Delivery Statistics Report (2016 Births) Washington State ... · Delivery Statistics Report (2016 Births) Washington State Non‐Military Hospitals Deliveries and Medicaid Status

State of Washington ‐ First Steps Database 8/25/2017

Delivery Statistics Report (2016 Births)

Washington State Non‐Military Hospitals

Deliveries and Medicaid Status

2014 2015 20163‐year

TOTAL

Net Change

'15 to '16

Total Deliveries for Non‐Military Hospitals 81,107 81,630 83,054 245,791 1,424

41,461 41,812 42,534 125,807 722

Percent Medicaid Deliveries for Non‐Military Hospitals 51% 51% 51% 51% 0%

C‐Sections Among Nulliparous Term Singleton Vertex (NTSV) DeliveriesDistribution of NTSV C‐Section Rates

2016 Births at WA Non‐Military Hospitals

2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 26,671 26,433 26,464 31 79,568

NTSV C‐Section Rates

WA Non‐Military Hospitals 23.7% 23.5% 23.6% 0.1% 23.6%

Level 1 Hospitals 21.7% 22.3% 21.4% ‐1.0% 21.8%

Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%

Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%

Level 4 Hospitals 23.8% 23.7% 25.4% 1.7% 24.3%

Vaginal Births After Cesarean for Term Singleton Vertex DeliveriesDistribution of VBAC Rates


2014 2015 2016

Net Change

'15 to '16 3‐year

Deliveries Post‐C‐Sec 7,853 8,127 8,096 ‐31 24,076

VBAC Rates


Level 1 Hospitals 16.5% 17.2% 18.9% 1.7% 17.5%

Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%

Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%

Level 4 Hospitals 28.6% 28.9% 29.8% 0.9% 29.2%

Primary C‐Sections Among Term Singleton Vertex (TSV) DeliveriesDistribution of TSV Primary C‐Section Rates


GOAL: decrease primary C‐sections among TSV deliveries to 14.7%

2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 58,696 58,762 59,421 659 176,879

Primary C‐Section Rates


Level 1 Hospitals 11.7% 11.9% 11.6% ‐0.3% 11.7%

Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%

Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%

Level 4 Hospitals 15.1% 15.2% 16.4% 1.2% 15.6%

The WA Non‐Military Hospital 2016 Primary C‐Section rate of 13.8% was lower than the Results WA statewide 2016 target of 14.7%.

Deliveries with Medicaid‐paid Maternity Care

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Statewide Rate 23.6%


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Target 14.7% or Lower



C‐Sections Among Nulliparous Term Singleton Vertex (NTSV) Deliveries 1999 ‐ 2016

Hospital Rate with 95% Confidence Limits

Primary C‐Sections Among Term Singleton Vertex (TSV) Deliveries 1999 ‐ 2016


Vaginal Birth After Cesarean Among Term Singleton Vertex (TSV) Deliveries 2003 ‐ 2016


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.

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

17.8% 19.4% 21.1% 22.3% 21.7% 24.4% 25.7% 25.8% 26.1% 26.5% 26.6% 26.3% 25.7% 25.7% 24.7% 23.7% 23.5% 23.6%

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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.4% 11.3% 12.2% 13.0% 12.8% 14.5% 15.5% 15.9% 16.3% 16.5% 16.2% 16.1% 15.8% 15.8% 14.7% 14.1% 13.7% 13.8%

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

25.5% 20.0% 18.7% 17.2% 17.6% 17.6% 18.7% 19.7% 21.6% 22.3% 23.7% 25.5% 27.1% 28.4%

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C‐Sections Among Nulliparous Term Singleton Vertex (NTSV) Deliveries 1999 ‐ 2016 (Six‐Month Intervals)

Actual Hospital Rate Compared to Hospital Average Across Time

Primary C‐Sections Among Term Singleton Vertex (TSV) Deliveries 1999 ‐ 2016 (Six‐Month Intervals)


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 and eligibility performed by the First Steps Database. Years refer to calendar years.Excludes births in military facilities or facilities that do not typically perform deliveries. C‐Section measures exclude cases where mother was transferred to higher level care for maternal medical or fetal indicators for delivery, or hospital births where intended place of birth was other than hospital. Perinatal Level of Care designation is as of 2016 for all years shown. Total Deliveries includes live births and fetal deaths after 20 weeks' gestation. Medicaid refers to births to women who received Medicaid‐paid maternity care. 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 calculated best estimate of gestational age for years before 2003, and on obstetric estimate of gestation for years 2003 and later. Vaginal Births After Cesarean (VBAC) is the percent of vaginal births among live births to appropriate candidates. Women 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. Chart comparison VBAC Rates are limited to hospitals that offer planned vaginal birth delivery after a prior Cesarean section (VBAC). Primary C‐Sections is the percent of Cesarean sections among term, singleton, liveborn, vertex deliveries to women with no prior C‐sections. The Primay TSV C‐Section target for Washington State is based on Results Washington (see www.results.wa.gov).

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Capital Medical Center

Olympia, WA Thurston County

Perinatal Level of Care: Level 1 Non‐CAH


2014 2015 20163‐year

TOTAL

Net Change

'15 to '16

Total Deliveries 652 692 703 2,047 11

381 424 436 1,241 12

Percent Medicaid Deliveries 58% 61% 62% 61% 1%Percent Medicaid for Deliveries in this County 47% 51% 52% 50% 2%



2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 213 229 226 ‐3 668


Rate for this Hospital 29.6% 24.0% 28.3% 4.3% 27.2%

Level 1 Non‐CAH Hospitals 22.3% 22.0% 22.7% 0.7% 22.3%

Hospitals Statewide 23.7% 23.5% 23.6% 0.1% 23.6%

This hospital's 2016 NTSV c‐section rate of 28.3% was higher than the statewide rate of 23.6% .

Vaginal Births After Cesarean (VBAC) for Term Singleton Vertex DeliveriesDistribution of VBAC Rates


2014 2015 2016

Net Change

'15 to '16 3‐year

Deliveries Post‐C‐Sec 85 82 73 ‐9 240

VBAC Rates


Level 1 Non‐CAH Hospitals 18.5% 19.1% 16.6% ‐2.5% 18.1%


This hospital's 2016 VBAC rate of 30.1% was higher than the statewide rate of 28.4% .




2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 477 505 502 ‐3 1,484





This hospital's 2016 Primary C‐Section rate of 15.3% was higher than the Results Washington statewide 2016 target of 14.7%.


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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

26.6% 25.8% 32.6% 30.5% 31.1% 28.3% 33.3% 31.1% 30.8% 4.0% 12.4% 9.4% 20.5% 31.0% 23.4% 29.6% 24.0% 28.3%

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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.7% 15.0% 17.5% 17.4% 17.2% 18.6% 20.8% 18.8% 18.4% 2.2% 6.0% 5.3% 12.1% 18.5% 14.4% 16.8% 13.5% 15.3%

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

29.2% 25.6% 28.8% 20.8% 23.4% 63.2% 46.2% 60.5% 36.4% 22.7% 25.6% 22.4% 28.0% 30.1%

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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 and eligibility performed by the First Steps Database. Years refer to calendar years.Excludes births in military facilities or facilities that do not typically perform deliveries. C‐Section measures exclude cases where mother was transferred to higher level care for maternal medical or fetal indicators for delivery, or hospital births where intended place of birth was other than hospital. Perinatal Level of Care designation is as of 2016 for all years shown. Total Deliveries includes live births and fetal deaths after 20 weeks' gestation. Medicaid refers to births to women who received Medicaid‐paid maternity care. 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 calculated best estimate of gestational age for years before 2003, and on obstetric estimate of gestation for years 2003 and later. Vaginal Births After Cesarean (VBAC) is the percent of vaginal births among live births to appropriate candidates. Women 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. Chart comparison VBAC Rates are limited to hospitals that offer planned vaginal birth delivery after a prior Cesarean section (VBAC). Primary C‐Sections is the percent of Cesarean sections among term, singleton, liveborn, vertex deliveries to women with no prior C‐sections. The Primary TSV C‐Section Target for Washington State is based on Results Washington (see www.results.wa.gov).

