Birth Outcomes Initiative

Click here for the State-By-State Comparsion infographicSouth Carolina is currently one of many states pursuing an increased focus on issues that negatively impact maternal and child health, including the rate of scheduled, early deliveries as depicted in this infographic, which shows within a state-by-state comparison, South Carolina's comparatively low rate of early scheduled deliveries.

In South Carolina, these maternal and child health improvement efforts are being spearheaded through the SC Birth Outcomes Initiative, a collaboration of the South Carolina Department of Health and Human Services, South Carolina Hospital Association, March of Dimes, Blue Cross Blue Shield of South Carolina and more than 100 stakeholders to improve the health outcomes for newborns not only in the Medicaid program but throughout the state’s population. Launched in July 2011, this Initiative is focused on:

      1. Eliminating elective inductions for non-medically indicated deliveries prior to 39 weeks gestation.
      2. Reducing the number of neonatal intensive care unit admissions (NICU).
      3. Preventing pre-term births by making 17P available to all at-risk pregnant women.
      4. Implementing a universal screening and referral tool (SBIRT) to screen pregnant women and 12 months post-delivery.
      5. Promoting Baby-Friendly certified hospitals and breastfeeding.

Additional areas of focus since its inception have included supporting the Centering Pregnancy Model, inpatient insertion of Long Acting Reversible Contraceptives, innovative program development for the management of Neonatal Abstinence Syndrome in the Level I nursery, and most recently, the reduction of cesarean sections for first-time, low-risk mothers.

Click here to go the BOI presentation on the Prezi site.Recently the initiative celebrated its fifth anniversary and highlights of its accomplishments are featured in this Prezi developed by SC DHHS and also available here as a pdf.

The SC BOI Initiative - In the Media

Featured in The Post and Courier

Click here to download this infographic as a pdf
This SC BOI infographic (updated October, 2015) provides information on the Initiative’s progress towards some of these goals from 2011 to 2014 including improvement in the number of South Carolina CenteringPregnancy sites, Baby-Friendly hospitals, and donor milk sites, as well as reductions in the following measures:

      • elective inductions at 37-38 weeks gestation
      • the Joint Commission early elective delivery measure
      • births occurring at 37-38 weeks gestation
      • moderately low birthweight babies
      • primary C-Sections

More BOI Infographics

2016 BOI Infographic (pdf)  2014 BOI Infographic (pdf)
2016 (5-Year BOI Anniversary) 2014 

A collaboration between the Division of Medicaid Policy Research at the University of South Carolina's Institute for Families in Society and Esri resulted in the development of a new template and a "Briefing Book," both of which were highlighted on the Esri site as featured applications within their health-Click here to go to the BOI data featured on the Esri sitefocused ArcGIS products for state government, and both of which are built on South Carolina Birth Outcomes Initiative data and the South Carolina Birth Outcomes Environmental Scan.









SC BOI Environmental Scan

SC Birth Outcomes Environmental Scan

BOI Environmental Scan User Guide 

BOI Environmental Scan “Getting Started” Tips

Click here for the SC BOI Environmental Scan


The map below provides a visual of the average C-Section charge per patient at the ZIP Code Tabulation Area (ZCTA) level. Areas shaded with the darker green color charge a higher cost per patient than those with lighter green shading. Areas with horizontal lines represent low birthweight (LBW) hot spots, those with a significant clustering of high LBW.


Map of Average C-Section Changes

(Get this map as a pdf.)