OBSTETRICS CARE GUIDE

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VAGINAL

TYPES OF DELIVERY:
CESAREAN

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STATEWIDE SUMMARIES

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Obstetric Statewide Summaries

Age

Race

Payer

= Better than expected performance

Age Group


	Deliveries	Cesarean			Episiotomy		Hospital Length of Stay		Average Hospital Charge

Demographic	TotalTotal Deliveries The total number of deliveries by a provider (doctor or hospital.)	Primary Act. RatePrimary Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.	Primary RatingPrimary Cesarean Rating The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Repeat RatingRepeat Cesarean Rating The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal DeliveriesVaginal Deliveries The total number of women who had a vaginal delivery with this provider.	Episiotomy RatesEpisiotomy Rate The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.	Vaginal RatingVaginal Delivery Hospital Length of Stay Rating The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean RatingCesarean Delivery Hospital Length of Stay Rating The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal RatingVaginal Delivery Hospital Average Charge Rating The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean RatingCesarean Delivery Hospital Average Charge Rating The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.
15 and younger	433	23.80%			326	24.54%
16-20	12,321	22.50%			9,148	20.72%
21-25	23,205	21.78%			16,303	15.81%
26-30	26,538	23.32%			17,735	16.40%
31-35	21,899	26.50%			13,230	17.71%
36-40	10,256	29.79%			5,601	17.03%
41-45	1,683	38.81%			800	15.00%
46 and older	81	62.90%			24	12.50%


	Deliveries		Primary Cesareans				Repeat Cesareans				Episiotomy

Demographic	TotalTotal Deliveries The total number of deliveries by a provider (doctor or hospital.)	All CesareanAll Cesarean Deliveries The number of cesarean deliveries by this provider.	DeliveriesPrimary Cesarean Deliveries The number of women, for a given provider, who had a cesarean delivery for the first time.	Act. RatePrimary Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.	Exp. RatePrimary Cesarean Expected Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)	RatingPrimary Cesarean Rating The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	DeliveriesRepeat Cesarean Deliveries The number of women, for a given provider, who had a cesarean delivery more than one time.	Act. RateRepeat Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery more than one time.	Exp. RateRepeat Cesarean Expected Rate The percentage (%) of women, for a given provider, who had a cesarean delivery, more than one time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)	RatingRepeat Cesarean Rating The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal DeliveriesVaginal Deliveries The total number of women who had a vaginal delivery with this provider.	TotalTotal Episiotomies The number of women who had an episiotomy during a vaginal delivery with this provider.	RateEpisiotomy Rate The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.
15 and younger	433	107	104	23.80%	22.2%		3	100.00%	87.3%		326	80	24.54%
16-20	12,321	3,173	2,677	22.50%	22.2%		496	89.69%	89.7%		9,148	1,895	20.72%
21-25	23,205	6,902	4,509	21.78%	21.4%		2,393	90.10%	88.8%		16,303	2,578	15.81%
26-30	26,538	8,803	5,329	23.32%	23.0%		3,474	89.93%	88.9%		17,735	2,909	16.40%
31-35	21,899	8,669	4,670	26.50%	26.4%		3,999	90.74%	90.5%		13,230	2,343	17.71%
36-40	10,256	4,655	2,314	29.79%	30.8%		2,341	91.12%	90.7%		5,601	954	17.03%
41-45	1,683	883	489	38.81%	36.1%		394	89.95%	90.3%		800	120	15.00%
46 and older	81	57	39	62.90%	47.5%		18	94.74%	91.6%		24	3	12.50%


