Foundation Program Sites

Obstetric (Maternity) Care

Cesarean sections (C-sections) show wide variation and overuse nationally and also in Washington State. This workgroup met from December 2011 to July 2012 and developed three primary goals:

  • Eliminate all elective deliveries before the 39th week of pregnancy (for which there is no appropriate documentation of medical necessity).
  • Decrease elective inductions of labor between 39 and up to 41 weeks.
  • Decrease unsupported variation among Washington hospitals in the C-section rate for women who have never had a C-section.

Supporting Materials

Letter from Health Care Authority Accepting Obstetrics Care Report

Workgroup Members

Member Title Organization
Theresa Helle Manager, Health Care Quality & Efficiency Initiatives The Boeing Company
Ellen Kauffman, MD OB-COAP Medical Director Foundation for Health Care Quality
Robert Mecklenburg, MD Medical Director, Center for Health Care Solutions Virginia Mason Medical Center
Carl Olden, MD (Chair) Family Physician Pacific Crest Family Medicine, Yakima
Mary Kay O’Neill, MD, MBA Executive Medical Director Regence Blue Shield
Dale Reisner, MD Obstetrician/Gynecologist Swedish Hospital Perinatologist
Terry Rogers, MD Chief Executive Officer Foundation for Health Care Quality
Roger Rowles, MD Obstetrician/Gynecologist Yakima Memorial OB-GYN


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