Hi Team,

Consider Improvement Notation below from CMS334v4:

Within Optimal Range.  The Joint Commission does not want to encourage inappropriately low Cesarean rates that may be unsafe to patients. Acceptable PC-02 rates are 30% or lower, however there is not an established threshold for what rate may be too low. PC-06 serves as a balancing measure for PC-02 to guard against any unanticipated or unintended consequences and to identify unforeseen complications that might arise as a result of quality improvement activities and efforts for this measure. In order to identify areas for improvement, hospitals may want to review results based on specific ICD-10 codes or patient populations. Data could then be analyzed further determine specific patterns or trends to help reduce cesarean births.

Query:

According to above statements we think that the measure is looking for decrease in rate as improvement notation (inverse measure) with (performance rate <=30%). Please confirm our understanding.