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Sunday
Dec042011

Illinois Cesarean Rates by Hospital, 2010

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Hospitals

County

Total Live Births

Total CS

CS Rate

St. Mary’s Hospital

LaSalle

240

117

48.8%

Hammond Henry Hospital

Henry

118

56

47.5%

Gateway Regional Medical Center

Madison

270

128

47.4%

Iroquois Memorial Hospital

Iroquois

118

52

44.1%

Decatur Memorial Hospital

Macon

1011

422

41.7%

OSF Saint James_John W. Albrecht Medical Center

Livingston

230

96

41.7%

OSF Saint Francis Medical Center

Peoria

2277

925

40.6%

Rush University Medical Center

Cook

2228

904

40.6%

Genesis Medical Center - Illini Campus

Rock Island

651

261

40.1%

Delnor Community Hospital

Kane

1578

619

39.2%

Rockford Memorial Hospital

Winnebago

1715

663

38.7%

Central DuPage Hospital

DuPage

2977

1119

37.6%

Northwest Community Hospital

Cook

2959

1092

36.9%

Graham Hospital

Fulton

262

96

36.6%

Advocate BroMenn Medical Center

McLean

1563

571

36.5%

Morris Hospital & Healthcare Centers

Grundy

590

211

35.8%

Saint Anthony Medical Center

Winnebago

568

202

35.6%

Advocate Condell Medical Center

Lake

2217

788

35.5%

Advocate Good Samaritan Hospital

DuPage

1849

657

35.5%

Edward Hospital

DuPage

3470

1226

35.3%

Adventist La Grange Memorial Hospital

Cook

669

236

35.3%

St. Alexius Medical Center

Cook

3090

1089

35.2%

Foster G. McGaw Hospital - Loyola University Medic

Cook

886

308

34.8%

Advocate Christ Medical Center

Cook

4152

1440

34.7%

St. Margaret’s Hospital

Bureau

243

84

34.6%

Advocate - Good Shepherd Hospital

Lake

1618

559

34.5%

Passavant Area Hospital

Morgan

334

115

34.4%

Northwestern Lake Forest Hospital

Lake

1734

594

34.3%

Freeport Memorial Hospital

Stephenson

415

142

34.2%

Gottlieb Memorial Hospital

Cook

740

253

34.2%

Advocate Illinois Masonic Medical Center

Cook

2237

763

34.1%

Provena Mercy Medical Center

Kane

704

240

34.1%

St. Anthony’s Memorial Hospital

Effingham

813

277

34.1%

Resurrection Medical Center

Cook

972

331

34.1%

Little Company of Mary Hospital and Health Care Ce

Cook

969

329

34.0%

Provena Saint Joseph Medical Center

Will

1954

655

33.5%

Rush-Copley Medical Center

Kane

3499

1171

33.5%

Advocate Lutheran General Hospital

Cook

3894

1301

33.4%

St. Joseph Medical Center

McLean

802

266

33.2%

Palos Community Hospital

Cook

1105

366

33.1%

Carle Foundation Hospital

Champaign

2415

798

33.0%

University Of Chicago Medical Center

Cook

1551

510

32.9%

Highland Park Hospital

Lake

1315

432

32.9%

Good Samaritan Regional  Health Center

Jefferson

880

289

32.8%

Proctor Hospital

Peoria

634

208

32.8%

Greenville Regional Hospital, Inc.