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Cascade Valley Hospital

Arlington, WA Snohomish County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16

Total Deliveries 208 193 163 564 ‐30

115 111 92 318 ‐19

Percent Medicaid Deliveries 55% 58% 56% 56% ‐1%Percent Medicaid for Deliveries in this County 48% 47% 48% 48% 1%



2014 2015 2016

Net Change

'15 to '16 3‐year



Rate for this Hospital 29.9% 35.0% 29.6% ‐5.4% 31.4%






2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates




This hospital does not provide planned vaginal birth delivery services after a prior cesarean section.




2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 158 144 127 ‐17 429







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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

31.7% 40.6% 26.2% 27.7% 28.0% 28.4% 33.0% 31.1% 38.6% 29.9% 36.4% 32.2% 36.0% 33.7% 37.9% 29.9% 35.0% 29.6%

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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

18.1% 23.8% 15.1% 15.2% 15.9% 16.3% 22.8% 20.4% 26.0% 23.1% 20.5% 20.0% 23.0% 23.1% 17.8% 20.9% 22.2% 15.7%

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

12.5% 6.7% 4.2% 16.0% 0.0% 0.0% 0.0% 0.0% 0.0% 4.0% 0.0% 10.3% 16.7% 0.0%

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Central Washington Hospital

Wenatchee, WA Chelan County

Perinatal Level of Care: Level 2


2014 2015 20163‐year

TOTAL

Net Change

'15 to '16

Total Deliveries 1,404 1,450 1,355 4,209 ‐95

928 955 906 2,789 ‐49




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 408 405 404 ‐1 1,217



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%


This hospital's 2016 NTSV c‐section rate of 18.1% was lower than the statewide rate of 23.6% .



2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%


This hospital's 2016 VBAC rate of 27.6% was lower than the statewide rate of 28.4% .




2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 1,034 1,061 1,004 ‐57 3,099



Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%


This hospital's 2016 Primary C‐Section rate of 9.4% was lower than the Results Washington statewide 2016 target of 14.7%.


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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

20.5% 23.1% 24.8% 22.0% 21.9% 23.3% 22.4% 20.8% 22.0% 20.9% 21.5% 20.7% 21.3% 20.8% 18.1% 15.4% 15.6% 18.1%

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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.8% 12.5% 14.3% 13.4% 14.2% 15.3% 14.8% 12.4% 13.7% 13.0% 12.7% 11.5% 12.1% 12.1% 10.7% 8.6% 8.2% 9.4%

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

27.3% 24.3% 9.1% 3.9% 5.6% 5.9% 3.4% 4.8% 6.0% 7.6% 6.8% 20.7% 29.7% 27.6%

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Coulee Medical Center

Grand Coulee, WA Grant County

Perinatal Level of Care: Level 1 CAH


2014 2015 20163‐year

TOTAL

Net Change

'15 to '16

Total Deliveries 63 58 94 215 36

46 46 75 167 29




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 18 6 27 21 51



Level 1 CAH Hospitals 20.9% 22.9% 19.7% ‐3.2% 21.1%





2014 2015 2016

Net Change

'15 to '16 3‐year

Deliveries Post‐C‐Sec 8 6 7 1 21

VBAC Rates


Level 1 CAH Hospitals 13.1% 14.2% 22.6% 8.4% 16.5%






2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 46 33 72 39 151







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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

23.1% 23.5% 21.7% 40.0% 13.6% 13.6% 23.8% 18.2% 32.1% 32.0% 22.7% 36.8% 16.7% 30.4% 29.2% 27.8% 0.0% 11.1%

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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

13.5% 18.2% 14.3% 24.3% 5.1% 11.3% 15.1% 15.6% 24.1% 17.1% 21.6% 14.8% 12.0% 15.4% 12.1% 21.7% 0.0% 8.3%

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

66.7% 75.0% 0.0% 12.5% 0.0% 50.0% 33.3% 42.9% 14.3% 33.3% 0.0% 25.0% 0.0% 42.9%

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Deaconess Medical Center

Spokane, WA Spokane County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16

Total Deliveries 1,591 1,364 1,389 4,344 25

1,100 955 977 3,032 22




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 444 356 351 ‐5 1,151



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

16.8% 19.8% 23.1% 25.2% 23.4% 23.1% 26.3% 26.6% 26.8% 26.4% 23.9% 22.8% 24.3% 21.2% 19.6% 18.7% 17.4% 20.2%

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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

9.5% 11.8% 12.4% 14.6% 15.4% 13.8% 16.1% 17.3% 17.0% 17.4% 15.4% 14.3% 15.9% 14.9% 12.7% 13.0% 11.9% 12.9%

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.4% 8.7% 10.0% 17.8% 14.9% 19.9% 11.2% 17.9% 21.1% 21.2% 25.2% 21.6% 30.0% 29.5%

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EvergreenHealth Medical Center

Kirkland, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


942 1,087 976 3,005 ‐111

Percent Medicaid Deliveries 20% 23% 20% 21% ‐3%Percent Medicaid for Deliveries in this County 36% 36% 35% 36% ‐1%



2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 1,710 1,656 1,626 ‐30 4,992



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year

Deliveries Post‐C‐Sec 583 541 584 43 1,708

VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.7% 22.6% 21.4% 22.5% 19.4% 28.7% 32.6% 32.9% 34.7% 38.3% 39.0% 33.9% 35.2% 34.1% 27.3% 27.1% 31.3% 29.3%

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1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.9% 13.0% 12.9% 13.8% 10.9% 17.5% 20.8% 21.4% 24.0% 25.4% 26.0% 22.4% 22.7% 21.9% 17.3% 17.6% 19.7% 18.2%

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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

48.4% 19.4% 18.6% 13.9% 11.6% 11.8% 9.0% 11.6% 15.4% 15.1% 17.2% 19.0% 17.7% 21.6%

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Forks Community Hospital

Forks, WA Clallam County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


51 47 59 157 12




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates

Rate for this Hospital 0.0% ‐‐ 20.0% ‐‐ 14.3%







2014 2015 2016

Net Change

'15 to '16 3‐year








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Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

18.2% 17.9% 0.0% 12.0% 0.0% 12.1% 2.6% 9.1% 5.4% 6.5% 15.4% 14.8% 17.9% 9.1% 21.1% 13.6% 4.5% 9.1%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.8% 9.5% 1.5% 7.0% 0.0% 5.8% 3.6% 5.8% 4.5% 2.4% 8.5% 9.1% 12.9% 5.0% 9.4% 11.7% 7.8% 3.8%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

16.7% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 50.0% 0.0% 0.0% 20.0%

0%

20%

40%

60%

80%

100%

120%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Good Samaritan Hospital

Puyallup, WA Pierce County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,135 1,152 1,169 3,456 17




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 823 801 811 10 2,435



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%


This hospital's 2016 Primary C‐Section rate of 15.0% was close to the Results Washington statewide 2016 target of 14.7%.


