals.
- The best-performing hospitals had almost 76 percent fewer maternal complications among women who had C-sections compared to poor-performing hospitals.
- Overall, risk-adjusted mortality for cardiovascular disease for women improved on average almost 15 percent from 2004 through 2006.
- The best-performing hospitals had almost 40 percent lower risk-adjusted mortality for treatment of cardiovascular disease than the poor-performing hospitals and 22 percent lower risk-adjusted mortality than average-performing hospitals.
"The impact of women's health on the U.S. healthcare system is tremendous, accounting for nearly 60 percent of all hospital admissions," said Dr. Samantha Collier, HealthGrades chief medical officer and lead study author. "It is imperative, based on the huge differences in the quality identified in our study, that women research their local hospital's clinical outcomes before choosing where to receive their care."
As part of the study, HealthGrades analyzed more than 12.5 million hospital delivery and newborn records from 2004 through 2006 in 17 states. To assess maternity care program performance, HealthGrades studied overall maternal complications rates for vaginal, C-section, and patient-choice C-sections (non-clinically indicated C-sections) as well as neonatal mortality. The best-performing hospitals are those hospitals that have the lowest combined rates of maternal complications and weight-stratified neonatal mortality.