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Health Grades - Specialty Excellence Methodology (Page 5)

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Health Grades - Specialty Excellence Methodology
Specialty Excellence AwardTM Methodology 2007 ­ 5
© Copyright 2007 Health Grades, Inc. All rights reserved.
May not be reprinted or reproduced without permission from Health Grades, Inc.
Maternity Care
The Maternity Care specialty area rating is based on:
Volume of vaginal and cesarean section (C-section) single live-born deliveries
Maternal complication rate for single live-born deliveries for women undergoing vaginal delivery
and C-section delivery for clinical reasons
Maternal complication rate among women undergoing "patient-choice" or non-clinically indicated C-
Newborn mortality rate stratified into nine birth weight categories
The four factors are weighted using predetermined weights based on consensus from a physician panel.
With the exception of the volume score, percentiles are calculated separately for hospitals with and without
a newborn intensive care unit (NICU). Each factor's percentile score is multiplied by its weight and then
summed to create an overall score.
To be ranked, a hospital must be located in one of the 19 all-payer
states that provide maternity care data.
Women's Health
The Women's Health specialty area rating is based upon outcomes in two areas:
Maternity care
Cardiac/stroke mortality outcomes for women
For Cardiac/stroke for women, HealthGrades analyzes risk-adjusted mortality rates for the following six
procedures/diagnoses for each hospital's female patients:
Coronary bypass surgery
Heart attack
Heart failure
Interventional procedures (PTCA/angioplasty, stent, atherectomy)
Valve replacement surgery
The maternity care percentile score is added to the cardiac/stroke percentile score to create a women's
health score for each hospital. To receive a rating in this specialty area, a hospital had to have an overall
rating for each area and be located in one of the 19 all-payer states that provide women's health data..

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