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Wednesday
Sep212011

Louisiana Cesarean Rates by Hospital, 2009

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By Jill Arnold

 

Louisiana had the highest cesarean rate in the nation in 2009 according to Centers for Disease Control and Prevention preliminary data.

The following cesarean rates for Lousiana hospitals are based on LHIN inpatient billing data for all payors and represent the 12 months ending 12/31/2009. See below for limitations of these data

 

Hospital Name

 

Total C/S

 

Total VB

 

Total Births

 

C/S Rate

Ochsner Saint Anne General Hospital

 

119

 

73

 

192

 

62.0%

Beauregard Memorial Hospital

 

156

 

126

 

282

 

55.3%

River Parishes Hospital

 

126

 

121

 

247

 

51.0%

Huey P. Long Medical Center

 

52

 

50

 

102

 

51.0%

CHRISTUS Saint Frances Cabrini Hospital

 

479

 

472

 

951

 

50.4%

Thibodaux Regional Medical Center

 

334

 

346

 

680

 

49.1%

East Jefferson General Hospital

 

809

 

840

 

1649

 

49.1%

IASIS Glenwood Regional Medical Center

 

17

 

18

 

35

 

48.6%

Lakeview Regional Medical Center

 

500

 

532

 

1032

 

48.4%

Opelousas General Health System

 

589

 

633

 

1222

 

48.2%

Rapides Regional Medical Center

 

1002

 

1089

 

2091

 

47.9%

Savoy Medical Center

 

135

 

148

 

283

 

47.7%

St. Tammany Parish Hospital

 

615

 

687

 

1302

 

47.2%

Ochsner Medical Center - Kenner

 

503

 

587

 

1090

 

46.1%

Lincoln General Hospital

 

353

 

419

 

772

 

45.7%

American Legion Hospital

 

194

 

235

 

429

 

45.2%

Ochsner Medical Center

 

823

 

1005

 

1828

 

45.0%

West Jefferson Medical Center

 

539

 

694

 

1233

 

43.7%

Iberia Medical Center

 

218

 

285

 

503

 

43.3%

West Calcasieu Cameron Hospital

 

65

 

86

 

151

 

43.0%

Women & Children’s Hospital

 

520

 

716

 

1236

 

42.1%

CHRISTUS Schumpert Health System

 

353

 

491

 

844

 

41.8%

Minden Medical Center

 

299

 

423

 

722

 

41.4%

Slidell Memorial Hospital

 

312

 

456

 

768

 

40.6%

Franklin Foundation Hospital

 

43

 

63

 

106

 

40.6%

NorthShore Regional Medical Center

 

220

 

323

 

543

 

40.5%

Tulane Medical Center

 

821

 

1207

 

2028

 

40.5%

Willis-Knighton Bossier Health Center

 

354

 

538

 

892

 

39.7%

Terrebonne General Medical Center

 

769

 

1195

 

1964

 

39.2%

Lafayette General Medical Center

 

688

 

1073

 

1761

 

39.1%

University Medical Center in Lafayette

 

142

 

223

 

365

 

38.9%

Woman’s Hospital

 

3145

 

4955

 

8100

 

38.8%

Byrd Regional Hospital

 

137

 

216

 

353

 

38.8%

Lane Regional Medical Center

 

158

 

251

 

409

 

38.6%

Eunice Community Medical Center

 

160

 

271

 

431

 

37.1%

Lake Charles Memorial Hospital

 

609

 

1037

 

1646

 

37.0%

Women’s & Children’s Hospital

 

1253

 

2159

 

3412

 

36.7%

Ochsner Medical Center - West Bank

 

519

 

942

 

1461

 

35.5%

Leonard J. Chabert Medical Center

 

128

 

233

 

361

 

35.5%

North Oaks Medical Center

 

555

 

1026

 

1581

 

35.1%

Dauterive Hospital

 

186

 

354

 

540

 

34.4%

Natchitoches Regional Medical Center

 

211

 

414

 

625

 

33.8%

Earl K. Long Medical Center

 

228

 

457

 

685

 

33.3%

Teche Regional Medical Center

 

160

 

346

 

506

 

31.6%

Abbeville General Hospital

 

46

 

104

 

150

 

30.7%

Jennings American Legion Hospital

 

129

 

297

 

426

 

30.3%

Touro Infirmary

 

752

 

1877

 

2629

 

28.6%

St. Francis Medical Center

 

353

 

1205

 

1558

 

22.7%

 

 

20878

 

31298

 

52176

 

40.0%

 

 

State-level cesarean rates from 1990-2009

 

Where do the inpatient services data come from? 