Bond

180

59

32.8%

Centegra Hospital - Woodstock

McHenry

971

315

32.4%

Alexian Brothers Medical Center

Cook

2332

756

32.4%

Vista Medical Center East

Lake

1527

495

32.4%

Swedish American Hospital

Winnebago

2485

792

31.9%

Riverside Medical Center

Kankakee

1053

335

31.8%

St. John’s Hospital

Sangamon

1827

578

31.6%

Methodist Medical Center

Peoria

1778

559

31.4%

Touchette Regional Hospital

St  Clair

418

131

31.3%

Silver Cross Hospital

Will

1575

493

31.3%

Advocate South Suburban Hospital

Cook

1290

398

30.9%

Alton Memorial Hospital

Madison

535

164

30.7%

Adventist Glen Oaks Hospital

DuPage

605

185

30.6%

CGH Medical Center

Whiteside

570

172

30.2%

St. Mary Medical Center

Knox

277

83

30.0%

Sherman Hospital

Kane

2950

880

29.8%

Norwegian American Hospital

Cook

1624

480

29.6%

Provena Covenant Medical Center

Champaign

878

258

29.4%

Adventist Bolingbrook Hospital

Will

971

285

29.4%

Valley West Community Hospital

DeKalb

247

72

29.1%

Saint Mary Of Nazareth Hospital

Cook

1854

538

29.0%

Katherine Shaw Bethea Hospital

Lee

362

105

29.0%

Heartland Regional Medical Center

Williamson

946

272

28.8%

St. James Hospital & Health Center

Cook

1278

367

28.7%

MacNeal Hospital

Cook

1950

552

28.3%

John H. Stroger Hospital of Cook County

Cook

823

232

28.2%

Adventist Hinsdale Hospital

DuPage

2205

619

28.1%

Ingalls Memorial Hospital

Cook

1114

307

27.6%

VHS Westlake Hospital

Cook

1237

339

27.4%

Anderson Hospital

Madison

1844

505

27.4%

St. Mary’s Hospital

Macon

729

199

27.3%

Richland Memorial Hospital

Richland

350

95

27.1%

Kishwaukee Community Hospital

DeKalb

893

242

27.1%

Evanston Hospital

Cook

3439

931

27.1%

Northwestern Memorial Hospital

Cook

12694

3432

27.0%

Memorial Hospital Of Carbondale

Jackson

2059

553

26.9%

Ottawa Regional Hospital and Healthcare Center

LaSalle

369

99

26.8%

Provena United Samaritans Medical Center

Vermilion

740

193

26.1%

Memorial Medical Center

Sangamon

1743

454

26.0%

Provena Saint Mary’s Hospital

Kankakee

419

109

26.0%

Centegra Hospital - McHenry

McHenry

869

223

25.7%

Saint Joseph Hospital

Cook

1751

449

25.6%

Swedish Covenant Hospital

Cook

2343

593

25.3%

Perry Memorial Hospital

Bureau

119

30

25.2%

Mount Sinai Hospital Medical Center

Cook

3119

783

25.1%

Trinity Medical Center - Moline

Rock Island

1512

379

25.1%

Mercy Hospital & Medical Center

Cook

2905

728

25.1%

Saint Francis Hospital

Cook

786

194

24.7%

Blessing Hospital @ 11th Street

Adams

1146

281

24.5%

Saint Anthony’s Hospital

Madison

451

109

24.2%

Abraham Lincoln Memorial Hospital

Logan

236

55

23.3%

Elmhurst Memorial Hospital

DuPage

1284

299

23.3%

Sara Bush Lincoln Health Center

Coles

748

170

22.7%

Illinois Valley Community Hospital

LaSalle

412

93

22.6%

Jackson Park Hosp. Foundation

Cook

259

58

22.4%

Galesburg Cottage Hospital

Knox

391

86

22.0%

St. Bernard Hospital

Cook

1056

229

21.7%

Advocate Trinity Hospital

Cook

1458

313

21.5%

St. Elizabeth Hospital

St. Clair

1085

230

21.2%

St. Anthony Hospital

Cook

1811

375

20.7%

Holy Cross Hospital

Cook

265

51

19.2%

VHS West Suburban Medical Center

Cook

2003

380

19.0%

Provident Hospital of Cook County

Cook

254

47

18.5%

Jersey Community Hospital

Jersey

182

33

18.1%

St. Mary’s Hospital

Marion

374

65

17.4%

 

 

 

 

 

Cesarean Rates by State, 2010

 

 

 

 

 

Did not report or other possible problem

 

 

 

 

 

Hospitals

County

Total Live Births

Total CS

CS Rate

University of Illinois Medical Center @ Chicago

Cook

2437

0

0.0%

MetroSouth Medical Center

Cook

1608

0

0.0%

Memorial Hospital

St. Clair

1563

0

0.0%

St. Josephs  Hospital

Clinton

484

0

0.0%

Pekin Memorial Hospital

Tazewell

430

0

0.0%

St. Francis Hospital

Montgomery

334

0

0.0%

McDonough District Hospital

McDonough

308

0

0.0%

Roseland Community Hospital

Cook

301

0

0.0%

Gibson Community Hospital

Ford

172

0

0.0%

Memorial Hospital

Hancock

113

528

467.3%

Kewanee Hospital

Henry

82

0

0.0%

Our Lady of Resurrection Medical Center

Cook

<5

<5

50.0%

St. James Hospital  & Health Center

Cook

<5

<5

50.0%

 

 

 

The above data for the calendar year 2010 can be found on the Illinois Health Facilities and Services Review Board site, which falls under the auspices of the Illinois Department of Public Health. The report that lists both live births by hospital and number of cesareans performed at each hospital is called the Annual Hospital Quality Data Spreadsheet, which was last revised on November 29, 2011.