	Hospital Length of Stay						Average Hospital Charge

Demographic	Cesarean ActualActual Cesarean Hospital Length of Stay The average time (in days) that women stayed in the hospital after a cesarean delivery by this provider.	Cesarean ExpectedExpected Cesarean Hospital Length of Stay The average time (in days) that women stayed in the hospital after a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Cesarean RatingCesarean Delivery Hospital Length of Stay Rating The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal ActualActual Vaginal Hospital Length of Stay The average time (in days) that women stayed in the hospital after a vaginal delivery by this provider.	Vaginal ExpectedExpected Vaginal Hospital Length of Stay The average time (in days) that women stayed in the hospital after a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Vaginal RatingVaginal Delivery Hospital Length of Stay Rating The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean ActualActual Cesarean Hospital Average Charge The average hospital charge ($) for a cesarean delivery in the hospital by this provider.	Cesarean ExpectedExpected Cesarean Hospital Average Charge The average hospital charge ($) for a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Cesarean RatingCesarean Delivery Hospital Average Charge Rating The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal ActualActual Vaginal Hospital Average Charge The average hospital charge ($) for a vaginal delivery in the hospital by this provider.	Vaginal ExpectedExpected Vaginal Hospital Average Charge The average hospital charge ($) for a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Vaginal RatingVaginal Delivery Hospital Average Charge Rating The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.
15 and younger	3.67	3.60		2.35	2.20		$13,119	$12,057		$6,618	$6,315
16-20	3.41	3.42		2.25	2.15		$11,865	$11,451		$6,353	$6,138
21-25	3.26	3.33		2.15	2.14		$11,408	$11,054		$6,267	$6,242
26-30	3.29	3.29		2.13	2.14		$10,780	$10,869		$6,252	$6,296
31-35	3.29	3.29		2.10	2.14		$10,601	$10,871		$6,215	$6,279
36-40	3.37	3.29		2.12	2.17		$10,677	$10,873		$6,325	$6,440
41-45	3.48	3.34		2.12	2.18		$11,201	$11,113		$6,348	$6,576
46 and older	3.87	3.57		2.04	N/A		$13,344	$12,097		$6,850	N/A

Race


	Deliveries	Cesarean			Episiotomy		Hospital Length of Stay		Average Hospital Charge

Demographic	TotalTotal Deliveries The total number of deliveries by a provider (doctor or hospital.)	Primary Act. RatePrimary Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.	Primary RatingPrimary Cesarean Rating The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Repeat RatingRepeat Cesarean Rating The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal DeliveriesVaginal Deliveries The total number of women who had a vaginal delivery with this provider.	Episiotomy RatesEpisiotomy Rate The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.	Vaginal RatingVaginal Delivery Hospital Length of Stay Rating The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean RatingCesarean Delivery Hospital Length of Stay Rating The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal RatingVaginal Delivery Hospital Average Charge Rating The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean RatingCesarean Delivery Hospital Average Charge Rating The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.
White	51,730	24.34%			33,848	19.43%
Black	20,360	25.48%			13,139	10.95%
Other	1,675	24.21%			1,087	20.42%
Asian	3,914	28.12%			2,414	24.52%
American Indian	67	19.35%			51	13.73%
Hispanic	10,631	19.94%			7,396	10.78%
Black Hispanic	273	12.24%			216	25.93%
Unknown/Missing	7,766	26.36%			5,016	23.78%


	Deliveries		Primary Cesareans				Repeat Cesareans				Episiotomy

Demographic	TotalTotal Deliveries The total number of deliveries by a provider (doctor or hospital.)	All CesareanAll Cesarean Deliveries The number of cesarean deliveries by this provider.	DeliveriesPrimary Cesarean Deliveries The number of women, for a given provider, who had a cesarean delivery for the first time.	Act. RatePrimary Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.	Exp. RatePrimary Cesarean Expected Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)	RatingPrimary Cesarean Rating The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	DeliveriesRepeat Cesarean Deliveries The number of women, for a given provider, who had a cesarean delivery more than one time.	Act. RateRepeat Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery more than one time.	Exp. RateRepeat Cesarean Expected Rate The percentage (%) of women, for a given provider, who had a cesarean delivery, more than one time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)	RatingRepeat Cesarean Rating The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal DeliveriesVaginal Deliveries The total number of women who had a vaginal delivery with this provider.	TotalTotal Episiotomies The number of women who had an episiotomy during a vaginal delivery with this provider.	RateEpisiotomy Rate The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.
White	51,730	17,882	10,783	24.34%	24.2%		7,099	91.39%	90.3%		33,848	6,577	19.43%
Black	20,360	7,221	4,448	25.48%	25.1%		2,773	88.76%	88.3%		13,139	1,438	10.95%
Other	1,675	588	345	24.21%	23.9%		243	90.33%	89.7%		1,087	222	20.42%
Asian	3,914	1,500	929	28.12%	26.7%		571	90.63%	91.8%		2,414	592	24.52%
American Indian	67	16	12	19.35%	20.9%		4	80.00%	83.6%		51	7	13.73%
Hispanic	10,631	3,235	1,815	19.94%	20.5%		1,420	89.53%	89.0%		7,396	797	10.78%
Black Hispanic	273	57	30	12.24%	12.6%		27	87.10%	82.1%		216	56	25.93%
Unknown/Missing	7,766	2,750	1,769	26.36%	25.2%		981	89.59%	90.4%		5,016	1,193	23.78%


