Principal Investigator
PI Home Department
Source of Support
Total Cost
Patrick Romano, M.D.
General Medicine and Pediatrics
3/01/2001 - 6/30/2004

As part of the legislatively mandated California Hospital Outcomes Project, the Office of Statewide Health Planning and Development (OSHPD) has contracted with the CHSRPC to develop a multi-indicator report card on obstetric performance for all California hospitals. Under this contract, CHSRPC is: (1) performing literature reviews to inform the development and risk-adjustment of obstetric quality indicators; (2) performing exploratory analyses using linked patient discharge/birth certificate data to inform the development and risk-adjustment of obstetric quality indicators; (3) advising OSHPD on the potential members of a Clinical Advisory Panel, which will review these analyses and provide advice on the report card methodology; (4) providing technical support to this Clinical Advisory Panel; (5) creating a longitudinal patient-level data set linking antepartum, delivery, and postpartum hospitalizations in California; (6) analyzing postpartum maternal readmission rates and other potential indicators of hospital quality that can be ascertained from administrative data; (7) preparing reports summarizing the results of these analyses; and (8) conducting, interpreting, and responding to cognitive tests involving the target audience(s) for this obstetric report card. The Clinical Advisory Panel was identified and met in March 2003. Literature reviews have been completed, and the analytic work is now underway in preparation for completion of the draft report in June 2003 and public release in December 2003.