Challenge: Maintain Delivery Volume in a Highly Competitive Market New York has seen a slow but steady downward trend in births for more than a decade. Currently, births statewide are down 7%, and births in the northeastern region of the state (where BWC is located) are down 11%. This situation has created intense competition for a shrinking patient pool among area hospitals that offer maternity care services. BWC officials wanted to maintain the hospital’s delivery volume in the midst of this extraordinarily competitive birth market. Solution: Establish a Hospitalist Program that Collaborates with CNMs In July 2010, BWC contracted with Ob Hospitalist Group (OBHG) to place a team of OB/GYN hospitalists in the facility 24 hours a day, 365 days a year, to establish a recogni

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