	Hospital Length of Stay						Average Hospital Charge

Demographic	Cesarean ActualActual Cesarean Hospital Length of Stay The average time (in days) that women stayed in the hospital after a cesarean delivery by this provider.	Cesarean ExpectedExpected Cesarean Hospital Length of Stay The average time (in days) that women stayed in the hospital after a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Cesarean RatingCesarean Delivery Hospital Length of Stay Rating The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal ActualActual Vaginal Hospital Length of Stay The average time (in days) that women stayed in the hospital after a vaginal delivery by this provider.	Vaginal ExpectedExpected Vaginal Hospital Length of Stay The average time (in days) that women stayed in the hospital after a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Vaginal RatingVaginal Delivery Hospital Length of Stay Rating The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean ActualActual Cesarean Hospital Average Charge The average hospital charge ($) for a cesarean delivery in the hospital by this provider.	Cesarean ExpectedExpected Cesarean Hospital Average Charge The average hospital charge ($) for a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Cesarean RatingCesarean Delivery Hospital Average Charge Rating The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal ActualActual Vaginal Hospital Average Charge The average hospital charge ($) for a vaginal delivery in the hospital by this provider.	Vaginal ExpectedExpected Vaginal Hospital Average Charge The average hospital charge ($) for a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Vaginal RatingVaginal Delivery Hospital Average Charge Rating The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.
White	3.25	3.29		2.15	2.14		$10,633	$10,872		$6,103	$6,240
Black	3.47	3.40		2.25	2.17		$12,598	$11,361		$6,957	$6,445
Other	3.51	3.27		2.09	2.12		$11,595	$10,797		$6,491	$6,119
Asian	3.44	3.29		2.11	2.14		$10,387	$10,869		$6,116	$6,144
American Indian	3.27	N/A		2.27	2.13		$11,751	N/A		$6,539	$6,410
Hispanic	3.16	3.31		1.98	2.14		$10,309	$10,970		$5,992	$6,243
Black Hispanic	3.25	3.43		2.16	2.15		$10,910	$11,334		$4,513	$6,256
Unknown/Missing	3.40	3.26		2.10	2.14		$9,951	$10,744		$6,139	$6,177

Payer Type


	Deliveries	Cesarean			Episiotomy		Hospital Length of Stay		Average Hospital Charge

Demographic	TotalTotal Deliveries The total number of deliveries by a provider (doctor or hospital.)	Primary Act. RatePrimary Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.	Primary RatingPrimary Cesarean Rating The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Repeat RatingRepeat Cesarean Rating The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal DeliveriesVaginal Deliveries The total number of women who had a vaginal delivery with this provider.	Episiotomy RatesEpisiotomy Rate The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.	Vaginal RatingVaginal Delivery Hospital Length of Stay Rating The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean RatingCesarean Delivery Hospital Length of Stay Rating The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal RatingVaginal Delivery Hospital Average Charge Rating The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean RatingCesarean Delivery Hospital Average Charge Rating The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.
OTHER GOVERNMENT	3,608	22.03%			2,467	15.97%
SELF PAY/CHARITY	3,332	16.37%			2,485	12.76%
COMMERCIAL	60,913	26.39%			38,436	19.26%
Medicaid	27,259	21.17%			18,959	13.65%
UNKNOWN	1,304	26.86%			820	22.07%


	Deliveries		Primary Cesareans				Repeat Cesareans				Episiotomy

Demographic	TotalTotal Deliveries The total number of deliveries by a provider (doctor or hospital.)	All CesareanAll Cesarean Deliveries The number of cesarean deliveries by this provider.	DeliveriesPrimary Cesarean Deliveries The number of women, for a given provider, who had a cesarean delivery for the first time.	Act. RatePrimary Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.	Exp. RatePrimary Cesarean Expected Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)	RatingPrimary Cesarean Rating The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	DeliveriesRepeat Cesarean Deliveries The number of women, for a given provider, who had a cesarean delivery more than one time.	Act. RateRepeat Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery more than one time.	Exp. RateRepeat Cesarean Expected Rate The percentage (%) of women, for a given provider, who had a cesarean delivery, more than one time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)	RatingRepeat Cesarean Rating The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal DeliveriesVaginal Deliveries The total number of women who had a vaginal delivery with this provider.	TotalTotal Episiotomies The number of women who had an episiotomy during a vaginal delivery with this provider.	RateEpisiotomy Rate The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.
OTHER GOVERNMENT	3,608	1,141	697	22.03%	23.5%		444	91.74%	88.4%		2,467	394	15.97%
SELF PAY/CHARITY	3,332	847	483	16.37%	19.6%		364	84.65%	86.4%		2,485	317	12.76%
COMMERCIAL	60,913	22,477	13,622	26.39%	25.7%		8,855	91.49%	90.9%		38,436	7,403	19.26%
Medicaid	27,259	8,300	5,030	21.17%	21.4%		3,270	88.07%	87.3%		18,959	2,587	13.65%
UNKNOWN	1,304	484	299	26.86%	24.6%		185	91.58%	90.5%		820	181	22.07%


