Agreement between hospital risk-adjusted performance based on severe maternal morbidity, severe newborn morbidity, and composite outcome of severe maternal morbidity and severe newborn morbidity. (A) Demonstrates that hospital maternal outcomes are poorly correlated with newborn outcomes. (B) and (C) show that hospital performance based on the composite metric exhibit fair agreement with hospital performance based on either severe maternal morbidity or severe newborn morbidity. ICC, intraclass correlation coefficient.