Utilization Rates* for Selected Medical Procedures in California Hospitals, 2006 Office of Statewide Health Planning and Development, Hospital Patient Data**

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% ALAMEDA ALAMEDA CO MED CTR - HIGHLAND CAMPUS 21.6 (315) 12.7 (160) 32.8 (76) 31.3 (77) 72.0 (70) ALAMEDA HOSPITAL 82.6 (19) ALTA BATES SUMMIT MED CTR - ALTA BATES CAMPUS 23.8 (1645) 15.5 (900) 21.1 (198) 20.2 (216) 88.8 (132) ALTA BATES SUMMIT MED CTR - SUMMIT CAMPUS-HAWTHORNE 91.6 (200) CHILDRENS HOSPITAL AND RESEARCH CTR AT OAKLAND EDEN MEDICAL CENTER 25.7 (249) 16.7 (141) 2.7 (3) 2.3 (3) 87.9 (117) KAISER FND HOSP - FREMONT 86.3 (104) KAISER FND HOSP - HAYWARD 21.5 (587) 14.5 (337) 23.2 (75) 22.0 (85) 76.5 (116) KAISER FND HOSP - OAKLAND CAMPUS 25.1 (583) 17.3 (336) 15.8 (46) 16.0 (53) 69.9 (67) KINDRED HOSPITAL - SAN FRANCISCO BAY AREA SAN LEANDRO HOSPITAL 80.4 (48) ST. ROSE HOSPITAL 23.0 (224) 13.3 (118) 3.6 (4) 3.9 (5) 82.5 (77) VALLEY MEMORIAL HOSPITAL - LIVERMORE 29.7 (449) 19.3 (236) 3.2 (7) 2.9 (7) 93.6 (85) WASHINGTON HOSPITAL - FREMONT 22.9 (615) 14.2 (323) 8.8 (28) 9.5 (33) 88.0 (129) AMADOR SUTTER AMADOR HOSPITAL 41.7 (62) 26.6 (32) 75.7 (27) BUTTE BIGGS GRIDLEY MEMORIAL HOSPITAL 66.2 (2) ENLOE MEDICAL CENTER - ESPLANADE CAMPUS 24.9 (390) 13.6 (186) 3.8 (8) 3.6 (8) 71.6 (83) FEATHER RIVER HOSPITAL 24.7 (168) 15.5 (96) 2.7 (2) 2.4 (2) 95.9 (68) OROVILLE HOSPITAL 34.5 (170) 18.3 (78) 2.1 (2) 1.9 (2) 90.5 (187)

* Agency for Healthcare Research and Quality, Inpatient Quality Indicators, Utilization Rates, Version 3.1; All indicators are age-adjusted and laparoscopic cholecystectomy is also sex-adjusted. ** Patient Discharge Data, 2006, OSHPD Note: First number is the rate; Number in parentheses ( ) is the number of procedures; Blank cells indicate that no procedures were performed. VBAC = Vaginal Birth After Cesarean; C-SECTION = Cesarean Section (see webpage for rate explanation http://www.oshpd.ca.gov/Charts/VolUtil/index.htm ) Utilization Rates* for Selected Medical Procedures in California Hospitals, 2006 Office of Statewide Health Planning and Development, Hospital Patient Data**

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% CALAVERAS MARK TWAIN ST. JOSEPH'S HOSPITAL 17.1 (16) 4.8 (4) 62.3 (14) COLUSA COLUSA REGIONAL MEDICAL CENTER 33.6 (67) 19.5 (33) 2.8 (1) 2.4 (1) 21.6 (2) CONTRA COSTA CONTRA COSTA REGIONAL MEDICAL CENTER 20.5 (404) 11.9 (206) 31.0 (90) 29.5 (96) 80.0 (91) DOCTORS MEDICAL CENTER - SAN PABLO CAMPUS 16.7 (73) 11.6 (49) 11.0 (3) 10.6 (3) 85.7 (55) JOHN MUIR MEDICAL CENTER-CONCORD CAMPUS 93.0 (145) JOHN MUIR MEDICAL CENTER-WALNUT CREEK CAMPUS 22.3 (650) 13.6 (317) 15.3 (59) 13.7 (60) 94.4 (202) KAISER FND HOSP - RICHMOND CAMPUS 77.1 (14) KAISER FND HOSP - WALNUT CREEK 19.7 (829) 13.2 (473) 18.7 (81) 17.9 (90) 84.6 (228) SAN RAMON REGIONAL MEDICAL CENTER 33.4 (287) 24.1 (161) 95.6 (75) SUTTER DELTA MEDICAL CENTER 21.9 (190) 13.0 (100) 16.0 (17) 15.6 (19) 88.8 (82) DEL NORTE SUTTER COAST HOSPITAL 21.6 (69) 12.7 (38) 88.6 (21) EL DORADO BARTON MEMORIAL HOSPITAL 24.0 (117) 12.1 (51) 1.5 (1) 1.3 (1) 93.7 (83) MARSHALL MEDICAL CENTER (1-RH) 25.5 (153) 13.9 (72) 7.9 (7) 10.9 (11) 93.5 (87) FRESNO COALINGA REGIONAL MEDICAL CENTER COMMUNITY MEDICAL CENTER - CLOVIS 32.2 (856) 18.9 (408) 4.9 (23) 5.3 (28) 86.4 (98) COMMUNITY REGIONAL MEDICAL CENTER-FRESNO 28.5 (1804) 13.9 (759) 7.5 (85) 7.8 (105) 75.9 (127) FRESNO HEART HOSPITAL 93.6 (20) FRESNO SURGERY CENTER 86.9 (28) KAISER FND HOSP - FRESNO 