	Hospital Length of Stay						Average Hospital Charge

Demographic	Cesarean ActualActual Cesarean Hospital Length of Stay The average time (in days) that women stayed in the hospital after a cesarean delivery by this provider.	Cesarean ExpectedExpected Cesarean Hospital Length of Stay The average time (in days) that women stayed in the hospital after a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Cesarean RatingCesarean Delivery Hospital Length of Stay Rating The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal ActualActual Vaginal Hospital Length of Stay The average time (in days) that women stayed in the hospital after a vaginal delivery by this provider.	Vaginal ExpectedExpected Vaginal Hospital Length of Stay The average time (in days) that women stayed in the hospital after a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Vaginal RatingVaginal Delivery Hospital Length of Stay Rating The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean ActualActual Cesarean Hospital Average Charge The average hospital charge ($) for a cesarean delivery in the hospital by this provider.	Cesarean ExpectedExpected Cesarean Hospital Average Charge The average hospital charge ($) for a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Cesarean RatingCesarean Delivery Hospital Average Charge Rating The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal ActualActual Vaginal Hospital Average Charge The average hospital charge ($) for a vaginal delivery in the hospital by this provider.	Vaginal ExpectedExpected Vaginal Hospital Average Charge The average hospital charge ($) for a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Vaginal RatingVaginal Delivery Hospital Average Charge Rating The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.
OTHER GOVERNMENT	3.26	3.35		2.19	2.15		$11,646	$11,145		$6,374	$6,255
SELF PAY/CHARITY	3.15	3.37		2.00	2.14		$11,178	$11,174		$5,788	$6,179
COMMERCIAL	3.33	3.29		2.14	2.14		$10,800	$10,878		$6,291	$6,231
Medicaid	3.28	3.37		2.16	2.16		$11,289	$11,204		$6,255	$6,367
UNKNOWN	3.54	3.28		2.24	2.16		$11,857	$10,897		$6,969	$6,361

Region


	Deliveries	Cesarean			Episiotomy		Hospital Length of Stay		Average Hospital Charge

Demographic	TotalTotal Deliveries The total number of deliveries by a provider (doctor or hospital.)	Primary Act. RatePrimary Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.	Primary RatingPrimary Cesarean Rating The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Repeat RatingRepeat Cesarean Rating The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal DeliveriesVaginal Deliveries The total number of women who had a vaginal delivery with this provider.	Episiotomy RatesEpisiotomy Rate The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.	Vaginal RatingVaginal Delivery Hospital Length of Stay Rating The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean RatingCesarean Delivery Hospital Length of Stay Rating The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal RatingVaginal Delivery Hospital Average Charge Rating The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean RatingCesarean Delivery Hospital Average Charge Rating The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.
NORTHWEST	14,798	23.14%			9,845	13.61%
NORTHERN	30,070	26.82%			18,847	19.68%
SOUTHWEST	12,524	21.88%			8,668	22.10%
CENTRAL	16,476	24.70%			10,772	17.33%
EASTERN	20,324	22.49%			13,713	13.05%
OUT OF STATE/MISSING	2,224	29.24%			1,322	19.74%


