The Scarborough Hospital’s (TSH) performance in Ontario’s pregnancy, birth and childhood registry not only exceeds our peer hospitals, but in many cases also rates ahead of the entire province.
The Better Outcomes Registry and Network (BORN) was established in 2009 to collect, share and rigorously protect critical data about each child born in the province. It is funded by the Ministry of Health and Long-Term Care and administered by the Children’s Hospital of Eastern Ontario (CHEO). The BORN database includes information from every birthing hospital and midwifery practice in Ontario.
TSH receives regular “dashboards” documenting our results over a three month period in key performance indicators, including episiotomy, induction, caesarean section and breastfeeding rates, as well as pre-natal and newborn screening. The dashboards show how TSH compares to benchmark targets, with the provincial rate and with peer hospitals in the Greater Toronto Area (GTA) that provide the same level of neonatal care and have the same number of deliveries.
The Family Maternity Centres at the General and Birchmount campuses posted outstanding results in the latest dashboards covering the period from November 1, 2013 to January 31, 2014. Some of these results included:
- No women had to be induced for non-medical reasons before 41 weeks gestation at either the Birchmount or General campus. This was considerably lower than GTA peer hospitals, as well as the provincial rate of 18.6%.
- The number of women with low-risk pregnancies who had a repeat caesarean section at 37 to 39 weeks gestation was just 2.4% at the General campus and 6.3% at the Birchmount campus. This was considerably lower than GTA peer hospitals, as well as the provincial rate of 35.5%.
- Only 8.9% of women at the General campus and 7.8% of women at the Birchmount campus who delivered vaginally had an episiotomy. This is a better rate than the benchmark target of 13%.
“Our performance in these key quality metrics is a result of a concerted effort by everyone in our Maternal Newborn and Child Care program to deliver safe, evidence-based care to our patients,” said Barb Scott, Patient Care Director of the Maternal Newborn and Child Care program.
“By monitoring and reporting on best practices in obstetrical care, BORN is setting a high standard for all hospitals and midwifes across the province,” said Dr. Georgina Wilcock, Co-Medical Director, Obstetrics.
“We are proud that the BORN results reflect the excellent care we provide to women and their babies at our hospital. Our ongoing commitment is to provide the best and safest care.”
This is not the first time TSH’s Maternal Newborn and Child Care program has achieved such exceptional results. For the last two years, the hospital has had the best rates in the GTA for proving women with a successful vaginal birth after caesarean section, as measured by the Canadian Institute for Health Information’s (CIHI) Canadian Hospital Reporting Project (CHRP).
“The Scarborough Hospital delivers about 5,000 babies per year, and continues to be a regional leader in Women’s Health services,” says Dr. Nathan Roth, Co-Medical Director, Obstetrics.
“Our success reflects our collaborative care model combining patient choice with the expertise of our clinical professionals and placing a high value on an interprofessional team approach.”