23.9 (286) 16.3 (168) 26.7 (43) 23.9 (43) 80.3 (106)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% KINGSBURG MEDICAL CENTER SAN JOAQUIN VALLEY REHABILITATION HOSPITAL SIERRA KINGS DISTRICT HOSPITAL 32.1 (453) 16.4 (198) 80.2 (8) ST. AGNES MEDICAL CENTER 32.9 (1021) 20.5 (548) 3.9 (19) 3.7 (20) 83.9 (232) UNIVERSITY MEDICAL CENTER 70.6 (103) GLENN GLENN MEDICAL CENTER HUMBOLDT JEROLD PHELPS COMMUNITY HOSPITAL MAD RIVER COMMUNITY HOSPITAL 18.9 (96) 11.6 (51) 30.7 (20) 29.0 (20) 72.2 (35) REDWOOD MEMORIAL HOSPITAL 17.7 (62) 10.1 (32) 28.4 (12) 26.3 (13) 96.0 (12) ST. JOSEPH HOSPITAL - EUREKA 29.0 (172) 17.3 (90) 1.2 (1) 2.1 (2) 86.0 (75) IMPERIAL EL CENTRO REGIONAL MEDICAL CENTER 43.5 (600) 27.8 (300) 1.0 (3) 0.9 (3) 87.3 (72) PIONEERS MEMORIAL HOSPITAL 26.9 (350) 11.1 (125) 80.0 (68) INYO NORTHERN INYO HOSPITAL 22.1 (45) 9.5 (17) 97.8 (49) SOUTHERN INYO HOSPITAL KERN BAKERSFIELD HEART HOSPITAL 79.3 (31) BAKERSFIELD MEMORIAL HOSPITAL- 34TH STREET 19.6 (452) 8.9 (186) 12.7 (39) 12.6 (44) 74.2 (187) DELANO REGIONAL MEDICAL CENTER 25.0 (210) 10.5 (77) 1.5 (2) 1.4 (2) 58.3 (72) GOOD SAMARITAN HOSPITAL-BAKERSFIELD 64.8 (6) KERN MEDICAL CENTER 25.5 (912) 11.2 (340) 16.1 (110) 16.5 (132) 71.6 (80)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% KERN VALLEY HEALTHCARE DISTRICT MERCY HOSPITAL - BAKERSFIELD 24.1 (769) 14.6 (396) 19.8 (93) 19.1 (101) 83.7 (210) RIDGECREST REGIONAL HOSPITAL 35.8 (160) 21.6 (84) 2.5 (2) 2.4 (2) 90.8 (50) SAN JOAQUIN COMMUNITY HOSPITAL 21.9 (409) 7.9 (131) 9.1 (28) 8.3 (28) 81.8 (141) TEHACHAPI HOSPITAL KINGS CENTRAL VALLEY GENERAL HOSPITAL 36.3 (649) 19.6 (294) 1.4 (5) 1.3 (5) 86.2 (22) CORCORAN DISTRICT HOSPITAL 100.0 (3) HANFORD COMMUNITY MEDICAL CENTER 32.1 (201) 16.2 (86) 4.9 (6) 4.2 (6) 89.2 (99) LAKE REDBUD COMMUNITY HOSPITAL 19.5 (32) 5.4 (8) 4.0 (1) 3.7 (1) 72.8 (12) SUTTER LAKESIDE HOSPITAL 28.1 (82) 16.2 (42) 2.4 (1) 4.5 (2) 88.2 (49) LASSEN BANNER LASSEN MEDICAL CENTER 25.4 (51) 10.4 (18) 80.4 (15) LOS ANGELES ALHAMBRA HOSPITAL 64.8 (8) ANTELOPE VALLEY HOSPITAL MEDICAL CENTER 26.8 (1324) 13.9 (601) 3.2 (24) 3.8 (32) 77.1 (178) BARLOW RESPIRATORY HOSPITAL BELLFLOWER MEDICAL CENTER 39.9 (722) 24.0 (353) 82.3 (49) BEVERLY HOSPITAL 36.4 (586) 21.8 (293) 0.3 (1) 0.3 (1) 75.9 (89) BROTMAN MEDICAL CENTER 67.9 (38) CALIFORNIA HOSPITAL MEDICAL CENTER - LOS ANGELES 27.0 (893) 16.4 (464) 24.7 (141) 22.6 (158) 82.2 (146) CATALINA ISLAND MEDICAL CENTER

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% CEDARS SINAI MEDICAL CENTER 25.6 (1781) 19.8 (1153) 14.9 (108) 14.9 (125) 83.0 (298) CENTINELA FREEMAN REG MED CTR - CENTINELA CAMPUS 28.9 (912) 14.6 (388) 5.9 (33) 5.6 (37) 83.3 (62) CENTINELA FREEMAN REG MED CTR - MARINA CAMPUS 95.5 (24) CENTINELA FREEMAN REG MED CTR - MEMORIAL CAMPUS 32.8 (6) 19.7 (3) 77.5 (27) CENTURY CITY DOCTORS HOSPITAL 92.8 (45) CHILDREN'S HOSPITAL OF LOS ANGELES 82.3 (4) CITRUS VALLEY MEDICAL CENTER - IC CAMPUS 77.0 (64) CITRUS VALLEY MEDICAL CENTER - QV CAMPUS 43.3 (2105) 28.7 (1136) 1.2 (12) 1.5 (17) 81.0 (152) CITY OF ANGELS MEDICAL CENTER - DOWNTOWN CAMPUS 76.7 (9) COAST PLAZA DOCTORS HOSPITAL 55.6 (25) COMMUNITY AND MISSION HSP OF HNTG PARK - SLAUSON 50.9 (889) 35.6 (483) 1.7 (7) 1.6 (7) 70.2 (83) COMMUNITY HOSPITAL OF GARDENA COMMUNITY HOSPITAL OF LONG BEACH 85.6 (26) DOCTORS HOSPITAL OF WEST COVINA, INC 49.5 (2) DOWNEY REGIONAL MEDICAL CENTER 25.3 (372) 14.2 (175) 12.9 (29) 12.1 (30) 91.0 (117) EARL AND LORRAINE MILLER CHILDRENS HOSPITAL 27.6 (1411) 15.7 (660) 12.3 (105) 11.4 (117) 75.8 (7) EAST LOS ANGELES DOCTORS HOSPITAL 44.6 (368) 28.2 (189) 44.1 (16) EAST VALLEY HOSPITAL MEDICAL CENTER 53.2 (195) 38.8 (112) 1.2 (1) 1.1 (1) 81.5 (11) ENCINO-TARZANA REGIONAL MED CTR-ENCINO 80.1 (18)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% ENCINO-TARZANA REGIONAL MED CTR-TARZANA 26.6 (592) 17.0 (304) 4.4 (13) 4.3 (14) 73.2 (102) FOOTHILL PRESBYTERIAN HOSPITAL-JOHNSTON MEMORIAL 33.4 (213) 20.5 (105) 87.4 (48) GARFIELD MEDICAL CENTER 37.1 (1328) 23.8 (677) 1.2 (8) 1.8 (14) 66.1 (65) GLENDALE ADVENTIST MEDICAL CENTER - WILSON TERRACE 32.1 (739) 21.2 (399) 8.9 (33) 8.7 (38) 88.4 (154) GLENDALE MEMORIAL HOSPITAL AND HEALTH CENTER 27.8 (416) 17.5 (223) 5.4 (11) 6.1 (14) 66.9 (95) GOOD SAMARITAN HOSPITAL-LOS ANGELES 26.7 (1242) 17.3 (677) 10.1 (63) 9.9 (69) 75.2 (108) GREATER EL MONTE COMMUNITY HOSPITAL 30.7 (207) 15.9 (89) 63.3 (27) HELFORD CLINICAL RESEARCH HOSP AT CITY OF HOPE 48.0 (11) HENRY MAYO NEWHALL MEMORIAL HOSPITAL 27.1 (378) 15.6 (175) 90.9 (118) HOLLYWOOD COMMUNITY HOSPITAL OF HOLLYWOOD HOLLYWOOD PRESBYTERIAN MEDICAL CENTER 36.8 (1431) 24.5 (797) 9.3 (65) 8.9 (72) 72.0 (86) HUNTINGTON MEMORIAL HOSPITAL 30.0 (931) 20.1 (500) 5.3 (24) 5.1 (28) 91.2 (363) KAISER FND HOSP - BALDWIN PARK 19.6 (579) 12.3 (307) 22.3 (78) 20.9 (82) 85.7 (126) KAISER FND HOSP - BELLFLOWER 21.1 (630) 13.0 (327) 27.9 (117) 26.1 (129) 90.9 (260) KAISER FND HOSP - HARBOR CITY 26.4 (446) 19.1 (275) 17.1 (35) 15.3 (36) 70.7 (122) KAISER FND HOSP - PANORAMA CITY 30.6 (411) 20.0 (218) 11.1 (24) 12.5 (35) 61.3 (41) KAISER FND HOSP - SUNSET 28.0 (623) 21.3 (395) 20.4 (58) 19.7 (62) 74.9 (84) KAISER FND HOSP - WEST LA 23.4 (333) 17.7 (215) 29.6 (49) 27.8 (55) 84.6 (69) KAISER FND HOSP - WOODLAND HILLS 21.8 (357) 13.0 (174) 16.9 (37) 18.8 (49) 88.5 (118)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% KINDRED HOSPITAL - LA MIRADA KINDRED HOSPITAL - LOS ANGELES LAKEWOOD REGIONAL MEDICAL CENTER 78.7 (76) LANCASTER COMMUNITY HOSPITAL 78.1 (73) LITTLE COMPANY OF MARY - SAN PEDRO HOSPITAL 25.9 (206) 13.4 (95) 93.7 (53) LITTLE COMPANY OF MARY HOSPITAL 27.3 (647) 18.6 (366) 3.5 (10) 3.2 (10) 90.6 (134) LONG BEACH MEMORIAL MEDICAL CENTER 79.9 (233) LOS ANGELES CO HARBOR-UCLA MEDICAL CENTER 18.5 (164) 10.4 (82) 23.9 (26) 22.9 (31) 72.9 (229) LOS ANGELES CO MARTIN LUTHER KING JR/DREW MED CTR 33.2 (136) 19.6 (66) 12.5 (10) 10.8 (11) 72.7 (99) LOS ANGELES CO OLIVE VIEW-UCLA MEDICAL CENTER 30.5 (268) 17.5 (116) 24.4 (49) 23.3 (55) 87.3 (431) LOS ANGELES CO RANCHO LOS AMIGOS NATIONAL REHAB CTR LOS ANGELES CO USC MEDICAL CENTER 31.8 (391) 20.7 (207) 17.2 (38) 16.4 (48) 72.0 (155) LOS ANGELES COMMUNITY HOSPITAL 54.6 (232) 42.8 (146) 86.5 (25) LOS ANGELES METROPOLITAN MED CTR 32.1 (316) 18.3 (155) 0.6 (1) 48.4 (4) MEMORIAL HOSPITAL OF GARDENA 39.8 (573) 24.0 (280) 0.3 (1) 0.3 (1) 74.8 (37) METHODIST HOSPITAL OF SOUTHERN CALIFORNIA 28.2 (568) 19.2 (328) 5.9 (15) 5.3 (16) 90.3 (167) MIRACLE MILE MEDICAL CENTER MISSION COMMUNITY HOSPITAL - PANORAMA CAMPUS 65.1 (19) MONTEREY PARK HOSPITAL 36.7 (613) 21.6 (302) 1.0 (3) 0.9 (3) 57.2 (16)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% MOTION PICTURE AND TELEVISION HOSPITAL 82.4 (5) NORTHRIDGE HOSPITAL MEDICAL CENTER 33.8 (844) 20.3 (406) 2.7 (12) 2.8 (14) 73.0 (103) NORWALK COMMUNITY HOSPITAL 86.3 (25) OLYMPIA MEDICAL CENTER 58.9 (9) PACIFIC ALLIANCE MEDICAL CENTER, INC. 29.4 (528) 15.9 (248) 0.4 (1) 0.3 (1) 80.2 (13) PACIFIC HOSPITAL OF LONG BEACH 33.0 (336) 12.8 (104) 69.4 (19) PACIFICA