	Deliveries		Primary Cesareans				Repeat Cesareans				Episiotomy

Demographic	TotalTotal Deliveries The total number of deliveries by a provider (doctor or hospital.)	All CesareanAll Cesarean Deliveries The number of cesarean deliveries by this provider.	DeliveriesPrimary Cesarean Deliveries The number of women, for a given provider, who had a cesarean delivery for the first time.	Act. RatePrimary Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time.	Exp. RatePrimary Cesarean Expected Rate The percentage (%) of women, for a given provider, who had a cesarean delivery for the first time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)	RatingPrimary Cesarean Rating The percentage (%) of primary cesarean deliveries (actual) compared to the percentage (%) of primary cesarean deliveries (expected) adjusting for multiple patient risk factors, for a given provider. This will tell you if the provider's percentage (%) of primary cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	DeliveriesRepeat Cesarean Deliveries The number of women, for a given provider, who had a cesarean delivery more than one time.	Act. RateRepeat Cesarean Actual Rate The percentage (%) of women, for a given provider, who had a cesarean delivery more than one time.	Exp. RateRepeat Cesarean Expected Rate The percentage (%) of women, for a given provider, who had a cesarean delivery, more than one time after adjusting for patient risk factors (see Technical Documentation for all the risk factors used for adjustment.)	RatingRepeat Cesarean Rating The percentage (%) of repeat cesarean deliveries (actual) compared to the percentage of repeat cesarean deliveries (expected), adjusting for multiple patient characteristics, for a given provider. This will tell you if the provider's percentage (%) of repeat cesarean deliveries was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal DeliveriesVaginal Deliveries The total number of women who had a vaginal delivery with this provider.	TotalTotal Episiotomies The number of women who had an episiotomy during a vaginal delivery with this provider.	RateEpisiotomy Rate The percentage (%) of women who had an episiotomy during a vaginal delivery with this provider.
NORTHWEST	14,798	4,953	2,934	23.14%	24.0%		2,019	90.25%	89.5%		9,845	1,340	13.61%
NORTHERN	30,070	11,223	6,800	26.82%	25.9%		4,423	91.14%	90.7%		18,847	3,709	19.68%
SOUTHWEST	12,524	3,856	2,405	21.88%	21.9%		1,451	89.07%	88.8%		8,668	1,916	22.10%
CENTRAL	16,476	5,704	3,505	24.70%	23.0%		2,199	90.09%	89.8%		10,772	1,867	17.33%
EASTERN	20,324	6,611	3,944	22.49%	23.8%		2,667	90.19%	88.9%		13,713	1,789	13.05%
OUT OF STATE/MISSING	2,224	902	543	29.24%	27.1%		359	91.82%	89.7%		1,322	261	19.74%


	Hospital Length of Stay						Average Hospital Charge

Demographic	Cesarean ActualActual Cesarean Hospital Length of Stay The average time (in days) that women stayed in the hospital after a cesarean delivery by this provider.	Cesarean ExpectedExpected Cesarean Hospital Length of Stay The average time (in days) that women stayed in the hospital after a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Cesarean RatingCesarean Delivery Hospital Length of Stay Rating The average length of the hospital stay after a cesarean delivery by this provider (actual) compared to the average length of the stay after a cesarean delivery, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average lengths of stay that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal ActualActual Vaginal Hospital Length of Stay The average time (in days) that women stayed in the hospital after a vaginal delivery by this provider.	Vaginal ExpectedExpected Vaginal Hospital Length of Stay The average time (in days) that women stayed in the hospital after a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Vaginal RatingVaginal Delivery Hospital Length of Stay Rating The average length of the hospital stay after a vaginal birth for this provider (actual) compared to the average length of stay after a vaginal birth, for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider's average length of stay was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Cesarean ActualActual Cesarean Hospital Average Charge The average hospital charge ($) for a cesarean delivery in the hospital by this provider.	Cesarean ExpectedExpected Cesarean Hospital Average Charge The average hospital charge ($) for a cesarean delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Cesarean RatingCesarean Delivery Hospital Average Charge Rating The average hospital charge for a cesarean delivery in the hospital by this provider (actual) compared to the average hospital charge of a cesarean delivery for a similar group of women, at all Virginia hospitals (expected.) This will tell you if the provider had average hospital charges that were: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.	Vaginal ActualActual Vaginal Hospital Average Charge The average hospital charge ($) for a vaginal delivery in the hospital by this provider.	Vaginal ExpectedExpected Vaginal Hospital Average Charge The average hospital charge ($) for a vaginal delivery in all Virginia hospitals taking into consideration the severity of their medical conditions.	Vaginal RatingVaginal Delivery Hospital Average Charge Rating The average hospital charge for a vaginal delivery by this provider (actual) compared to the average hospital charge for a vaginal delivery, for a similar group of women at all Virginia hospitals (expected.) This will tell you if the provider's average hospital charge was: more than expected (one rattle), as expected (two rattles) , less than expected (three rattles) or (diamond) indicates too few to calculate.
NORTHWEST	3.16	3.30		2.10	2.14		$9,842	$10,926		$5,658	$6,258
NORTHERN	3.44	3.27		2.04	2.14		$9,928	$10,826		$6,146	$6,170
SOUTHWEST	3.16	3.34		2.20	2.15		$11,039	$11,067		$5,548	$6,365
CENTRAL	3.39	3.34		2.26	2.15		$14,110	$11,090		$7,880	$6,332
EASTERN	3.22	3.34		2.21	2.15		$11,002	$11,089		$6,146	$6,318
OUT OF STATE/MISSING	3.45	3.37		2.14	2.15		$10,081	$11,192		$5,611	$6,281

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