Inpatient Services

Information in this report is taken from a hospital’s billing data. Most hospitals participate in the Louisiana Health Information Network (LHIN), a statewide data sharing program. Participating hospitals provide billing data for all inpatients.

If a hospital does not participate in the LHIN, data in this report are taken from the Medicare Provider Analysis and Review (MedPAR) file which is updated annually by the Centers for Medicare and Medicaid Services (CMS), the federal organization that oversees the programs.  The file provides billing data for all Medicare fee-for-service claims. It does not, however, contain data for other patients.

Each patient is categorized into Diagnosis Related Groups (DRGs) according to diagnostic information, the procedures performed, patient age, and other factors.  Our report is based on DRGs, but uses modified descriptions to make them easier to read and understand.  The DRGs with the largest numbers of admissions (as ranked by volume for Louisiana hospitals) are reported:

  • Categories - the most common DRGs are categorized for review.  These categories are unique to this website.
  • Description - simplified descriptions are used instead of the technical terminology associated with DRGs.  DRG numbers are included within parentheses as part of the description.
  • Patients - the total number of Medicare patients in the DRG category for the 12 month period being reported. 

 

Limitations of these data

These data do not represent all 2009 births in the state of Louisiana according to the Louisiana Department of Health and Hospitals. The Louisiana Hospital Association only has data for 52,176 births and birth certificate data show that there were 64,843 births in the state in 2009.

Births Occuring to Louisiana Residents, 2006-2010

YEAR

NUMBER

2006

63,186

2007

66,063

2008

65,076

2009

64,843

2010

61,868

 

CDC NCHS Method of Delivery Data by Parish, 2008

Another look at Louisiana method of delivery data is available at the county level based on CDC’s 2008 final birth data. Note: These data are from the previous calendar year ending in 12/31/2008 and are the most recent available at VitalStats.

Parish

Vaginal

 

C-section

 

Not stated

 

Total Births

 

C/S Rate

 

 

 

 

 

 

 

 

 

 

Caddo Parish,LA

2406

 

1524

 

3

 

3933

 

38.7%

Calcasieu Parish,LA

1799

 

1032

 

3

 

2834

 

36.4%

East Baton Rouge Parish,LA

4724

 

1652

 

38

 

6414

 

25.8%

Jefferson Parish,LA

3506

 

2610

 

2

 

6118

 

42.7%

Lafayette Parish,LA

2016

 

1191

 

1

 

3208

 

37.1%

Orleans Parish,LA

2712

 

1608

 

1

 

4321

 

37.2%

Ouachita Parish,LA

1523

 

890

 

7

 

2420

 

36.8%

Rapides Parish,LA

996

 

966

 

 

 

1962

 

49.2%

St. Tammany Parish,LA

1660

 

1330

 

3

 

2993

 

44.4%

Tangipahoa Parish,LA

1193

 

734

 

3

 

1930

 

38.0%

Terrebonne Parish,LA

1067

 

688

 

 

 

1755

 

39.2%

Louisiana counties <100,000 population

16826

 

10520

 

34

 

27380

 

38.4%

 

40428

 

24745

 

95

 

65268

 

37.9%

C/S rate = C-section/Total Births 


Centers for Disease Control and Prevention. National Center for Health Statistics. VitalStats. http://www.cdc.gov/nchs/vitalstats.htm. September 20, 2011.

 

Recommendation

With the highest cesarean rate in the nation, the Louisiana Department of Health and Hospitals should regularly publish inpatient utilization data on its web site that include facility-level cesarean section rates to ensure that all facilities have accurate information about their procedure usage available to the public. Engaging the consumer, a key stakeholder, by providing them with data needed to make informed decisions on their health care would be a reasonable objective to include in the DHH Birth Outcomes Initiative.

 

 

 

 

 

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Reader Comments (1)

i couldnt even finish reading the list after seeing that 62% number thats rediculous, i cant imagine the excuses they have for that horrendous number..

September 25, 2011 | Unregistered CommenterKassedi
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