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Physician Scorecards Shown to Reduce Elective Inductions

Date: 05.07.2013
Contact: Jennifer Farquhar, MBA Phone: (330) 375-4930

NEW ORLEANS, May 6, 2013 – Obstetricians who receive scorecards as part of a comprehensive safety program are more likely to follow elective induction guidelines set by The American College of Obstetricians and Gynecologists (ACOG) according to researchers at Summa Health System in Akron, Ohio.

“Performance scorecards for individual providers have thus far been untested, although the use of scorecards to track and improve quality of care at institutions is widely accepted,” said Edward M. Ferris, M.D., of Summa Health System. “Individualized scorecards can be an effective tool to meet the goals of increased transparency in healthcare and provide the necessary feedback for individual provider success.”

Summa researchers hypothesized that implementation of individualized provider scorecards would improve quality of care metrics and promote adherence to ACOG guidelines.

Based on a retrospective analysis, a blinded scorecard was distributed to obstetricians at Summa Akron City Hospital every six months for three time periods between 2010 and 2012. The scorecard reported on elective inductions at less than 39 weeks, c-section surgical site infections (CSI), and cesareans for nulliparous, term, singleton, vertex deliveries (CNTSV). Statistics were completed with SPSS20.0 using ANOVA with repeated measures with a Greenhouse-Geisser correction.

As a result of the scorecards, elective inductions for less than 39-weeks were reduced from five in the first time period to one in both the second and third periods. CSIs were reduced from 12 in the first period to four in the second period and nine in the third period. No changes were noted in CNTSV.

The research, titled “Physician Scorecards to Improve Care and Promote Adherence to ACOG Guidelines,” was selected for a poster presentation at the 61st Annual Clinical Meeting of the American College of Obstetricians and Gynecologists in New Orleans from May 4 to 8. Edward M. Ferris, M.D.; Tiffany Kenny, RN, MSN, C-EFM; Lisa Yeary, RN; Kenneth D. Snider, MA; Michele L. McCarroll, Ph.D.; and Vivian E. von Gruenigen, M.D., are authors.

An author from Summa Health System will be available to answer questions from 3 p.m. to 4 p.m. during poster session 2 on May 7 at station 15 in the Ernest N. Morial Convention Center Exhibit Hall

About Summa Health System

Summa Health System is one of the largest integrated healthcare delivery systems in Ohio. Encompassing a network of hospitals, community health centers, a health plan, a physician-hospital organization, a multi-specialty physician organization, research and multiple foundations, Summa is nationally renowned for excellence in patient care and for exceptional approaches to healthcare delivery. Summa's clinical services are consistently recognized by the American Nurses Credentialing Center (Magnet® status), U.S. News and World Report, Thomson Reuters and The Leapfrog Group. Summa also is a founding partner of the Austen BioInnovation Institute in Akron. For more information, visit or find us on Facebook at and Twitter at