HOSPITAL OF THE VALLEY 43.7 (435) 28.0 (220) 2.3 (5) 2.9 (7) 77.5 (23) POMONA VALLEY HOSPITAL MEDICAL CENTER 33.4 (2252) 18.7 (1057) 3.9 (48) 3.8 (54) 73.9 (186) PRESBYTERIAN INTERCOMMUNITY HOSPITAL 27.7 (874) 15.7 (407) 10.7 (56) 10.5 (64) 82.7 (166) PROMISE HOSPITAL OF EAST LOS ANGELES-EAST L.A. CAMPUS PROVIDENCE HOLY CROSS MEDICAL CENTER 32.6 (855) 22.2 (518) 1.2 (4) 1.3 (5) 79.2 (94) PROVIDENCE SAINT JOSEPH MEDICAL CENTER 28.8 (826) 19.1 (467) 7.0 (27) 7.7 (34) 92.3 (270) SAN DIMAS COMMUNITY HOSPITAL 26.9 (214) 16.3 (107) 2.7 (3) 2.4 (3) 79.3 (26) SAN GABRIEL VALLEY MEDICAL CENTER 31.4 (615) 20.6 (322) 3.6 (11) 3.8 (14) 73.0 (53) SANTA MONICA - UCLA MEDICAL CENTER 33.8 (487) 24.3 (268) 2.3 (5) 2.5 (6) 72.8 (50) SHERMAN OAKS HOSPITAL 96.7 (21) SHRINERS HOSPITAL FOR CHILDREN - L.A. ST. FRANCIS MEDICAL CENTER 32.3 (1837) 19.4 (953) 11.3 (113) 11.0 (130) 67.4 (92) ST. JOHN'S HOSPITAL AND HEALTH CENTER 26.1 (564) 20.4 (361) 7.1 (15) 6.9 (16) 78.7 (64)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% ST. MARY MEDICAL CENTER 28.1 (741) 17.1 (402) 5.5 (20) 6.5 (27) 61.4 (41) ST. VINCENT MEDICAL CENTER 69.8 (62) TEMPLE COMMUNITY HOSPITAL 69.7 (25) TORRANCE MEMORIAL MEDICAL CENTER 33.3 (1289) 22.0 (661) 4.2 (27) 4.3 (32) 79.1 (219) TRI-CITY REGIONAL MEDICAL CENTER 42.0 (20) UCLA MEDICAL CENTER 22.4 (420) 15.9 (251) 27.4 (63) 24.9 (67) 35.5 (36) USC KENNETH NORRIS, JR. CANCER HOSPITAL 17.4 (1) USC UNIVERSITY HOSPITAL 29.8 (27) VALLEY PRESBYTERIAN HOSPITAL 35.6 (1709) 21.9 (877) 2.7 (23) 2.7 (27) 72.8 (69) VERDUGO HILLS HOSPITAL 33.9 (311) 22.0 (151) 0.6 (1) 91.9 (51) VISTA SPECIALTY HOSPITAL OF SAN GABRIEL VALLEY WEST HILLS HOSPITAL AND MEDICAL CENTER 30.3 (380) 19.1 (185) 3.5 (7) 3.3 (7) 74.3 (59) WHITE MEMORIAL MEDICAL CENTER 31.8 (928) 19.5 (470) 16.9 (93) 16.1 (109) 85.1 (216) WHITTIER HOSPITAL MEDICAL CENTER 31.1 (616) 16.6 (273) 1.2 (4) 1.6 (6) 73.8 (68) MADERA CHILDREN'S HOSPITAL CENTRAL CALIFORNIA MADERA COMMUNITY HOSPITAL 25.0 (439) 12.1 (187) 5.2 (14) 5.3 (16) 87.3 (56) MARIN KAISER FND HOSP - SAN RAFAEL 72.5 (49) KENTFIELD REHABILITATION HOSPITAL MARIN GENERAL HOSPITAL 18.2 (295) 12.7 (174) 30.8 (53) 28.3 (56) 88.7 (132)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% NOVATO COMMUNITY HOSPITAL 70.4 (17) MARIPOSA JOHN C FREMONT HEALTHCARE DISTRICT MENDOCINO FRANK R HOWARD MEMORIAL HOSPITAL 90.8 (34) MENDOCINO COAST DISTRICT HOSPITAL 19.1 (27) 10.1 (13) 88.6 (12) UKIAH VALLEY MEDICAL CENTER/HOSPITAL DRIVE 22.6 (158) 13.9 (87) 20.9 (19) 18.6 (19) 89.5 (76) MERCED MEMORIAL HOSPITAL LOS BANOS 27.2 (198) 13.2 (84) 1.5 (2) 86.7 (29) MERCY MEDICAL CENTER MERCED - COMMUNITY CAMPUS 25.9 (631) 12.6 (269) 6.0 (23) 6.1 (27) 87.4 (157) MODOC MODOC MEDICAL CENTER SURPRISE VALLEY COMMUNITY HOSPITAL MONO MAMMOTH HOSPITAL 21.8 (31) 16.6 (22) 67.7 (4) MONTEREY COMMUNITY HOSPITAL MONTEREY PENINSULA 23.4 (288) 13.5 (141) 0.7 (1) 0.6 (1) 86.0 (117) GEORGE L MEE MEMORIAL HOSPITAL 27.2 (150) 15.4 (76) 2.6 (2) 2.1 (2) 85.4 (35) NATIVIDAD MEDICAL CENTER 25.1 (521) 12.1 (225) 0.7 (2) 1.5 (5) 86.2 (133) SALINAS VALLEY MEMORIAL HOSPITAL 29.3 (675) 15.5 (301) 0.3 (1) 0.9 (4) 89.0 (412) NAPA N M HOLDERMAN MEMORIAL HOSPITAL (VET'S HOME OF CALIF) QUEEN OF THE VALLEY HOSPITAL - NAPA 24.2 (224) 12.8 (99) 13.2 (19) 12.3 (20) 83.1 (84) ST. HELENA HOSPITAL 24.3 (63) 15.5 (35) 66.6 (21) NEVADA SIERRA NEVADA MEMORIAL HOSPITAL 22.2 (95) 15.1 (59) 5.3 (2) 4.2 (2) 91.3 (111) TAHOE FOREST HOSPITAL 22.1 (96) 14.4 (54) 10.7 (5) 13.1 (7) 94.3 (26)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% ORANGE ANAHEIM GENERAL HOSPITAL 31.1 (105) 19.1 (56) 2.0 (1) 3.6 (2) 85.5 (29) ANAHEIM MEMORIAL MEDICAL CENTER 22.8 (419) 11.4 (177) 8.7 (23) 8.9 (26) 84.3 (190) CHAPMAN MEDICAL CENTER 87.2 (57) CHILDREN'S HOSPITAL AT MISSION CHILDREN'S HOSPITAL OF ORANGE COUNTY COASTAL COMMUNITIES HOSPITAL 41.7 (809) 24.9 (389) 0.5 (2) 0.4 (2) 78.7 (51) COLLEGE HOSPITAL COSTA MESA 85.8 (6) FOUNTAIN VALLEY RGNL HOSP AND MED CTR - EUCLID 25.4 (865) 16.2 (460) 8.9 (39) 9.0 (44) 73.2 (141) GARDEN GROVE HOSPITAL AND MEDICAL CENTER 32.8 (902) 17.2 (389) 6.4 (35) 5.7 (36) 84.5 (96) HOAG MEMORIAL HOSPITAL PRESBYTERIAN 29.3 (1523) 19.8 (813) 4.5 (33) 4.6 (37) 92.0 (326) HUNTINGTON BEACH HOSPITAL 84.0 (40) IRVINE REGIONAL HOSPITAL AND MEDICAL CENTER 28.8 (566) 19.9 (315) 5.7 (15) 6.6 (19) 86.7 (144) KAISER FND HOSP - ANAHEIM 21.9 (674) 13.9 (357) 21.6 (87) 20.3 (94) 81.3 (105) KINDRED HOSPITAL - BREA KINDRED HOSPITAL- WESTMINSTER LA PALMA INTERCOMMUNITY HOSPITAL 22.7 (157) 11.5 (68) 1.1 (1) 1.1 (1) 80.2 (37) LOS ALAMITOS MEDICAL CENTER 25.2 (400) 13.8 (185) 2.3 (5) 2.5 (6) 73.3 (59) MISSION HOSPITAL REGIONAL MEDICAL CENTER 25.3 (692) 15.2 (349) 6.1 (22) 5.6 (23) 90.8 (167) ORANGE COAST MEMORIAL MEDICAL CENTER 26.5 (414) 16.7 (214) 4.3 (9) 4.0 (9) 78.6 (181)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% PLACENTIA LINDA HOSPITAL 87.5 (91) SADDLEBACK MEMORIAL MEDICAL CENTER 22.1 (604) 13.1 (282) 17.7 (68) 17.4 (76) 95.8 (73) SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEMENTE 85.1 (22) SOUTH COAST MEDICAL CENTER 25.0 (183) 14.8 (88) 6.0 (6) 5.6 (6) 87.6 (13) ST. JOSEPH HOSPITAL - ORANGE 29.3 (1382) 18.4 (710) 10.3 (77) 9.7 (81) 86.7 (282) ST. JUDE MEDICAL CENTER 21.7 (464) 14.4 (257) 14.6 (35) 13.3 (37) 82.9 (156) TUSTIN HOSPITAL MEDICAL CENTER 70.8 (3) UNIVERSITY OF CALIFORNIA IRVINE MEDICAL CENTER 25.8 (289) 15.4 (147) 22.9 (42) 22.1 (59) 69.5 (99) WEST ANAHEIM MEDICAL CENTER 94.4 (91) WESTERN MEDICAL CENTER - SANTA ANA 31.3 (1014) 16.9 (458) 3.8 (22) 4.7 (31) 78.3 (97) WESTERN MEDICAL CENTER HOSPITAL - ANAHEIM 26.9 (662) 10.6 (219) 0.2 (1) 0.6 (3) 88.9 (39) PLACER KAISER FND HOSP - SACRAMENTO/ROSEVILLE-EUREKA 65.8 (102) SUTTER AUBURN FAITH HOSPITAL 27.8 (127) 16.5 (66) 85.8 (64) SUTTER ROSEVILLE MEDICAL CENTER 25.2 (656) 14.7 (326) 8.6 (31) 8.8 (34) 77.5 (122) PLUMAS EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS PLUMAS DISTRICT HOSPITAL 30.7 (28) 19.8 (16) 96.3 (7) SENECA HEALTHCARE DISTRICT RIVERSIDE CORONA REGIONAL MEDICAL CENTER - MAIN 26.2 (511) 16.4 (285) 0.9 (2) 0.8 (2) 73.2 (56) DESERT REGIONAL MEDICAL CENTER 31.8 (982) 18.3 (470) 5.0 (27) 4.6 (28) 87.1 (183)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% EISENHOWER MEMORIAL HOSPITAL 90.3 (420) HEMET VALLEY MEDICAL CENTER 41.9 (479) 29.2 (293) 0.5 (1) 0.5 (1) 54.6 (47) JOHN F KENNEDY MEMORIAL HOSPITAL 29.3 (851) 14.6 (370) 1.4 (7) 1.6 (9) 90.3 (192) KAISER FND HOSP - RIVERSIDE 22.1 (761) 13.0 (379) 18.0 (84) 17.2 (91) 82.5 (137) MENIFEE VALLEY MEDICAL CENTER 69.4 (35) MORENO VALLEY COMMUNITY HOSPITAL 25.5 (379) 11.0 (145) 0.8 (2) 0.8 (2) 89.2 (86) PALO VERDE HOSPITAL 31.5 (46) 14.4 (18) 93.0 (26) PARKVIEW COMMUNITY HOSPITAL MEDICAL CENTER 31.7 (500) 18.4 (246) 1.5 (4) 1.7 (5) 37.0 (22) RIVERSIDE COMMUNITY HOSPITAL 30.4 (935) 17.7 (473) 1.1 (5) 1.3 (7) 65.3 (107) RIVERSIDE COUNTY REGIONAL MEDICAL CENTER 23.0 (660) 8.2 (201) 8.0 (40) 7.7 (45) 71.3 (155) SAN GORGONIO MEMORIAL HOSPITAL 35.2 (124) 21.9 (69) 5.2 (3) 5.0 (3) 61.7 (39) SOUTHWEST HEALTHCARE SYSTEM-MURRIETA 24.5 (815) 12.7 (362) 2.2 (10) 2.6 (13) 88.6 (264) SACRAMENTO KAISER FND HOSP - SACRAMENTO/ROSEVILLE-MORSE 23.2 (833) 15.5 (467) 24.0 (115) 22.3 (128) 79.1 (104) KAISER FND HOSP - SOUTH SACRAMENTO 14.2 (486) 8.0 (237) 32.3 (119) 30.6 (125) 86.9 (99) KINDRED HOSPITAL - SACRAMENTO MERCY GENERAL HOSPITAL 26.3 (609) 17.4 (363) 13.4 (38) 13.3 (42) 87.3 (124) MERCY HOSPITAL - FOLSOM 19.4 (215) 11.3 (105) 8.4 (10) 7.8 (10) 93.4 (55) MERCY SAN JUAN HOSPITAL 25.1 (696) 15.0 (364) 13.5 (52) 12.4 (57) 79.6 (124) METHODIST HOSPITAL OF SACRAMENTO 22.2 (256) 13.7 (138) 17.4 (25) 14.8 (26) 87.6 (79)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF. SUTTER GENERAL HOSPITAL 80.9 (143) SUTTER MEMORIAL HOSPITAL 25.8 (1248) 15.4 (638) 12.9 (90) 11.8 (101) 65.0 (16) UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER 25.3 (577) 16.1 (309) 26.2 (95) 24.7 (104) 68.3 (131) SAN BENITO HAZEL HAWKINS MEMORIAL HOSPITAL 33.8 (176) 18.6 (81) 88.7 (61) SAN BERNARDINO ARROWHEAD REGIONAL MEDICAL CENTER 28.8 (922) 15.0 (413) 9.4 (53) 9.4 (59) 75.6 (218) BARSTOW COMMUNITY HOSPITAL 24.8 (66) 12.1 (29) 9.7 (4) 8.4 (4) 68.5 (31) BEAR VALLEY COMMUNITY HOSPITAL 73.8 (6) CHINO VALLEY MEDICAL CENTER 28.5 (31) 12.0 (11) 67.2 (36) COLORADO RIVER MEDICAL CENTER COMMUNITY HOSPITAL OF SAN BERNARDINO 39.2 (859) 23.2 (428) 0.7 (3) 1.0 (5) 80.3 (114) DESERT VALLEY HOSPITAL 33.6 (131) 23.5 (83) 2.0 (1) 1.7 (1) 77.5 (58) HI-DESERT MEDICAL CENTER 31.3 (119) 19.5 (68) 86.3 (47) KAISER FND HOSP - FONTANA 23.6 (983) 13.9 (496) 15.7 (91) 15.2 (100) 80.6 (142) KINDRED HOSPITAL - ONTARIO LOMA LINDA UNIVERSITY MEDICAL CENTER 24.3 (578) 13.1 (261) 21.2 (86) 18.9 (96) 59.6 (76) MONTCLAIR HOSPITAL MEDICAL CENTER 36.1 (405) 21.3 (199) 0.5 (1) 0.5 (1) 83.7 (43) MOUNTAINS COMMUNITY HOSPITAL 27.8 (29) 18.0 (17) 79.5 (5) RANCHO SPECIALTY HOSPITAL

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% REDLANDS COMMUNITY HOSPITAL 25.6 (555) 15.2 (291) 70.2 (103) SAN ANTONIO COMMUNITY HOSPITAL 34.6 (672) 24.1 (382) 0.3 (1) 0.9 (3) 76.4 (187) ST. BERNARDINE MEDICAL CENTER 20.3 (368) 10.5 (176) 5.4 (11) 5.8 (14) 55.8 (102) ST. MARY REGIONAL MEDICAL CENTER 18.6 (417) 8.6 (179) 1.6 (4) 2.5 (7) 74.2 (102) VICTOR VALLEY COMMUNITY HOSPITAL 39.0 (509) 19.2 (200) 0.3 (1) 0.6 (2) 77.2 (77) SAN DIEGO ALVARADO HOSPITAL MEDICAL CENTER 72.8 (75) CHILDREN'S HOSPITAL - SAN DIEGO 85.2 (8) FALLBROOK HOSPITAL DISTRICT 25.6 (133) 16.2 (73) 9.0 (6) 8.4 (6) 80.1 (25) GROSSMONT HOSPITAL 28.5 (920) 17.5 (477) 14.2 (73) 14.1 (82) 84.4 (349) KAISER FND HOSP - SAN DIEGO 24.7 (918) 16.9 (531) 17.6 (82) 16.7 (90) 78.8 (122) KINDRED HOSPITAL - SAN DIEGO PALOMAR MEDICAL CENTER 25.6 (1010) 14.8 (494) 17.3 (108) 17.0 (114) 85.5 (238) PARADISE VALLEY HOSPITAL 26.2 (507) 12.9 (208) 1.0 (3) 1.2 (4) 84.2 (51) POMERADO HOSPITAL 27.0 (277) 16.9 (145) 2.2 (3) 1.9 (3) 84.9 (95) PROMISE HOSPITAL OF SAN DIEGO 85.8 (8) SAN DIEGO HOSPICE AND PALLIATIVE CARE-ACUTE CARE CTR SCRIPPS GREEN HOSPITAL 94.8 (270) SCRIPPS MEMORIAL HOSPITAL - ENCINITAS 19.5 (309) 12.6 (169) 30.9 (62) 29.2 (64) 91.2 (100) SCRIPPS MEMORIAL HOSPITAL - LA JOLLA 28.7 (1189) 21.3 (699) 11.3 (61) 10.9 (65) 93.9 (142)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% SCRIPPS MERCY HOSPITAL 25.8 (542) 18.2 (336) 20.6 (53) 19.0 (54) 83.9 (298) SCRIPPS MERCY HOSPITAL - CHULA VISTA 30.1 (509) 20.2 (308) 10.3 (23) 10.3 (25) 87.3 (135) SHARP CHULA VISTA MEDICAL CENTER 33.0 (945) 18.8 (442) 1.6 (8) 1.4 (8) 88.2 (152) SHARP CORONADO