0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

13.6% 13.1% 16.4% 20.5% 26.4% 25.1% 26.7% 26.7% 22.9% 24.3% 24.2% 21.5% 22.8% 22.1% 23.5% 19.0% 22.1% 25.2%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.6% 7.3% 9.3% 12.1% 15.3% 14.8% 15.3% 15.6% 13.7% 14.6% 14.4% 13.5% 13.7% 15.2% 15.1% 12.2% 13.5% 15.0%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

13.5% 11.8% 5.7% 4.5% 1.2% 3.4% 2.1% 0.6% 4.5% 6.9% 11.8% 12.2% 9.5% 6.1%

0%

5%

10%

15%

20%

25%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Grays Harbor Community Hospital

Aberdeen, WA Grays Harbor County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16

Total Deliveries 541 517 470 1,528 ‐47

441 412 382 1,235 ‐30




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

24.7% 18.2% 32.7% 23.5% 32.5% 30.6% 34.9% 35.4% 37.9% 33.2% 37.5% 28.3% 29.7% 36.0% 26.8% 37.7% 30.9% 33.6%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.2% 9.2% 17.3% 14.8% 19.8% 17.3% 21.1% 23.2% 22.8% 19.0% 21.8% 17.1% 18.2% 22.2% 15.8% 19.7% 17.6% 16.9%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

18.5% 24.6% 26.2% 9.3% 10.4% 10.5% 8.2% 16.0% 6.0% 6.3% 1.4% 0.0% 2.9% 2.0%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

10%

20%

30%

40%

50%

60%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Harrison Medical Center ‐ Silverdale

Silverdale, WA Kitsap County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


997 958 999 2,954 41




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 663 614 648 34 1,925



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.1% 19.1% 21.6% 25.9% 25.4% 25.2% 26.2% 21.8% 24.5% 27.1% 22.8% 27.0% 26.1% 23.5% 21.1% 23.1% 19.2% 22.5%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.8% 11.0% 13.3% 14.9% 14.4% 14.3% 16.0% 13.5% 15.7% 16.1% 14.7% 16.6% 15.7% 15.2% 13.6% 14.4% 11.1% 13.7%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.5% 8.5% 6.0% 7.9% 8.7% 4.2% 6.8% 9.2% 13.7% 20.2% 17.8% 21.2% 19.8% 31.5%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Highline Medical Center

Burien, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


644 598 629 1,871 31

Percent Medicaid Deliveries 70% 70% 72% 71% 3%Percent Medicaid for Deliveries in this County 36% 36% 35% 36% ‐1%



2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

17.3% 18.1% 16.0% 21.9% 17.9% 26.5% 31.1% 31.5% 28.5% 28.5% 32.6% 27.1% 27.0% 26.6% 29.8% 21.3% 20.2% 18.7%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.3% 11.0% 9.0% 12.7% 11.5% 15.9% 17.7% 19.4% 17.6% 17.2% 19.1% 17.2% 14.7% 15.8% 16.1% 11.8% 10.0% 12.4%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

32.9% 9.6% 13.8% 9.7% 4.5% 8.6% 6.0% 6.4% 14.7% 12.5% 11.6% 18.6% 34.7% 27.4%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Island Hospital

Anacortes, WA Skagit County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


217 208 214 639 6




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates






Island Hospital








1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

12.4% 13.0% 19.3% 23.7% 0.0% 17.6% 25.0% 28.3% 31.1% 26.8% 28.4% 34.4% 22.3% 25.0% 19.5% 21.7% 15.4% 22.6%

0%

20%

40%

60%

80%

100%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.5% 6.6% 10.7% 16.1% 0.0% 10.8% 16.3% 18.6% 20.9% 18.4% 17.9% 18.2% 13.0% 17.4% 15.2% 15.2% 11.3% 13.5%

0%

10%

20%

30%

40%

50%

60%

70%

80%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

50.0% 12.5% 28.0% 9.1% 23.1% 20.0% 13.0% 9.1% 2.5% 13.2% 10.0% 8.8% 19.2%

0%

20%

40%

60%

80%

100%

120%

% of To

tal


Island Hospital








0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Jefferson Healthcare

Port Townsend, WA Jefferson County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


73 74 63 210 ‐11




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

23.5% 20.0% 33.3% 33.3% 4.2% 20.7% 11.1% 22.8% 23.4% 23.1% 21.3% 26.0% 27.8% 33.3% 25.0% 9.5% 16.7% 28.1%

0%

10%

20%

30%

40%

50%

60%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

12.7% 12.6% 21.4% 20.9% 2.0% 11.7% 5.2% 15.2% 15.5% 13.6% 12.5% 16.5% 18.6% 22.7% 13.5% 7.1% 10.0% 16.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

0.0% 0.0% 22.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 14.3% 0.0% 0.0% 0.0% 0.0%

0%

20%

40%

60%

80%

100%

120%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Kadlec Regional Medical Center

Richland, WA Benton County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,554 1,580 1,642 4,776 62




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 763 766 714 ‐52 2,243



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.8% 25.8% 20.1% 18.1% 15.3% 16.1% 19.5% 24.8% 23.2% 20.4% 21.2% 18.8% 19.9% 19.1% 23.8% 24.9% 21.9% 26.8%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.7% 14.2% 10.4% 11.3% 8.3% 9.2% 11.0% 16.1% 14.8% 11.9% 13.1% 10.5% 11.5% 11.5% 13.1% 13.5% 12.1% 13.8%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

41.7% 30.4% 36.1% 20.4% 20.2% 26.0% 24.2% 28.4% 30.1% 40.4% 34.6% 31.0% 34.1% 29.2%

0%

10%

20%

30%

40%

50%

60%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Kittitas Valley Healthcare

Ellensburg, WA Kittitas County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


199 204 163 566 ‐41




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.1% 16.7% 21.5% 20.2% 27.9% 22.9% 24.8% 26.7% 18.0% 16.1% 33.1% 18.2% 16.9% 19.7% 25.9% 17.5% 28.7% 15.7%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.8% 11.1% 12.0% 11.4% 13.5% 12.6% 13.4% 15.4% 12.1% 10.9% 19.0% 11.3% 8.9% 9.8% 12.3% 9.6% 16.8% 8.1%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

6.9% 10.0% 4.3% 6.5% 12.5% 3.7% 8.8% 0.0% 6.7% 17.2% 6.9% 14.3% 8.8% 10.0%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Lake Chelan Community Hospital

Chelan, WA Chelan County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


75 75 100 250 25




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

13.8% 30.8% 20.0% 26.1% 19.0% 12.0% 28.6% 8.8% 20.0% 20.0% 18.2% 11.1% 35.3% 21.9% 18.5% 37.0% 20.7% 27.8%

0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.4% 14.7% 14.1% 13.7% 7.5% 8.3% 20.5% 7.5% 11.8% 10.5% 11.5% 9.7% 19.2% 12.2% 10.7% 20.3% 10.4% 16.7%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

