Report (2019 Preliminary Births) Memorial Hospital

State of Washington

1/19/2024-HR

Delivery Statistics Report (2022 Births) Prosser Memorial Hospital

Prosser, WA Benton County Perinatal Level of Care: Level 1 CAH

Deliveries and Medicaid Status

Total Deliveries Deliveries with Medicaid-paid Pregnancy Care Percent of Deliveries with Medicaid-paid Pregnancy Care Percent of Deliveries with Medicaid-paid Pregnancy Care in County

3-year Net Change

2020

2021

2022

TOTAL '21 to '22

489

583

585

1,657

2

389

460

463

1,312

3

80%

79%

79%

79%

0%

62%

63%

64%

63%

1%

C-Sections Among Nulliparous Term Singleton Vertex (NTSV) Deliveries

Distribution of NTSV C-Section Rates 2022 Births at WA Non-Military Hospitals

NTSV Deliveries

Net Change

50

2020 2021 2022 '21 to '22

3-year

40

135 168 159

-9

462

30

% of All Hospitals

NTSV C-Section Rates

20

Rate for this Hospital

13.3% 17.3% 8.8% -8.5%

13.2%

10

Level 1 CAH Hospitals

18.7% 21.6% 20.0% -1.6%

20.1%

0

Hospitals Statewide

24.9% 25.5% 26.5% 1.1%

25.6%

This hospital's 2022 NTSV C-Section rate of 8.8% was lower than the statewide rate of 26.5% .

Statewide Rate 26.5% Hospital Rates Rate for this Hospital

NTSV C-Section Rate (%)

Vaginal Births After Cesarean (VBAC) for Term Singleton Vertex Deliveries

Deliveries Post-C-Sec VBAC Rates

Rate for this Hospital Level 1 CAH Hospitals Hospitals Statewide

.

Net Change

2020 2021 2022 '21 to '22

54 57 52

-5

3-year 163

44.4% 40.4% 38.5% 25.3% 22.9% 22.6% 27.4% 27.7% 28.6%

-1.9% -0.3% 0.9%

41.1% 23.6% 27.9%

% of All Hospitals

Distribution of VBAC Rates 2022 Births at WA Non-Military Hospitals

50

Statewide Rate 28.6%

40 Hospital Rates

30

Rate for this Hospital

20

10

0

VBAC Rate (%)

Primary C-Sections Among Term Singleton Vertex (TSV) Deliveries

Distribution of TSV Primary C-Section Rates 2022 Births at WA Non-Military Hospitals

50

Net Change

40

% of All Hospitals

2020 2021 2022 '21 to '22

3-year

TSV Deliveries/No Prior C

362 455 442

-13

1,259

30

20

Primary C-Section Rates

10

Rate for this Hospital

8.0% 11.2% 6.1% -5.1%

8.5%

Level 1 CAH Hospitals

10.7% 12.5% 11.9% -0.6%

11.7%

0

Hospitals Statewide

15.0% 15.5% 16.4% 0.9%

15.7%

This hospital's 2022 Primary C-Section rate of 6.1% was lower than the statewide rate of 16.4% .

Statewide Rate 16.4% Hospital Rates Rate for this Hospital

Primary TSV C-Section Rate (%)

Prepared by the Health Care Authority (HCA) First Steps Database Team

Prosser Memorial Hospital

State of Washington

1/19/2024-HR

% of Total

% of Total

C-Sections Among Nulliparous Term Singleton Vertex (NTSV) Deliveries 2005 - 2022 Hospital Rate with 95% Confidence Limits

50%

40%

30%

20%

10%

0% 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 28.4% 27.0% 24.1% 29.5% 20.2% 20.2% 25.3% 25.7% 29.4% 25.9% 24.7% 26.0% 16.0% 22.4% 17.6% 13.3% 17.3% 8.8%

Primary C-Sections Among Term Singleton Vertex (TSV) Deliveries 2005 - 2022 Hospital Rate with 95% Confidence Limits

