The Clinton Herald, Clinton, Iowa

Lifestyles

December 6, 2012

Hospital incentives help babies determine own birth dates

(Continued)

A two-year effort in Washington state shows the possibilities of such an approach. After studying records from across the state, Washington health authorities concluded that 15 percent of the 80,000 annual births were elective deliveries at 37 to 39 weeks; no medical reason for a C-section or induction was given.

To discourage unnecessary surgeries, the state shaved off $1,000 from the $7,000 to $10,000 in Medicaid payments hospitals received for uncomplicated C-sections, saving $3 million a year. (Medicaid covers about half of all births in Washington, as in the rest of the country.)

On top of this disincentive, an incentive was added. The state Legislature created a $10 million reward to be shared by hospitals that showed marked improvement on five patient-health measures, including reducing optional early births. Consequently, hospitals began requiring physicians to document a medical reason for every delivery before 39 weeks; others required all such births to be approved by a senior medical officer. For some, educating staff about the risks of delivering at 37 to 39 weeks was sufficient to bring rates down. Significantly, the effort is led by a committee, the Washington State Perinatal Collaborative, that includes doctors.

The initiative's results have been impressive. Elective early deliveries have been reduced 77 percent, from 15 percent of births to 3.4 percent; in the last year, 600 babies who would have been delivered before 39 weeks were born after. The perinatal group is using data it collected on C-section rates to help hospitals and physicians zero in on best practices.

A handful of other states are experimenting with measures to reduce optional early births. Others should look to Washington's proven success and model the virtues of its program.

Text Only
Lifestyles
  • Students get first-hand look at non-profits CLINTON — An upcoming event will showcase Clinton area’s non-profits to incoming Ashford University students.The second Fresh START (Serving to Achieve Results Together) event will be held Saturday, Aug. 16. Students and staff members will serve at v

    July 23, 2014

  • The Clinton Herald Jim Miller Low-cost, free cellphone options for seniors DEAR SAVVY SENIOR: What are the cheapest cell phone options available today to seniors living on a shoestring budget? I only need it for occasional calls. — Seldom Calling SeniorDEAR SELDOM: For financially challenged seniors who only want a cell pho

    July 19, 2014 1 Photo

  • Friend of the Fair Two honored as 'Friends' MORRISON, Ill. — The Whiteside County Fair recently announced its 2014 Friend of the Fair. Paul Vock and Dan Heusinkveld are this year’s honorees. The two men have been involved with the fair for decades.Vock started with the fair in 1971 as the Heav

    July 22, 2014 1 Photo

  • Bice Nurses earn Daisy awards

    CLINTON — Two Clinton nurses recently earned Daisy awards.Mercy Medical Center nurses Jodie Atkinson and Kristen Bice earned the awards that is rewarded to extraordinary nurses. Atkinson began her career in nursing at Mercy Medical Center in 1995 on

    July 22, 2014 2 Photos

  • Revolver goes for $400 at auction CLINTON — Selling in two locations on June 21 proved to be a winner. I was selling in the first location with my son Jon and we had a strong bidding crowd. The second location had Jeff Lohr and Bill McWilliams holding firm with a nice crowd of bidder

    July 19, 2014

  • Sawmill New event cruises into Clinton CLINTON — Three Gateway-area locations are joining together in August for a river heritage event.The event will be held Aug. 3 and will feature a Blue Heron river cruise, a Sawmill Museum tour and a de Immigrant Windmill tour in Fulton, Illinois. The

    July 18, 2014 3 Photos

  • Minnick Ashford director appointed to commission CLINTON —The Ashford University campus director has been appointed to a volunteer commission.Charlie Minnick, vice president/campus director of Ashford University, has been appointed by Iowa Gov. Terry Branstad to the Iowa Commission on Volunteer Ser

    July 18, 2014 1 Photo

  • Summer lunch menus (July 21 to 25)

    Summer lunch menus at Jefferson and Bluff Elementary Schools, and Generations Area Agency on Aging

    July 17, 2014

  • Ax throw, log climb at Adirondack lumberjack class PAUL SMITHS, N.Y. — Ax throwing is encouraged in lumberjack class. It’s also OK to dump your classmate in the lake — as long as you’re both frantically trying to stay upright on a floating log.The annual Adirondack Woodsmen’s School is being held thi

    July 17, 2014

  • Locally-grown foods look to bigger business

    Once a niche business, locally grown foods aren't just for farmers markets anymore.

    July 16, 2014

Front page
Clinton Herald Photos


Browse, buy and submit pictures with our photo site.

Poll

Should the city of Clinton appeal the open records violation ruling that will cost taxpayers $40,600?

Yes
No
     View Results
AP Video
Olympics 2014
Featured Comment
Featured Ads
Blue Zones Project
Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.