0.0% 40.0% 100.0% 25.0% 30.0% 13.3% 25.0% 40.0% 18.2% 40.0% 0.0% 12.5% 20.0% 10.0%

0%

20%

40%

60%

80%

100%

120%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Legacy At Salmon Creek

Vancouver, WA Clark County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,592 1,570 1,680 4,842 110




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 1,070 1,021 1,061 40 3,152



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

37.9% 29.7% 28.3% 25.3% 30.6% 32.0% 31.3% 27.5% 23.1% 23.4% 21.5% 20.8%

0%

10%

20%

30%

40%

50%

60%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.5% 17.0% 16.6% 15.3% 17.6% 17.5% 17.2% 15.8% 13.6% 12.9% 11.9% 11.8%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

31.3% 17.4% 27.3% 25.6% 29.8% 19.5% 24.6% 28.0% 31.2% 38.3% 34.3% 35.9%

0%

10%

20%

30%

40%

50%

60%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Mason General Hospital

Shelton, WA Mason County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


219 219 266 704 47




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

20.9% 17.5% 25.0% 18.5% 16.7% 18.5% 20.0% 22.9% 20.8% 29.6% 27.4% 20.5% 15.6% 13.3% 8.6% 12.7% 9.7% 7.9%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.4% 10.7% 12.2% 9.1% 8.2% 15.1% 12.1% 15.0% 10.8% 15.4% 15.1% 10.0% 11.1% 6.9% 9.1% 7.2% 5.9% 4.8%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

29.6% 27.8% 26.9% 16.1% 26.1% 29.2% 20.0% 16.7% 10.5% 4.8% 11.8% 11.1% 26.7% 4.3%

0%

10%

20%

30%

40%

50%

60%

% of To

tal



First Chart Not Displayed Due to Small Numbers for at Least Some Six‐Month Intervals







0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Mid‐Valley Hospital

Omak, WA Okanogan County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


195 184 189 568 5




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.8% 31.7% 23.8% 36.6% 26.9% 43.5% 35.5% 44.2% 31.3% 39.3% 44.4% 32.2% 26.6% 38.3% 34.6% 26.5% 38.9% 21.0%

0%

10%

20%

30%

40%

50%

60%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.0% 16.0% 17.8% 22.6% 23.5% 27.8% 20.4% 31.0% 25.1% 24.0% 27.0% 23.7% 19.8% 25.3% 19.6% 20.5% 22.5% 13.6%

0%

10%

20%

30%

40%

50%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

0.0% 7.1% 0.0% 0.0% 4.8% 3.2% 8.7% 3.4% 0.0% 3.6% 2.7% 0.0% 0.0% 5.9%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal









0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Multicare Auburn Medical Center

Auburn, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


965 946 951 2,862 5




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 352 328 330 2 1,010



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

23.2% 22.6% 27.2% 27.3% 28.9% 35.8% 35.2% 28.7% 25.3% 34.9% 34.9% 34.4% 34.8% 27.8% 28.1% 22.4% 25.0% 24.2%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.6% 12.7% 15.1% 14.7% 15.9% 18.1% 20.5% 15.6% 15.9% 20.2% 20.7% 21.0% 19.1% 17.5% 16.6% 13.6% 14.1% 15.6%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.6% 8.9% 20.5% 13.9% 19.7% 14.7% 18.7% 29.4% 29.2% 28.9% 19.1% 23.9% 28.0% 36.4%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

10%

20%

30%

40%

50%

60%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Newport Hospital & Health Services

Newport, WA Pend Oreille County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


33 42 35 110 ‐7




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates







Chart(s) Not Displayed Due to Small Numbers








1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.4% 40.7% 11.8% 35.0% 41.7% 14.3% 23.1% 34.6% 15.0% 17.6% 16.0% 30.0% 18.2% 38.5% 9.1% 28.6% 35.7% 25.0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

5.0% 26.1% 8.3% 15.7% 17.6% 9.3% 10.9% 18.2% 9.3% 14.3% 14.8% 15.8% 9.7% 14.6% 5.3% 17.9% 22.2% 10.0%

0%

10%

20%

30%

40%

50%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 20160%

20%

40%

60%

80%

100%

120%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



North Valley Hospital

Tonasket, WA Okanogan County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


72 91 73 236 ‐18




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates







Chart(s) Not Displayed Due to Small Numbers








1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.2% 20.7% 37.5% 16.7% 26.1% 14.7% 19.2% 35.9% 16.0% 22.7% 27.8% 19.0% 18.5% 29.0% 31.6% 13.3% 15.2% 14.7%

0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

9.2% 11.8% 18.8% 9.0% 15.0% 9.6% 11.7% 18.8% 9.4% 9.7% 12.1% 13.2% 11.1% 17.9% 20.8% 6.7% 10.3% 13.9%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 20160%

20%

40%

60%

80%

100%

120%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Northwest Hospital And Medical Center

Seattle, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


370 352 339 1,061 ‐13




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 466 518 321 ‐197 1,305



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

26.3% 26.8% 27.2% 29.1% 21.5% 30.6% 31.4% 27.7% 30.0% 22.8% 25.0% 29.1% 28.3% 27.7% 25.3% 25.1% 20.8% 20.6%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.8% 17.3% 16.7% 17.8% 12.3% 20.2% 20.9% 19.0% 20.2% 16.2% 17.2% 19.1% 19.2% 18.8% 16.9% 16.9% 15.5% 12.1%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

23.3% 16.7% 23.0% 16.9% 13.7% 14.4% 23.3% 23.0% 20.6% 28.4% 33.9% 36.8% 52.7% 60.7%

0%

10%

20%

30%

40%

50%

60%

70%

80%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Olympic Medical Center

Port Angeles, WA Clallam County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


312 326 308 946 ‐18




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

13.2% 19.5% 14.6% 19.3% 27.5% 14.2% 24.3% 23.5% 22.5% 19.4% 22.3% 22.3% 29.1% 23.7% 18.3% 20.6% 24.9% 16.5%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

7.7% 10.2% 8.0% 12.6% 14.7% 9.6% 15.4% 14.7% 14.5% 13.2% 13.0% 14.9% 17.7% 15.6% 12.3% 12.5% 13.7% 10.1%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

2.8% 9.7% 3.7% 5.9% 5.6% 9.8% 2.6% 5.6% 5.9% 3.0% 2.6% 7.5% 9.4% 10.5%

0%

5%

10%

15%

20%

25%

30%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Othello Community Hospital

Othello, WA Adams County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


445 458 452 1,355 ‐6




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 336 356 361 5 1,053







0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.3% 22.5% 20.2% 16.7% 10.0% 7.9% 18.7% 23.4% 23.0% 19.6% 11.3% 7.6% 8.6% 18.1% 5.7% 9.8% 19.6% 15.6%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.4% 10.5% 11.0% 10.1% 5.4% 5.3% 9.7% 13.5% 11.4% 9.2% 6.6% 4.2% 4.0% 7.2% 2.1% 3.3% 7.6% 6.6%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.4% 50.0% 0.0% 4.4% 0.0% 11.1% 23.5% 12.5% 6.5% 41.7% 26.3% 10.0% 14.3% 32.0%

0%

20%

40%

60%

80%

100%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Overlake Hospital Medical Center