30% 25% 20% 15% 10%

5% 0%

2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 18.7% 15.0% 13.1% 16.8% 13.3% 13.8% 15.3% 15.1% 16.1% 14.9% 11.8% 13.2% 8.3% 13.4% 9.5% 8.0% 11.2% 6.1%

Vaginal Birth After Cesarean Among Term Singleton Vertex (TSV) Deliveries 2005 - 2022 Hospital Rate with 95% Confidence Limits

80% 70% 60% 50% 40% 30% 20% 10%

0% 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 6.3% 0.0% 0.0% 4.8% 7.1% 11.1% 3.6% 5.3% 14.3% 30.0% 35.7% 56.4% 42.1% 53.2% 30.0% 44.4% 40.4% 38.5%

95% Confidence Limits show the range within which a data point could reasonably be the result of random variation. Points outside of this range are considered to differ significantly from the point for which the confidence limit is calculated, since there is only a 5% chance that the difference is due to random variability.

% of Total

Prepared by the Health Care Authority (HCA) First Steps Database Team

chance that the difference is due to random variability.

State of Washington

1/19/2024-HR

Prosser Memorial Hospital

Charts Not Displayed Due to Small Numbers for at Least Some Six-Month Intervals

C-Sections Among Nulliparous Term Singleton Vertex (NTSV) Deliveries 2005 - 2022 (Six-Month Intervals) Actual Hospital Rate Compared to Hospital Average Across Time

120%

100%

80% 60% 40% 20%

Actual Hosp Rate Hosp Ave Over Time UCL LCL

0%

% of Total

120% 100%

80% 60% 40% 20%

0%

Primary C-Sections Among Term Singleton Vertex (TSV) Deliveries 2005 - 2022 (Six-Month Intervals) Actual Hospital Rate Compared to Hospital Average Across Time

Actual Hosp Rate Hosp Ave Over Time UCL LCL

% of Total

Charts based on the Hospital average over time are not presented where the Hospital number of deliveries for any six-month period did not meet the standard recommended size for upper (UCL) and lower (LCL) control lines based on 3 standard deviations. Rates above or below the red lines show a greater difference from the average than do those between the red lines.

DATA SOURCES AND DEFINITIONS: Certificates for live births and fetal deaths were provided by the DOH Center for Health Statistics and included in the First Steps Database. Medicaid status was determined by individual-level linkage to Medicaid claims/encounters and eligibility data performed by the First Steps Database Team. Years refer to calendar years. Excludes births outside of hospitals, in military facilities, and in facilities that do not typically perform deliveries. C-Section measures exclude cases where the birthing parent was transferred to higher level care for medical or fetal indicators for delivery and births where intended place of birth was other than hospital. ** = Rate not shown due to small numbers. Perinatal Level of Care designation is as of 2022 for all years shown. Total Deliveries includes live births and fetal deaths after 20 weeks' gestation. Medicaid refers to births to individuals with Medicaid-paid pregnancy care claims/encounters or individuals who were enrolled in a state-contracted capitated managed care plan for at least three of the last six months before delivery. Distribution charts are based on non-military hospitals with at least 20 denominator deliveries. C-Sections (NTSV) is the percent of Cesarean sections among nulliparous, term, singleton, liveborn, vertex deliveries. Term is defined as gestational age of at least 37 completed weeks. For reports as of November 2015, the gestational age used for term designation is based on obstetric estimate of gestation. Vaginal Births After Cesarean (VBAC) is the percent of vaginal births among live births to appropriate candidates. Individuals whose pregnancies were at term, had a single fetus with vertex presentation, and who had one prior C-section were considered appropriate candidates for VBAC. Number of prior C-sections is determined by Birth Certificate number reported and by longitudinal linkage. Primary C-Sections is the percent of Cesarean sections among term, singleton, liveborn, vertex deliveries to individuals with no prior C-sections.

Prepared by the Health Care Authority (HCA) First Steps Database Team

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