From the Field: Leapfrog Hospital Survey: Hospital Rates of Early Elective Deliveries

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Project Title

Leapfrog Hospital Survey: Hospital Rates of Early Elective Deliveries

Name of organization, agency, or institution

The Leapfrog Group, in partnership with Childbirth Connection and the March of Dimes

Project Aim and Goals

The Leapfrog Group, an organization representing employers working to drive quality improvement and value in health care, collected data from 773 hospitals on the “elective deliveries before 39 weeks” quality measure that was endorsed by NQF and adopted by the Joint Commission last year.  The results of this hospital quality survey were made available in an online database, for the first time revealing the wide variation across hospitals to childbearing women, policy makers, and payers. Leapfrog worked with large employers and regional business health coalitions to ask hospitals to participate in the survey. Individuals interested in helping increase the number of hospitals reporting data to the Leapfrog Hospital Survey are encouraged to contact the business coalition partner in their region.

Timed with the release of the hospital data, Childbirth Connection launched a new web resource reviewing the benefits, harms, and appropriate uses of induction of labor. And The March of Dimes offered new resources for consumers and professionals regarding early elective delivery and collaborated with Leapfrog on a webinar about the Less than 39 Weeks Toolkit.

Blueprint Area(s) Addressed

Strategies Used


The findings from 773 hospitals in Leapfrog’s 2010 annual hospital survey reveal significant variation among hospitals in their rates of early elective cesarean section and elective inductions, with some hospitals having ten times the rate of others. Publication of these rates led to significant media attention and has galvanized action among some poorly performing hospitals to reduce rates of early elective deliveries.

Articles About the Project

The Real Cost of Early Elective Deliveries (The Health Care Blog, 2/10/11)

A Push for More Pregnancies to Last 39 Weeks (Wall Street Journal, 3/1/11)

For More Information


Filed in Blueprint, Childbirth Connection, Clinical controversies, Decision making and choice, Performance measurement, Performance measurement/reporting, Progress, Stories from the Field on Sun., Mar 6, 2011

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