Bellevue, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


560 612 612 1,784 0




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 1,407 1,513 1,525 12 4,445



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year

Deliveries Post‐C‐Sec 481 552 535 ‐17 1,568

VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

18.9% 21.3% 21.3% 23.9% 27.0% 27.9% 28.1% 29.6% 33.0% 33.9% 34.3% 33.5% 35.1% 33.7% 33.5% 32.6% 31.1% 31.1%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.0% 12.0% 13.0% 14.1% 16.2% 17.1% 17.3% 18.7% 21.3% 21.5% 21.6% 22.2% 23.6% 22.5% 22.8% 20.9% 19.7% 20.4%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

16.4% 8.9% 12.3% 6.2% 5.7% 5.8% 7.5% 9.2% 7.6% 7.1% 9.7% 12.7% 14.5% 15.5%

0%

5%

10%

15%

20%

25%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Peacehealth Southwest Medical Center

Vancouver, WA Clark County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,243 1,217 1,256 3,716 39




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 524 635 615 ‐20 1,774



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.5% 17.4% 20.1% 18.9% 18.2% 23.2% 21.9% 24.0% 23.1% 20.0% 21.6% 27.5% 25.7% 24.2% 24.1% 23.9% 21.6% 20.7%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.8% 9.6% 10.8% 10.4% 10.9% 13.6% 12.8% 14.5% 14.0% 13.0% 13.6% 17.6% 14.5% 14.6% 13.5% 13.7% 12.7% 11.4%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

32.6% 27.2% 20.4% 22.0% 23.2% 20.5% 22.3% 20.5% 30.6% 33.5% 32.8% 39.4% 36.8% 26.9%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Peacehealth St. John Medical Center

Longview, WA Cowlitz County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


620 622 609 1,851 ‐13




2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

18.6% 25.8% 25.0% 25.6% 27.9% 27.4% 31.6% 28.5% 25.2% 28.7% 29.7% 19.3% 19.0% 25.1% 18.3% 16.7% 14.1% 20.5%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

9.9% 13.6% 13.3% 14.7% 17.3% 15.3% 17.7% 16.5% 14.9% 17.4% 17.6% 11.8% 11.5% 12.8% 9.2% 9.2% 9.2% 9.8%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

20.0% 19.6% 26.6% 20.2% 18.7% 24.6% 21.5% 30.8% 30.8% 23.2% 38.6% 40.3% 39.7% 37.8%

0%

10%

20%

30%

40%

50%

60%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Peacehealth St Joseph Hospital

Bellingham, WA Whatcom County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,007 1,101 1,075 3,183 ‐26




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 655 636 660 24 1,951



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

20.2% 20.9% 24.1% 23.0% 25.7% 20.2% 24.5% 31.9% 32.3% 31.2% 29.1% 30.3% 27.7% 28.0% 27.5% 25.6% 21.2% 21.7%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.5% 11.6% 14.0% 12.8% 15.6% 12.2% 14.0% 19.0% 21.2% 19.0% 18.1% 17.9% 17.1% 18.1% 16.4% 16.2% 11.4% 13.2%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

24.1% 21.1% 26.1% 15.0% 15.4% 12.0% 17.0% 24.6% 17.9% 26.5% 22.0% 27.9% 33.0% 29.1%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Prosser Memorial Hospital

Prosser, WA Benton County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


149 268 279 696 11




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.5% 24.5% 29.2% 22.5% 23.3% 25.0% 28.4% 27.0% 24.1% 29.5% 20.2% 20.2% 25.3% 25.7% 29.4% 25.9% 24.7% 26.0%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.8% 13.6% 16.6% 10.3% 12.9% 14.1% 18.7% 14.9% 13.1% 16.7% 13.3% 13.8% 15.3% 15.0% 16.1% 14.8% 11.8% 13.2%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.2% 24.1% 6.3% 0.0% 0.0% 4.8% 7.1% 11.1% 3.6% 5.3% 14.3% 30.0% 35.7% 56.4%

0%

10%

20%

30%

40%

50%

60%

70%

80%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Providence Centralia Hospital, Centralia Campus

Centralia, WA Lewis County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


521 475 576 1,572 101




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.2% 14.1% 16.5% 16.2% 19.2% 21.1% 33.1% 24.6% 16.2% 7.5% 27.0% 35.3% 30.7% 37.2% 37.3% 21.3% 24.9% 21.9%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

4.7% 7.5% 9.5% 10.1% 12.2% 10.3% 17.2% 14.3% 10.5% 6.7% 19.1% 23.8% 20.0% 23.6% 23.3% 12.1% 14.6% 13.5%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

3.3% 0.0% 2.7% 4.4% 27.8% 68.2% 32.1% 7.7% 4.0% 4.5% 6.9% 11.8% 9.4% 6.0%

0%

20%

40%

60%

80%

100%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Providence Holy Family Hospital




2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


827 879 877 2,583 ‐2




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 389 385 379 ‐6 1,153



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

12.5% 10.3% 14.3% 20.5% 17.5% 23.7% 23.8% 18.8% 20.4% 23.7% 20.7% 20.4% 15.9% 22.6% 16.3% 21.1% 19.5% 15.0%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

6.2% 6.3% 7.4% 10.7% 8.3% 12.4% 13.1% 11.5% 11.3% 13.8% 12.7% 11.4% 9.1% 11.8% 9.4% 10.5% 9.2% 7.7%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

46.3% 35.4% 27.3% 34.7% 39.2% 32.3% 38.3% 41.5% 39.8% 40.4% 34.8% 46.2% 41.1% 46.0%

0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Providence Mount Carmel Hospital

Colville, WA Stevens County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


204 159 167 530 8




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

13.7% 20.3% 24.6% 20.8% 10.9% 21.3% 15.5% 12.7% 18.8% 16.9% 12.5% 18.3% 13.2% 15.5% 25.9% 11.8% 26.8% 19.3%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.8% 13.8% 11.9% 8.7% 9.1% 13.9% 8.2% 11.3% 13.9% 10.8% 7.6% 11.0% 11.1% 8.1% 10.6% 5.8% 12.2% 8.8%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.0% 13.6% 22.7% 30.8% 18.2% 22.7% 17.6% 45.5% 16.7% 28.6% 44.4% 38.9% 27.3% 50.0%

0%

20%

40%

60%

80%

100%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Providence Regional Med. Center Everett, Pacific

Everett, WA Snohomish County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


2,182 2,249 2,360 6,791 111




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 1,545 1,568 1,591 23 4,704



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.7% 19.9% 23.5% 27.8% 27.7% 26.2% 26.8% 27.2% 25.7% 22.8% 21.9% 19.7% 18.6% 17.6% 18.1%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

13.9% 12.4% 14.9% 15.8% 16.9% 15.9% 15.9% 16.3% 15.3% 13.6% 13.7% 12.1% 11.3% 10.5% 10.5%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

20.2% 19.1% 17.7% 17.8% 14.4% 12.9% 12.3% 16.9% 18.4% 16.5% 18.2% 18.4% 22.8% 26.5%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Providence Sacred Heart Medical Center




2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,351 1,497 1,595 4,443 98




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 907 951 1,010 59 2,868



Level 4 Hospitals 23.8% 23.7% 25.4% 1.7% 24.3%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 4 Hospitals 28.6% 28.9% 29.8% 0.9% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 4 Hospitals 15.1% 15.2% 16.4% 1.2% 15.6%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

