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Designing Systems

to Improve Care for Every Mother, Everywhere

@neel_shah
Too Much
Capability

Too Little

Time
United States Cesarean Deliveries, 1970-2010
Cesarean Rates by Hospital Across the United States

70%

x 10
CD Rate

7%
# of hospitals with each CD Rate
The facility
is a risk factor
Don’t Know Know

Intentionally Unintentionally
err err

Inadequate Misaligned System
education incentive complexity
Clarity

Baby’s safety

Mom’s safety

Best long term
health for both
Forcing
Functions
Category Clear Indications Fuzzy Indications

MATERNAL

FETAL

PROGRESS
Labor and Delivery Planning Board

Team Plan

Preferences Next Assessment
A JOINT CENTER FOR HE