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Municipality Bowmanville Category Child birth - Utilization rates Select a different category   LEGEND: BLUE Better than the Ontario average for the selected year. WHITE Not different from the Ontario average for the selected year. RED Worse than the Ontario average for the selected year. - No data were available for this year. DEFINITIONS: Rank All institutions were ranked on each indicator based on their scores, where the highest rank of 1 corresponds to the highest score out of 100. Volume indicators were not ranked since they have threshold requirements. Score The score indicates how well a hospital performs on a given indicator, based on its risk adjusted rate where a score of 100 is the highest. Risk adjusted rate Measures the observed rate adjusted for differences in patients’ age, sex, and the presence of complications. Observed rate Measures the outcome of interest compared to population at risk. Ontario average/total This value is the risk adjusted average (Ontario average) or total (Ontario total) of an indicator across all acute care hospitals in Ontario. Cesarean delivery Surgical removal of a baby through the mother's abdomen. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 32.84% 34.49% 39.73% 39.62% 35.94% Risk adjusted - - - - - 31.04% 32.95% 38.08% 37.11% 33.56% Ontario average - - - - - 25.48% 27.75% 28.15% 28.83% 28.89% Compare this indicator against other municipalities in Ontario Vaginal birth after cesarean (VBAC), uncomplicated Rate of vaginal births that occurred in mothers who had delivered previously by Cesarean section. Higher rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 18.82% 25.26% 12.87% 12.12% 18.00% Risk adjusted - - - - - 18.99% 25.46% 12.99% 12.13% 18.01% Ontario average - - - - - 22.16% 19.8% 17.31% 15.8% 15.27% Compare this indicator against other municipalities in Ontario Primary cesarean delivery Surgical removal of a baby through the mother's abdomen during the first birth inclusively. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 23.91% 26.51% 29.81% 29.54% 26.26% Risk adjusted - - - - - 23.62% 26.30% 29.52% 28.93% 25.64% Ontario average - - - - - 18.99% 20.77% 20.72% 20.99% 20.85% Compare this indicator against other municipalities in Ontario Vaginal birth after cesarean (VBAC), all Rate of vaginal births that occurred in mothers who had delivered previously by Cesarean section. Higher rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed - - - - - 17.78% 25.49% 12.96% 13.21% 16.96% Risk adjusted - - - - - 18.02% 25.75% 13.12% 13.26% 17.03% Ontario average - - - - - 22.27% 19.76% 17.35% 15.91% 15.47% Compare this indicator against other municipalities in Ontario * Note: It is not possible to compare data from 1997-2001 with data from 2002-2005 because of the change in coding classification.

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