16.2% 16.5% 19.8% 25.0% 20.5% 24.5% 26.4% 27.7% 26.0% 29.1% 29.8% 26.5% 21.3% 22.6% 21.9% 17.5% 19.0% 20.4%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

9.0% 9.7% 10.8% 15.2% 11.8% 15.2% 15.8% 15.6% 15.3% 18.3% 17.7% 16.1% 13.2% 13.3% 12.7% 9.9% 9.8% 11.4%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

5.2% 8.8% 4.9% 7.4% 8.4% 11.2% 9.3% 9.1% 13.7% 16.0% 17.8% 20.6% 17.3% 18.2%

0%

5%

10%

15%

20%

25%

30%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Providence St. Mary Medical Center

Walla Walla, WA Walla Walla County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


250 260 303 813 43




2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

7.9% 16.8% 21.5% 21.5% 23.2% 24.7% 22.1% 20.7% 30.8% 24.6% 21.6% 25.0% 20.9% 22.2% 19.3% 20.7% 21.9% 33.5%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

5.5% 8.7% 11.6% 11.6% 11.8% 15.5% 12.0% 12.0% 19.3% 15.9% 12.7% 12.6% 14.3% 13.6% 10.8% 10.1% 11.4% 16.1%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

55.6% 0.0% 10.0% 9.1% 3.4% 9.3% 5.3% 5.9% 5.4% 3.0% 6.9% 9.4% 7.7% 0.0%

0%

20%

40%

60%

80%

100%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Providence St. Peter Hospital

Olympia, WA Thurston County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


966 1,084 1,141 3,191 57




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 775 747 754 7 2,276



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

17.3% 13.9% 20.1% 16.0% 15.8% 14.6% 20.6% 19.3% 14.3% 19.2% 18.2% 17.9% 21.1% 20.7% 21.1% 21.0% 23.8% 22.7%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.1% 10.6% 12.5% 11.6% 7.7% 8.6% 13.7% 12.5% 12.4% 14.1% 13.5% 12.7% 14.7% 12.3% 12.9% 11.5% 13.6% 13.3%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.8% 13.8% 5.8% 4.6% 8.4% 6.5% 6.6% 5.2% 7.3% 13.6% 22.0% 19.4% 23.9% 27.4%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Pullman Regional Hospital

Pullman, WA Whitman County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


126 147 141 414 ‐6




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

23.0% 21.3% 24.8% 29.2% 15.2% 30.0% 29.8% 22.0% 37.9% 27.6% 31.6% 33.6% 28.8% 27.9% 31.5% 23.0% 31.5% 30.4%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

12.7% 12.3% 16.7% 15.1% 12.0% 20.2% 16.6% 17.5% 25.4% 15.4% 21.1% 20.7% 18.0% 17.2% 16.5% 11.3% 18.3% 18.5%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.5% 4.0% 7.1% 10.0% 3.1% 8.7% 10.3% 10.8% 19.4% 12.0% 8.3% 2.5% 7.9% 0.0%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal









0%

10%

20%

30%

40%

50%

60%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Samaritan Hospital

Moses Lake, WA Grant County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


769 742 758 2,269 16




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates






Samaritan Hospital








1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.6% 17.0% 20.7% 19.7% 20.3% 18.7% 23.6% 13.7% 20.7% 17.4% 19.6% 21.0% 18.8% 23.7% 26.5% 18.4% 20.6% 20.7%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

9.7% 9.4% 9.1% 9.4% 10.6% 9.1% 14.0% 8.7% 12.1% 10.5% 11.6% 11.6% 12.0% 12.6% 11.9% 9.1% 9.9% 10.2%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

6.1% 8.8% 1.4% 1.3% 3.1% 5.7% 6.8% 4.9% 2.6% 3.3% 6.3% 3.7% 5.5% 4.8%

0%

5%

10%

15%

20%

25%

% of To

tal


Samaritan Hospital







0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Skagit Valley Hospital

Mt. Vernon, WA Skagit County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


731 733 737 2,201 4




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 351 338 356 18 1,045



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.9% 23.7% 22.6% 21.6% 19.5% 22.1% 21.4% 28.2% 24.6% 23.6% 22.8% 18.3% 19.4%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.0% 15.4% 13.9% 14.0% 14.1% 13.4% 11.9% 17.4% 14.2% 13.2% 13.7% 10.1% 11.2%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.1% 25.9% 16.4% 23.1% 19.5% 23.1% 19.2% 22.7% 23.3% 23.3% 23.1% 31.7% 41.0%

0%

10%

20%

30%

40%

50%

60%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



St. Elizabeth Hospital

Enumclaw, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


128 141 147 416 6




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

17.6% 11.3% 18.2% 11.7% 15.5% 16.2% 19.0% 26.6% 17.6% 29.3% 20.4% 21.2% 29.1% 23.5% 17.3% 23.7% 23.4% 29.8%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.5% 5.1% 7.7% 5.7% 8.0% 10.0% 9.5% 17.3% 11.1% 16.7% 12.6% 13.4% 16.9% 14.3% 8.0% 14.8% 11.0% 17.2%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

50.0% 21.1% 31.3% 50.0% 38.9% 35.7% 34.5% 26.7% 24.3% 29.4% 48.5% 35.3% 33.3% 32.3%

0%

10%

20%

30%

40%

50%

60%

70%

80%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



St. Francis Community Hospital

Federal Way, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


864 944 974 2,782 30




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 369 378 405 27 1,152



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 910 1,002 988 ‐14 2,900



Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.0% 19.7% 18.0% 19.5% 19.6% 23.1% 23.7% 19.6% 22.3% 22.4% 26.7% 24.4% 22.5% 19.0% 19.1% 20.3% 24.1% 22.2%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.3% 11.1% 9.3% 10.6% 11.1% 12.7% 13.6% 12.3% 12.9% 14.6% 14.3% 12.9% 12.2% 10.4% 10.1% 11.2% 12.1% 11.6%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

1.2% 1.0% 2.0% 6.1% 0.9% 5.5% 2.0% 1.1% 10.1% 9.4% 9.6% 27.3% 29.0% 37.6%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



St. Joseph Medical Center

Tacoma, WA Pierce County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


2,045 2,164 2,277 6,486 113




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 1,379 1,303 1,321 18 4,003



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.9% 14.0% 19.8% 21.7% 22.5% 25.8% 24.1% 24.1% 23.1% 23.5% 26.1% 26.3% 22.7% 24.9% 25.6% 26.0% 29.0% 24.5%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.9% 8.6% 11.9% 13.3% 13.6% 15.2% 13.9% 15.2% 14.5% 14.3% 16.0% 16.9% 14.6% 15.7% 14.8% 16.0% 17.2% 15.1%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

24.7% 19.2% 11.4% 1.3% 3.2% 2.0% 1.5% 2.4% 15.6% 26.9% 28.5% 28.2% 27.2% 31.0%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Sunnyside Community Hospital

Sunnyside, WA Yakima County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


661 543 508 1,712 ‐35




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

18.7% 17.2% 11.9% 15.0% 18.2% 24.6% 21.9% 20.3% 17.9% 29.1% 16.8% 17.8% 18.7% 26.2% 28.3% 27.7% 14.9% 14.4%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.0% 10.4% 7.2% 8.2% 13.1% 14.3% 13.3% 12.1% 12.2% 12.7% 8.6% 9.3% 9.9% 14.8% 12.8% 11.2% 7.0% 7.5%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

21.2% 12.9% 10.8% 13.6% 6.8% 7.1% 9.3% 3.8% 3.3% 8.3% 13.8% 7.0% 8.5% 13.8%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Swedish Edmonds Hospital

Edmonds, WA Snohomish County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


552 527 597 1,676 70




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 387 389 244 ‐145 1,020



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%


This hospital's 2016 NTSV c‐section rate of 23.8% was close to the statewide rate of 23.6% .