HOSPITAL AND HEALTHCARE CENTER 88.1 (18) SHARP MARY BIRCH HOSPITAL FOR WOMEN 30.2 (2221) 20.7 (1261) 9.2 (97) 8.6 (107) SHARP MEMORIAL HOSPITAL 77.9 (3) 80.4 (3) 84.3 (220) TRI-CITY MEDICAL CENTER 25.7 (833) 15.8 (449) 9.8 (42) 9.1 (45) 78.8 (159) UNIVERSITY OF CALIF-SAN DIEGO MEDICAL CENTER 26.1 (649) 17.1 (369) 8.2 (25) 8.8 (33) 67.0 (50) SAN FRANCISCO CALIFORNIA PACIFIC MED CTR - PACIFIC CAMPUS 18.4 (1122) 12.2 (615) 13.1 (74) 12.1 (79) 83.4 (246) CHINESE HOSPITAL 71.1 (26) KAISER FND HOSP - GEARY S F 24.1 (579) 19.1 (391) 16.7 (37) 15.1 (41) 65.5 (32) LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER SAN FRANCISCO GENERAL HOSPITAL 16.9 (182) 11.1 (109) 31.6 (34) 30.0 (37) 80.0 (89) ST. FRANCIS MEMORIAL HOSPITAL 77.9 (15) ST. LUKE'S HOSPITAL 16.7 (178) 10.3 (98) 23.0 (24) 20.3 (26) 75.9 (44) ST. MARY'S MEDICAL CENTER, SAN FRANCISCO 72.0 (43) UCSF MEDICAL CENTER 19.2 (330) 14.3 (215) 19.2 (27) 21.8 (38) 56.6 (64) SAN JOAQUIN DAMERON HOSPITAL 23.0 (479) 12.3 (224) 4.9 (13) 5.4 (18) 73.5 (100) DOCTORS HOSPITAL OF MANTECA 23.6 (173) 12.6 (82) 3.2 (3) 3.9 (4) 90.8 (53)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% KAISER FND HOSP - MANTECA 92.4 (105) LODI MEMORIAL HOSPITAL 39.8 (501) 26.3 (277) 0.4 (1) 0.4 (1) 67.6 (111) SAN JOAQUIN GENERAL HOSPITAL 25.9 (628) 11.6 (245) 5.2 (21) 5.3 (25) 85.5 (139) ST. JOSEPH'S MEDICAL CENTER OF STOCKTON 24.4 (544) 13.1 (259) 5.6 (17) 5.9 (20) 89.7 (291) SUTTER TRACY COMMUNITY HOSPITAL 30.0 (215) 16.5 (97) 93.7 (95) SAN LUIS OBISPO ARROYO GRANDE COMMUNITY HOSPITAL 85.5 (61) FRENCH HOSPITAL MEDICAL CENTER 19.6 (147) 12.8 (88) 1.7 (1) 1.5 (1) 86.3 (25) SIERRA VISTA REGIONAL MEDICAL CENTER 28.8 (322) 17.9 (161) 17.9 (35) 16.8 (38) 92.2 (53) TWIN CITIES COMMUNITY HOSPITAL 31.2 (180) 18.9 (92) 2.2 (2) 2.0 (2) 74.1 (59) SAN MATEO KAISER FND HOSP - REDWOOD CITY 13.7 (193) 8.8 (107) 36.8 (50) 34.5 (50) 73.0 (33) KAISER FND HOSP - SOUTH SAN FRANCISCO 86.8 (84) MENLO PARK SURGICAL HOSPITAL 99.4 (7) PENINSULA MEDICAL CENTER 21.3 (404) 13.8 (219) 9.4 (19) 8.7 (22) 84.7 (102) SAN MATEO MEDICAL CENTER 87.3 (56) SEQUOIA HOSPITAL 25.8 (333) 17.4 (176) 12.5 (22) 12.7 (24) 96.0 (74) SETON MEDICAL CENTER 17.7 (103) 12.1 (63) 31.3 (18) 30.3 (21) 75.1 (97) SETON MEDICAL CENTER - COASTSIDE SANTA BARBARA GOLETA VALLEY COTTAGE HOSPITAL 18.6 (57) 12.1 (33) 4.0 (1) 4.0 (1) 76.5 (32) LOMPOC HEALTHCARE DISTRICT 24.3 (101) 11.0 (40) 1.6 (1) 1.6 (1) 88.2 (27)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% MARIAN MEDICAL CENTER 31.4 (816) 16.4 (364) 0.4 (2) 0.8 (4) 77.8 (89) SANTA BARBARA COTTAGE HOSPITAL 24.7 (556) 14.0 (266) 0.7 (2) 0.9 (3) 91.2 (274) SANTA YNEZ VALLEY COTTAGE HOSPITAL 94.3 (5) SANTA CLARA COMMUNITY HOSPITAL OF LOS GATOS 23.7 (194) 15.8 (103) 11.9 (12) 12.2 (13) 81.4 (47) EL CAMINO HOSPITAL 24.9 (1102) 16.9 (614) 3.4 (17) 3.2 (18) 89.0 (129) GOOD SAMARITAN HOSPITAL-SAN JOSE 30.4 (965) 22.9 (584) 4.6 (18) 5.3 (25) 88.2 (263) KAISER FND HOSP - SANTA CLARA 21.9 (747) 16.1 (468) 20.2 (70) 19.7 (78) 88.0 (138) KAISER FND HOSP - SANTA TERESA COMMUNITY HOSPITAL 18.8 (452) 12.2 (254) 23.9 (62) 24.3 (70) 68.4 (45) LUCILE SALTER PACKARD CHILDREN'S HOSP. AT STANFORD 22.9 (1076) 14.5 (567) 15.2 (90) 14.7 (104) O'CONNOR HOSPITAL - SAN JOSE 26.3 (894) 15.8 (448) 6.7 (32) 6.4 (34) 87.5 (252) REGIONAL MEDICAL OF SAN JOSE 27.9 (282) 13.9 (112) 1.8 (3) 2.1 (4) 75.0 (145) SANTA CLARA VALLEY MEDICAL CENTER 18.6 (918) 10.2 (448) 33.4 (237) 32.0 (265) 55.0 (134) ST. LOUISE REGIONAL HOSPITAL 27.2 (172) 16.4 (91) 1.2 (1) 2.1 (2) 87.5 (47) STANFORD HOSPITAL 64.1 (111) SANTA CRUZ DOMINICAN HOSPITAL - SANTA CRUZ/SOQUEL 21.2 (218) 12.7 (109) 20.5 (28) 20.4 (32) 98.4 (176) SUTTER MATERNITY AND SURGERY CENTER OF SANTA CRUZ 16.5 (146) 9.6 (73) 19.9 (18) 18.2 (18) 92.9 (80) WATSONVILLE COMMUNITY HOSPITAL 28.1 (430) 16.3 (217) 8.1 (19) 7.7 (21) 87.3 (140) SHASTA MAYERS MEMORIAL HOSPITAL 24.1 (22) 14.0 (12) MERCY MEDICAL CENTER 27.3 (493) 16.6 (269) 2.2 (5) 2.5 (7) 84.6 (121)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% PATIENTS' HOSPITAL OF REDDING SHASTA REGIONAL MEDICAL CENTER 87.1 (87) SISKIYOU FAIRCHILD MEDICAL CENTER 29.1 (56) 20.6 (38) 5.3 (1) 5.0 (1) 100.0 (37) MERCY MEDICAL CENTER MT. SHASTA 28.5 (39) 19.6 (25) 6.5 (1) 5.7 (1) 88.3 (25) SOLANO KAISER FND HOSP - REHABILITATION CENTER VALLEJO 22.5 (501) 14.9 (287) 22.2 (61) 20.8 (65) 77.2 (156) NORTH BAY MEDICAL CENTER 29.4 (400) 16.6 (197) 2.9 (6) 2.5 (6) 87.5 (62) NORTH BAY VACAVALLEY HOSPITAL 85.7 (23) SUTTER SOLANO MEDICAL CENTER 22.6 (205) 11.9 (94) 15.9 (21) 15.4 (22) 83.6 (54) SONOMA HEALDSBURG DISTRICT HOSPITAL 52.5 (2) KAISER FND HOSP - SANTA ROSA 23.2 (407) 16.0 (238) 20.0 (42) 20.0 (47) 71.2 (54) PALM DRIVE HOSPITAL 87.4 (8) PETALUMA VALLEY HOSPITAL 23.5 (115) 11.9 (51) 1.4 (1) 88.1 (46) SANTA ROSA MEMORIAL HOSPITAL - MONTGOMERY 21.9 (261) 11.9 (114) 26.2 (52) 24.9 (55) 86.8 (160) SONOMA VALLEY HOSPITAL 22.9 (49) 10.5 (19) 3.3 (1) 2.9 (1) 83.5 (27) SUTTER MEDICAL CENTER OF SANTA ROSA 18.7 (314) 10.1 (155) 0.5 (1) 72.4 (59) STANISLAUS DOCTORS MEDICAL CENTER 30.9 (1234) 15.4 (514) 6.0 (46) 6.2 (53) 72.5 (128) EMANUEL MEDICAL CENTER, INC 20.7 (531) 9.1 (203) 5.5 (19) 5.4 (20) 84.5 (151) MEMORIAL HOSPITAL MEDICAL CENTER - MODESTO 29.7 (531) 19.4 (300) 1.3 (3) 1.6 (4) 77.2 (205) OAK VALLEY DISTRICT HOSPITAL (2-RH) 22.2 (70) 8.3 (23) 81.5 (14)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% STANISLAUS SURGICAL HOSPITAL 96.7 (10) SUTTER FREMONT MEDICAL CENTER 28.4 (565) 15.1 (259) 7.5 (25) 7.1 (26) 83.8 (31) TEHAMA ST. ELIZABETH COMMUNITY HOSPITAL 26.4 (160) 13.6 (73) 1.1 (1) 1.0 (1) 91.5 (66) TRINITY TRINITY HOSPITAL 41.3 (2) TULARE KAWEAH DELTA DISTRICT HOSPITAL 30.3 (1043) 16.7 (489) 5.0 (29) 4.8 (33) 84.1 (219) SIERRA VIEW DISTRICT HOSPITAL 28.5 (523) 14.5 (232) 0.7 (2) 0.6 (2) 80.3 (99) TULARE DISTRICT HOSPITAL 41.6 (428) 22.6 (185) 1.6 (4) 2.1 (6) 69.9 (60) TUOLUMNE SONORA REGIONAL MEDICAL CENTER - GREENLEY 32.7 (170) 19.7 (89) 83.8 (43) TUOLUMNE GENERAL HOSPITAL 92.8 (20) VENTURA COMMUNITY MEMORIAL HOSPITAL-SAN BUENAVENTURA 30.1 (842) 17.3 (399) 3.9 (18) 3.7 (19) 88.4 (244) LOS ROBLES HOSPITAL & MEDICAL CENTER 31.8 (579) 21.5 (304) 7.8 (23) 6.6 (23) 94.0 (174) OJAI VALLEY COMMUNITY HOSPITAL 67.5 (8) SIMI VALLEY HOSPITAL AND HEALTH CARE SVCS-SYCAMORE 22.0 (127) 12.5 (62) 1.4 (1) 93.8 (79) ST. JOHN'S PLEASANT VALLEY HOSPITAL 22.6 (101) 11.4 (43) 3.4 (2) 3.3 (2) 94.9 (45) ST. JOHN'S REGIONAL MEDICAL CENTER 23.5 (414) 14.3 (229) 1.1 (2) 1.7 (4) 88.6 (112) THOUSAND OAKS SURGICAL HOSPITAL 98.2 (13) VENTURA COUNTY MEDICAL CENTER 25.2 (706) 10.8 (265) 4.1 (19) 4.1 (22) 86.9 (143) YOLO SUTTER DAVIS HOSPITAL 14.8 (183) 8.0 (91) 91.4 (39)

POSSIBLE OVER UTILIZATION POSSIBLE UNDER UTILIZATION PRIMARY C- VBAC LAPAROSCOPIC C-SECTION SECTION UNCOMP. VBAC ALL CHOLECYSTECTOMY

COUNTY HOSPITAL NAME CA AVG. CA AVG. CA AVG. CA AVG. CA AVG.

= 27.3% = 16.4% = 9.1% = 9.0% = 81.5% WOODLAND MEMORIAL HOSPITAL 23.2 (158) 11.7 (71) 1.1 (1) 1.0 (1) 81.4 (53) YUBA RIDEOUT MEMORIAL HOSPITAL 77.7 (124)