The research of Kimberly D Gregory, MD, focuses on health services, obstetrical health care resource utilization, cesarean section rates, appropriateness of use and maternal quality care. She is also focused on development and implementation of OB/GYN practice guidelines, obstetrical electronic medical records and OB/GYN performance improvement. She has developed algorithms for determining indications for cesarean delivery, cesarean after labor, and elective (no labor) cesarean delivery using hospital administrative data, demonstrating wide variation in cesarean rate by hospital. Additionally, she developed framework and proposed indicators for monitoring quality of care during pregnancy and childbirth. She is working on patient reported outcomes and measures of patient reported satisfaction with childbirth services.