Case Study........." The provider performance data for the Obstetric Service at Community Hospital of the West are provided in figure 14.3. Figure 14.4 gives an example of a physician profile for an individual physi- cian, Dr. Jones. The physician index summary for Dr. Doe, an OB/GYN physician on the medical staff, is provided in figure 14.5. Using the physician index summary, students should complete the utilization and outcome sections of the profile in figure 14.6. Information on Dr. Doe's data is listed in the performance review, data quality, risk and safety management, and meeting attendance sections of the profile. Figure 14.3. Physician profile for OB/GYN group COMMUNITY HOSPITAL OF THE WEST PROVIDER PERFORMANCE REVIEW SUMMARY FOR REAPPOINTMENT PROVIDER OB/GYN GROUP Profile Time Frame: OB/GYN From: SERVICE 1/1/yyyy CATEGORY Active To: 12/31/yyyy UTILIZATION: Discharges 1,400 Procedures 598 Patient Days 5,143 Pts with prev C-Sections 346 Deliveries 1,187 VBACS 89 C-Sections 137 Blood Given 25 OUTCOMES: Category # % Comments: C-Section Rate 137 11.5% VBAC Rate 89 25.7% Hospital-acquired inf Rate 21 1.5% Surgical Wound Inf Rate 5 0.84% Mortality Rate 1 0.07% PERFORMANCE REVIEW: Category # Reviewed # Appropriate/% Comments: Surgical/Inv/Noninvasive Procedures 60 58/96.7% Medication Use 140 139/99.3% Blood Use 25 25/100% Utilization Management 140 (35/95.7% Other Peer Review 140 130/92.8% Clinical Pert. DATA QUALITY: Data Quality Monitoring Comments: Delinquency (>21 days) 15 7.70% Suspensions 5 2.60% RISK/SAFETY MANAGEMENT: Incidents reported by other Comments: professionals or Administration 2 2/100% Litigation 1 0.07% MEETING ATTENDANCE: Medical Staff Meetings 26 93% Comments: Committee Meetings 40 85% Finally, compare Dr. Doe's performance with the performance of the rest of the physicians on the Obstetric Service. (See figure 14.3.)