California Health and Human Services Agency Secretary Dr. Mark Ghaly, along with Cal Hospital Compare, recognized hospitals across California today for their high performance in maternity care and commitment to appropriate opioid use – including Adventist Health/Rideout in Marysville.
• 32 hospitals met performance standards in both maternity and opioid care.
• 141 hospitals met performance standards in maternity care.
• 53 hospitals met performance standards in opioid care.
“Improving the quality of patient care in hospitals is an ongoing process,” said Dr. Ghaly. “These annual measurements through Cal Hospital Compare help us to applaud those hospitals doing excellent work and show where improvement is needed. With the impact of COVID-19 on our health care community, it is even more important to celebrate exemplary hospital performance.”
“Cal Hospital Compare is proud to contribute to the statewide effort to improve quality in the hospital setting by providing a roadmap and way to evaluate performance for hospitals in the important areas of maternity and opioid care - and show where improvement is needed,” said Bruce Spurlock, MD, the executive director of Cal Hospital Compare. “We invite all California hospitals to use these honor rolls as a tool to evaluate and benchmark performance against other hospitals.”
Cal Hospital Compare, a nonprofit organization, has been providing Californians with objective hospital performance ratings for more than a decade. For the last five years, California has also recognized hospitals that meet or exceed a statewide target of C-section rates of 23.9 percent for low-risk, first-births. For mothers, overuse of C-sections can result in higher rates of complications like hemorrhage, transfusions, infection, and blood clots. The surgery also brings risks for babies, including higher rates of infection, respiratory complications, neonatal intensive care unit stays, and lower breastfeeding rates.
The California Maternal Quality Care Collaborative collects the data and actively works with hospitals to safely reduce low-risk C-sections. Between 2014 and 2019, the percentage of California hospitals meeting the target went from 40% to 65%, representing 141 hospitals statewide. While there is still significant opportunity for improvement, the fact that so many hospitals have already reached or surpassed this target indicates that reducing unnecessary C-sections is a top priority for California hospitals providing maternity care.
“Our focus on providing excellent care in maternal services is a team effort,” said Virginia Medina, RN, manager, Family Birthing Center at Rideout. “We are so pleased to be among the hospitals that have earned Honor Roll status for maternity care and patient safety while reducing low-risk C-sections. “Many thanks go to our dedicated providers, nurses and healthcare teams.”
Cal Hospital Compare is also releasing its first Opioid Care Honor Roll, recognizing 53 hospitals for their progress and performance promoting safe and effective opioid use, providing treatment for patients with opioid use disorder, and providing access to naloxone to prevent opioid overdoses. According to state data, over 2,400 Californians died of an opioid-related overdose in 2018. Patients with opioid use disorder are frequently hospitalized or visit the emergency department due to complications of the condition without also receiving treatment for the underlying disease of opioid addiction. This is a missed opportunity and leaves patients untreated and at high risk of future overdose.
“I am so proud of our hospital for achieving the highest level of recognition for our Opioid Care with California Hospital Compare’s “Superior Performance” status,” said J.Eileen Morley, MD, Emergency Medicine, Assistant Medical Director. “We have worked very hard to deeply transform the care that our community receives for Opioid Use Disorder via our outstanding CA Bridge program in the Emergency Department, as well as improving our already excellent performance related to hospital opioid safety, community engagement, prevention of overdose, and much more.”
In 2020, 89 hospitals voluntarily reported their progress on addressing the opioid crisis. While results show participating hospitals are making progress, it is also clear more work is needed, when results are compared to those collected in the 2019 pilot year. Opportunities include addressing stigma among physicians and staff, patient and family engagement, and developing innovative strategies that consider social determinants of health. In 2021, Cal Hospital Compare will continue to offer learning opportunities to support the rapid spread of evidence-based practices among hospitals.
“I encourage all hospitals to participate in the Opioid Care Honor Roll program next year,” said Dr. Ghaly. “Cal Hospital Compare has numerous free resources available that will help hospitals be more effective against this epidemic. Participating in the Opioid Care Honor Roll demonstrates a hospital’s commitment to treating opioid use disorder and reducing deaths from addiction.”
“In particular, we’d like to applaud the following 32 hospitals for achieving recognition on the Maternity and Opioid Care Honor Rolls,” said Dr. Ghaly.
For more information on individual honor rolls and recipients please refer to the Cal Hospital Compare website.
Hospitals with Maternity and Opioid Care Honor Roll Status:
Adventist Health Rideout Memorial Hospital, Marysville.
Adventist Health Clear Lake, Clearlake.
Adventist Health Ukiah Valley, Ukiah.
Bakersfield Memorial Hospital, Bakersfield.
California Hospital Medical Center, Los Angeles.
Community Hospital of the Monterey Peninsula, Monterey.
Contra Costa Regional Medical Center, Martinez.
Doctors Medical Center of Modesto, Modesto.
Enloe Medical Center - Esplanade Campus, Chico.
Harbor - UCLA Medical Center, Torrance.
Highland Hospital, Oakland.
Marshall Medical Center, Placerville.
MemorialCare Saddleback Medical Center, Laguna Hills.
Mercy Medical Center Mount Shasta, Mount Shasta.
Mercy Medical Center Redding, Redding.
Olive View - UCLA Medical Center, Sylmar.
Providence Saint John’s Health Center, Santa Monica.
Santa Clara Valley Medical Center, San Jose.
Scripps Memorial Hospital – Encinitas, Encinitas.
Scripps Mercy Hospital, San Diego.
St. Bernardine Medical Center, San Bernardino.
St. Joseph Hospital, Eureka, Eureka.
St. Joseph’s Medical Center – Stockton, Stockton.
Opiod Use Disorder Help and Information
“If you or anyone you know is suffering from opioid use disorder or addiction of any sort, please visit Adventist Health and Rideout Emergency Department anytime 24/7, or call our dedicated Substance Use Navigator Mr. Todd O’Berg at 530-490-1285 to get help. We also offer free naloxone (the nasal spray that reverses opioid overdose) in the Emergency Department to anyone who might be in the position to save a life (which is all of us!), just ask! Again, my congratulations to all our hospital staff – physicians, PAs, NPs, nurses, techs, everyone, who have come together to make such a difference for our community.” – J. Eileen Morley, MD