 

 

More reading:

Trends in Cesarean Deliveries in Illinois hospitals, 1994‐2007 (Illinois Department of Public Health, Office of Patient Safety and Quality. November 2009.)

SUBPART AF:  CATEGORY OF SERVICE REVIEW CRITERIA –  BIRTH CENTER - ALTERNATIVE HEALTH CARE MODEL” (Illinois Health Facilities and Services Review Board. April 2011.) Note: The IHFSRB home page reads “Birth Center Model Rules Approved by Board May 10, 2011.”

 

 

 

 

 

 

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Reader Comments (4)

Hi Jill, I hope all is well and thank you for all the hard work that you do in getting these statistics out to us. However, I am concerned that these lists are usually in descending order of total cesarean delivery rate. As you are aware, the total rate is not a good indicator of which hospital is better at avoiding unnecessary cesarean deliveries, but listing them this way my give the reader this false impression. The five minute video at http://www.youtube.com/watch?v=62OmPc2m0Aw explains why we need a cesarean birth MEASURE and not a cesarean birth RATE in order to find the hospitals and practitioners that have the labor management strategies that are best at avoiding unnecessary cesarean deliveries. How about alphabetical order?

December 4, 2011 | Unregistered CommenterGustavo San Roman, M.D.

Data=data. I do not see anything here instructing readers what to do with this information. Illinois rates are not relevant to me personally and yet I think it's interesting to see the highest rates listed first because it is interesting to see the highest and the lowest rates in any state. If Jill also wrote that everyone should run straight to the hospitals with the lowest c-section rates to make sure they don't get an unnecessary c-section, then that would be a problem.

On the other hand, you have a product to sell, so I wonder about your motives in making it sound like I am being intentionally deceived by reading these rates. Your motive is to sell your product. The post says that the Illinois Health Facilities and Services Review Board and the Illinois Department of Public Health have this information available to the public, too. So that's not misleading to the public as long as it's listed alphabetically? I just clicked on the pdf report from the Dept of PH and it says:

"Dissemination of this analysis of practice patterns may serve as the impetus to better understand the risks and
benefits of this procedure, to examine attitudes relating to childbirth, and to further evaluate obstetric
practices"

Seems like if the Dept of PH in Illinois thinks looking at rates is worthwhile, they win out over someone trying to peddle a product. I hope this doesn't sound rude by I think your comment is off-base.

December 5, 2011 | Unregistered CommenterCourtney

Hi Courtney, thank you for your post and it does not sound rude. Jill and I are on the same side, the side that wants to decrease unnecessary cesarean births. You can continue to wonder about my motives, but only after you have invested some of your time on my website and my YouTube channel. There you will find that my software is free for resident training and that all obstetrical care providers can obtain their Birthrisk Cesarean Birth Measure for free.

Please visit Jill’s Facebook page and read the comments of the individuals who used this list to pick a hospital. That is what gave me my concern. The total cesarean birth rate includes all patients. Therefore, if my hospital is the high risk referral center for premature births and patients with placenta previa then I may have a total cesarean birth rate of 40% even though the rest of the patients at my hospital had a 10% cesarean birth rate. If your hospital has only low risk women who have previously had vaginal deliveries and your total cesarean birth rate is 20% then you have a lot of unnecessary cesarean births, but your hospital will look like a much better place to have a baby compared to mine when listed by total cesarean birth rate.

In order to compare cesarean birth rates we first have to compare the same case mix of patients. The Joint Commission is using only Nulliparous Term Vertex Singleton pregnancies as their case mix and then they further adjust for maternal age but in a way that will prove to be problematic. My software uses Term Vertex Singleton pregnancies without a history of a prior cesarean birth and then further adjusts by parity, onset of labor, fetal size, maternal age, maternal weight gain, maternal height, initial maternal BMI and gestational age.

We will only be able to decrease the number of unnecessary cesarean births if we first figure out what the lowest number of necessary cesarean births should be for our population of women that will give birth.

December 5, 2011 | Unregistered CommenterGustavo San Roman, M.D.

I think the point that Dr. San Roman brings up is important. When my mother had me, she was termed so high a risk that only the state funded hospital in the area would see her about her pregnancy and delivery. So I personally don't think that looked at an un weighted set of rates to be particularly useful, but I suppose others might.

December 7, 2011 | Unregistered CommenterKala
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