Key OB Quality Metrics are Tracked and Reported to Our ...

1 RISK DATA OPERATIONS EDUCATION Quality DATA COMPLIANCE. & OUTCOMES. Key OB Quality Metrics are Tracked and Reported to Our Hospital Partners Ob Hospitalist Group continually works These valuable performance Metrics to expand its capture of Quality data to also are compiled and displayed as a enhance its ability to share significant tool for our hospital partners for either and useful information with its hospital comparisons between their Metrics and partners. Not only does this information corresponding regional and national empower hospitals to identify trends and data, or as an internal audit tool. Due opportunities for Quality improvement, to OBHG's national presence, the Risk but it also demonstrates in quantifiable Management, Quality , and Compliance terms the results and efficacy of their Department is able to report these trends OBHG program.

2 On an individualized, regional, or system- wide basis for our hospital partners. Generic Hospital Profile Comparison Data 2013 Q1 2015 Q4. 2015 2015 2015 2015. NQF Quality Measures (OBHG Encounters) 2013 2014 Q1 Q2 Q3 Q4 Overall Goal NQF 469 % of deliveries that are elective (37 0/7-38 6/7 weeks gestation) 0% 0% 0% <5%. NQF 470 % of vaginal deliveries with episiotomy <5%. NQF 471* % of nulliparous women with a term, singleton, vertex infant delivered via C-section 18% < % of patients undergoing C-section who received antibiotic NQF 472 prophylaxis within 60 minutes of surgery 99% 100% 100% 100% 100% 100%. NQF 473 % of patients undergoing C-section who had DVT prophylaxis 100% 100% 100% 100% 100%. NQF 476 % of patients delivering a live infant between 24 0/7 31 6/7 weeks with antenatal steroid therapy initiated prior to delivery 100% N/A N/A 100% 100% 100%.

3 N/A-Level NQF 477 # of live births under 1500g 9 4 0 1 0 2 16 lll NICU. OBHG Programs Comparison 2015 Q1 - Q4. NQF 1746 % of women who are eligible for Group B Streptococcus intrapartum antibiotic prophylaxis who receive this treatment 97% 90% 100% 92% 100%. *Includes all C-Sections Performed for Midwives and Family Practitioners Goal Met Goal Near Goal Missed Goal N/A. NQF Quality Measures (OBHG Encounters) Hospital A Hospital B Hospital C Hospital D Hospital E* Hospital F^ Overall Goal Caveats: 1746: GBS prophylaxis not given due to precipitous deliveries NQF 469 0% 0% 0% 0% 0% <5%. NQF 470 % of vaginal deliveries with episiotomy 0% <5%. The sample report shown here NQF 471. % of nulliparous women with a term, singleton, vertex 0% 25% 30% < is representative of reporting on NQF 472 100% 100% 100% 100% 100% 100% 100% 100%. National Quality Forum (NQF) NQF 473 DVT prophylaxis 100% 100% 100% 100% 100% 100%.

4 OB/GYN Metrics endorsed NQF 476 24 0/7 31 6/7 weeks with antenatal steroid therapy N/A 100% 100% N/A 100% 100% 100% 100%. by the Centers for Medicaid NQF 477 # of live births under 1500g 0 8 N/A N/A 1 1 N/A. N/A: Level III. and Medicare Services (CMS). % of women who are eligible for Group B Streptococcus NICU. OBHG provides NQF reporting NQF 1746. this treatment 100% 100% 100% 100%. for each hospital partner Goal Met Goal Near Goal Missed Goal N/A. General Data Caveats: NQF 471: regularly, with systemwide NQF 1746: Precipitous Deliveries * Q2, Q3 & Q4. reporting available during ^ Q3 & Q4. Low delivery volumes may skew data annual SAFE program reviews. SAFE_Tabs 7 5/16/16 5:18 PM. Furthermore, Quality data can be Generic Hospital: Tracked and analyzed to establish the OBHG Supporting VBP Reimbursement Improvements bottom-line value of OBHG programs Hospital Comparison Sample from a Generic County with regard to the CMS (Centers for Medicare and Medicaid Services) core measures which directly impact hospital reimbursement through annual VBP (Value Based Purchasing) penalties or bonuses.

5 OBHG shares relevant Metrics with its hospital partners on a regular basis Hospital A GENERIC HOSPITAL Hospital B Hospital C Hospital D Hospital E. as part of its collaborative efforts to improve patient safety and Quality in a measurable, and meaningful, capacity. In addition, OBHG monitors VBP penalty/bonus 2012-2013 VBP penalty/bonus 2013-2014. changes in CMS's core measures in order to remain aligned with national hospital initiatives. Expanded This is a sample report of partner hospital Value Based Payment obstetrical measures play a prominent (VBP) reimbursement improvement, over time, since an OBHG. role in CMS's 2016 standardized program was implemented. inpatient measures, most of which already are Tracked and Reported on by OBHG. Finally, because of the expansive data collection efforts around Quality Metrics , and OBHG's understanding of movement towards VBP impact on OB/GYN medicine, we are also in a unique position to offer risk share and be part of risk-bearing solutions in partnership with our hospital programs and related contracts.

6 Contact an OBHG representative at to see how we can become your trusted partner in Quality women's healthcare. Heather Moore, CPHRM, AIAF, ARC. Mark N. Simon, MD, MMM. Director of Risk Management, Vice President of Medical Affairs Quality , and Compliance For more information call or visit 2016 Ob Hospitalist Group, All Rights Reserved 5/16-Q650. SAFE_Tabs 8 5/16/16 5:18 PM.