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Prepared by Ruth Clark Maternity Services Data Manager Central Coast LHD May 2012

Using WHA’s Benchmarking Data Revealing the results of the 09/10 WHA Maternity Care Report to clinicians at Gosford Maternity Service. Prepared by Ruth Clark Maternity Services Data Manager Central Coast LHD May 2012. Clinical Indicator Collection.

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Prepared by Ruth Clark Maternity Services Data Manager Central Coast LHD May 2012

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  1. Using WHA’s Benchmarking Data Revealing the results of the 09/10 WHA Maternity Care Report to clinicians at Gosford Maternity Service Prepared by Ruth ClarkMaternity Services Data ManagerCentral Coast LHD May 2012

  2. Clinical Indicator Collection Internal Service Rate Based & Outcomes Indicators NSW Perinatal Data collection ACHS Obstetric Indicators WHA Clinical Benchmarking Indicators

  3. Clinical Indicator Ownership Understand the system we work in Compare our service with external measures Recognise and celebrate excellence Determine where to undertake detailed analysis Examine the underlying causes for undesired outcomes Design changes to improve the system

  4. Clinical Indicator Ownership – confidence in benchmarking • Assist all levels of staff to understand value of benchmarking • Make CIs easy to interpret. • Present local CIs regularly and compare often • Encourage discussion and disagreement

  5. Review of 09/10 WHA Benchmarking Maternity Care

  6. Flagged • C/S and GA

  7. Flagged • Preliminary audit findings • Early recommendations • 29% for gest >=41 weeks • 27% for Prelabour ROM • 6% diabetes • <2% social • Review home management of ROM program • SS review of birth plans in diabetes clinic • Selected primips induced • Selected primips and normal birth

  8. Flagged • Audit findings • Recommendations • Maternal request • Rates lower in MMOC • Increase staffing of MMOC to care for more women • Increase 1:1 midwife care in labour • Vaginal birth and epidural

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