2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.0% 17.4% 19.4% 22.9% 18.4% 23.5% 24.3% 23.7% 31.0% 28.3% 19.5% 28.0% 30.4% 24.7% 27.9% 26.9% 25.4% 23.8%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.9% 10.8% 11.7% 13.1% 10.1% 13.1% 14.7% 13.8% 18.5% 18.2% 10.8% 16.5% 17.8% 14.7% 16.7% 15.5% 15.7% 16.0%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

25.0% 27.4% 20.7% 10.2% 15.9% 18.8% 33.3% 23.1% 20.0% 26.0% 26.3% 24.8% 29.7% 18.5%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Swedish Medical Center ‐ Ballard




2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


162 182 192 536 10




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 602 644 596 ‐48 1,842



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 947 1,017 971 ‐46 2,935



Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

25.2% 24.2% 19.6% 28.3% 27.1% 28.4% 29.7% 29.0% 34.9% 33.0% 30.9% 34.0% 30.1% 23.4% 25.7% 24.8% 25.0% 19.6%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.9% 14.8% 12.7% 17.7% 18.5% 19.4% 20.4% 20.7% 22.9% 25.8% 23.5% 22.8% 22.2% 16.8% 18.6% 17.2% 18.2% 13.3%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.9% 17.6% 7.1% 17.3% 3.3% 0.0% 0.0% 0.0% 3.6% 6.0% 24.4% 23.4% 29.5% 25.3%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Swedish Medical Center ‐ First Hill




2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,845 2,469 2,609 6,923 140




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 2,134 2,745 3,054 309 7,933



Level 4 Hospitals 23.8% 23.7% 25.4% 1.7% 24.3%


This hospital's 2016 NTSV c‐section rate of 24.1% was close to the statewide rate of 23.6% .



2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 4 Hospitals 28.6% 28.9% 29.8% 0.9% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 4 Hospitals 15.1% 15.2% 16.4% 1.2% 15.6%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.9% 22.7% 25.8% 27.0% 24.2% 25.2% 27.0% 26.6% 27.4% 29.7% 26.9% 28.9% 27.6% 28.6% 27.3% 24.3% 23.2% 24.1%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.1% 14.5% 16.0% 16.6% 13.4% 14.6% 19.0% 18.4% 19.5% 20.8% 18.5% 19.9% 19.0% 18.8% 17.8% 16.1% 15.5% 15.8%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

37.9% 25.5% 19.5% 20.1% 25.9% 24.7% 26.2% 24.8% 29.5% 28.9% 30.2% 29.9% 31.9% 34.3%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Swedish Medical Center ‐ Issaquah

Issaquah, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


218 239 245 702 6




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 561 481 606 125 1,648



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year

TSV Deliveries/No Prior C 1,065 975 1,197 222 3,237



Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

5.9% 26.2% 26.9% 25.8% 23.3% 22.8%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

6.5% 18.0% 17.4% 17.3% 13.7% 13.8%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.2% 25.3% 21.5% 23.8% 26.7% 27.6%

0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Tacoma General Hospital

Tacoma, WA Pierce County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,992 1,957 1,900 5,849 ‐57




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 927 911 860 ‐51 2,698



Level 4 Hospitals 23.8% 23.7% 25.4% 1.7% 24.3%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 4 Hospitals 28.6% 28.9% 29.8% 0.9% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 4 Hospitals 15.1% 15.2% 16.4% 1.2% 15.6%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

18.9% 18.4% 18.3% 23.1% 24.3% 25.1% 28.2% 19.3% 26.7% 27.0% 26.5% 25.0% 23.2% 27.1% 24.4% 23.1% 24.8% 26.5%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.9% 12.1% 11.5% 13.8% 14.4% 14.0% 11.6% 10.0% 16.1% 17.9% 16.2% 16.1% 14.6% 16.9% 14.7% 14.2% 16.4% 17.6%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

32.4% 20.7% 40.7% 38.1% 35.3% 30.8% 26.1% 30.1% 28.3% 22.2% 23.6% 29.5% 31.3% 25.8%

0%

10%

20%

30%

40%

50%

60%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Three Rivers Hospital

Brewster, WA Okanogan County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


80 86 96 262 10




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.7% 12.3% 14.3% 8.0% 18.4% 13.8% 13.6% 4.8% 2.0% 10.4% 24.3% 30.4% 16.2% 26.5% 23.5% 26.1% 10.5% 11.4%

0%

10%

20%

30%

40%

50%

60%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.8% 6.1% 8.3% 4.8% 10.1% 8.7% 6.7% 1.4% 1.5% 5.7% 12.1% 14.5% 9.7% 14.6% 14.5% 13.0% 10.5% 8.4%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

20.0% 0.0% 33.3% 25.0% 100.0% 42.9% 18.2% 0.0% 27.3% 0.0% 33.3% 20.0% 0.0% 0.0%

0%

20%

40%

60%

80%

100%

120%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Toppenish Community Hospital

Toppenish, WA Yakima County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


440 402 418 1,260 16




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

11.9% 14.2% 15.6% 16.3% 13.0% 18.9% 13.4% 15.2% 18.9% 15.6% 11.2% 16.2% 15.6% 15.5% 13.5% 12.0% 14.3% 15.8%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

6.5% 8.5% 7.7% 7.5% 7.7% 8.3% 8.3% 12.6% 11.0% 8.7% 6.4% 10.8% 9.9% 9.5% 7.5% 6.4% 6.8% 7.3%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

46.5% 44.7% 30.2% 35.8% 26.3% 16.1% 25.9% 5.9% 6.7% 0.0% 46.2% 48.6% 43.3% 32.1%

0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Trios Health

Kennewick, WA Benton County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,094 1,183 1,212 3,489 29




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 347 392 407 15 1,146



Level 2 Hospitals 22.4% 21.7% 22.0% 0.3% 22.1%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 2 Hospitals 26.4% 30.1% 30.9% 0.8% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 2 Hospitals 13.4% 12.5% 12.8% 0.3% 12.9%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates






Trios Health








1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.0% 18.2% 20.4% 20.7% 22.1% 20.1% 17.5% 19.9% 18.9% 20.4% 20.9% 19.1% 20.4% 20.0% 25.1% 23.1% 25.3% 25.6%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.5% 9.4% 11.2% 12.0% 13.4% 12.6% 9.3% 10.8% 10.4% 11.9% 9.9% 9.5% 11.6% 13.1% 12.5% 13.7% 12.3% 12.2%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

38.2% 33.7% 37.5% 35.8% 38.0% 28.8% 44.9% 38.0% 37.9% 37.9% 38.4% 37.3% 42.2% 36.1%

0%

10%

20%

30%

40%

50%

60%

% of To

tal


Trios Health








0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



University Of Washington Medical Center




2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


1,065 1,003 960 3,028 ‐43




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 611 564 558 ‐6 1,733



Level 4 Hospitals 23.8% 23.7% 25.4% 1.7% 24.3%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 4 Hospitals 28.6% 28.9% 29.8% 0.9% 29.2%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 4 Hospitals 15.1% 15.2% 16.4% 1.2% 15.6%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.8% 24.7% 23.7% 27.6% 29.4% 33.2% 32.2% 30.6% 31.9% 34.7% 33.3% 29.4% 29.2% 27.4% 36.8% 32.4% 32.1% 39.6%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

15.3% 17.0% 16.4% 18.4% 20.6% 23.0% 20.6% 20.8% 19.8% 22.5% 20.7% 20.5% 19.5% 17.8% 23.4% 22.2% 22.5% 27.1%

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

19.3% 26.1% 24.3% 27.1% 33.6% 29.0% 29.1% 33.5% 38.3% 32.6% 33.2% 33.2% 30.2% 34.7%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Valley Hospital And Medical Center

Spokane Valley, WA Spokane County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


385 345 367 1,097 22




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.2% 12.1% 9.0% 7.8% 13.2% 10.1% 13.2% 12.8% 14.7% 15.0% 10.1% 19.1% 13.7% 12.9% 12.9% 10.7% 16.3% 20.3%

0%

5%

10%

15%

20%

25%

30%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

7.7% 7.2% 5.0% 4.7% 9.1% 5.9% 7.7% 7.5% 8.8% 8.5% 7.0% 14.1% 8.5% 7.9% 7.6% 6.8% 8.7% 11.7%

0%

5%

10%

15%

20%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

48.4% 24.2% 32.6% 39.5% 37.2% 37.8% 40.0% 41.9% 44.8% 50.0% 46.8% 64.2% 53.3% 41.8%

0%

20%

40%

60%

80%

100%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Valley Medical Center

Renton, WA King County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


2,129 2,048 2,072 6,249 24




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 1,270 1,239 1,204 ‐35 3,713



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

20.1% 23.4% 27.1% 25.5% 24.6% 28.2% 29.1% 31.0% 29.8% 32.3% 33.2% 32.3% 32.6% 30.3% 30.4% 31.8% 29.1% 27.0%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

12.6% 13.3% 16.5% 15.0% 15.4% 20.2% 19.5% 21.1% 19.3% 21.5% 20.6% 20.5% 19.8% 18.5% 19.4% 18.5% 16.2% 15.1%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

22.6% 18.7% 19.2% 20.1% 17.4% 18.9% 19.9% 23.7% 25.7% 23.4% 28.4% 27.5% 30.4% 35.4%

0%

10%

20%

30%

40%

50%

% of To

tal









0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Virginia Mason Memorial Hospital

Yakima, WA Yakima County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


2,205 2,123 2,122 6,450 ‐1




2014 2015 2016

Net Change

'15 to '16 3‐year

NTSV Deliveries 792 780 708 ‐72 2,280



Level 3 Hospitals 25.1% 24.9% 24.3% ‐0.6% 24.8%





2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates


Level 3 Hospitals 25.8% 26.5% 28.0% 1.5% 26.8%






2014 2015 2016

Net Change

'15 to '16 3‐year




Level 3 Hospitals 14.9% 14.5% 14.1% ‐0.4% 14.5%




0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

7.8% 7.1% 10.5% 9.3% 10.1% 11.5% 10.5% 11.5% 14.3% 12.4% 10.8% 10.0% 12.5% 16.7% 12.9% 15.0% 13.3% 14.4%

0%

5%

10%

15%

20%

25%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

4.6% 4.5% 5.5% 4.8% 5.6% 6.1% 6.4% 6.5% 7.5% 7.3% 6.3% 5.9% 7.5% 9.5% 7.6% 8.2% 7.9% 7.7%

0%

2%

4%

6%

8%

10%

12%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

51.1% 47.3% 45.8% 45.0% 41.5% 43.3% 49.8% 50.2% 51.0% 45.0% 39.5% 44.7% 47.5% 43.3%

0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal









0%

5%

10%

15%

20%

25%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

2%

4%

6%

8%

10%

12%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Walla Walla General Hospital

Walla Walla, WA Walla Walla County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


104 136 54 294 ‐82




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

8.5% 11.7% 17.1% 22.6% 21.3% 22.0% 19.7% 25.0% 27.7% 23.4% 8.9% 22.4% 15.4% 20.3% 23.2% 30.2% 14.8% 18.8%

0%

10%

20%

30%

40%

50%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

3.9% 3.8% 7.5% 10.5% 12.1% 10.1% 11.0% 16.7% 16.4% 10.7% 5.8% 13.4% 12.1% 10.0% 14.6% 11.2% 8.1% 8.8%

0%

5%

10%

15%

20%

25%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

40.0% 0.0% 6.3% 5.9% 4.5% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 8.3% 7.1% 0.0%

0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



WhidbeyHealth Medical Center

Coupeville, WA Island County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


115 99 99 313 0




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

16.7% 26.6% 25.0% 22.5% 21.9% 27.6% 16.7% 29.7% 31.5% 36.0% 23.3% 25.3% 35.6% 45.2% 41.8% 29.2% 24.6% 20.0%

0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

10.8% 16.4% 16.3% 16.3% 10.8% 12.8% 9.9% 20.4% 19.7% 22.8% 18.5% 16.2% 18.8% 26.1% 24.5% 13.9% 11.5% 11.6%

0%

5%

10%

15%

20%

25%

30%

35%

40%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

20.0% 6.3% 0.0% 6.7% 8.3% 0.0% 0.0% 0.0% 0.0% 6.7% 0.0% 0.0% 0.0% 11.1%

0%

10%

20%

30%

40%

50%

60%

% of To

tal









0%

10%

20%

30%

40%

50%

60%

70%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

5%

10%

15%

20%

25%

30%

35%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL



Whitman Medical Center

Colfax, WA Whitman County



2014 2015 20163‐year

TOTAL

Net Change

'15 to '16


33 16 24 73 8




2014 2015 2016

Net Change

'15 to '16 3‐year









2014 2015 2016

Net Change

'15 to '16 3‐year


VBAC Rates








2014 2015 2016

Net Change

'15 to '16 3‐year








0

10

20

30

40

% of All Hospitals


Hospital Rates


0

10

20

30

% of All Hospitals

VBAC Rate (%)

Hospital Rates


0

10

20

30

40

50

% of All Hospitals


Hospital Rates














1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

14.3% 15.8% 41.7% 0.0% 15.4% 13.6% 27.3% 41.7% 22.7% 40.0% 16.7% 33.3% 23.5% 57.1% 36.4% 13.3% 25.0% 13.3%

0%

20%

40%

60%

80%

100%

% of To

tal

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

7.7% 5.5% 13.9% 2.9% 6.1% 9.3% 18.8% 18.8% 15.2% 14.7% 12.1% 10.3% 10.5% 24.3% 13.3% 13.2% 14.3% 6.9%

0%

10%

20%

30%

40%

50%

% of To

tal

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

0.0% 20.0% 25.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

0%

20%

40%

60%

80%

100%

% of To

tal










0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

0%

20%

40%

60%

80%

100%

120%

% of To

tal

Actual Hosp Rate

Hosp Ave Over Time

UCL

LCL

Delivery Statistics Report (2016 Births) Washington State ... · Delivery Statistics Report (2016 Births) Washington State Non‐Military Hospitals Deliveries and Medicaid Status

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