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Obstetrics Project
Table of Contents:

New York State Perinatal Quality Collaborative (NYSPQC) / March of Dimes (MOD) Antenatal Corticosteroid Treatment (ACT) Project

In 2010, The Joint Commission established a new perinatal care core measure set that includes PC-03, the initiation of ACT.  Antenatal Corticosteroid Treatment, when given at the appropriate time, reduces neonatal morbidity and mortality.  Meta-analysis of 21 studies have shown a 50% reduction for both intraventricular hemorrhage and cerebroventricular hemorrhage in infants.  Optimal timing of ACT is important, and often not achieved. 

In the Fall of 2015, New York State’s (NYS’) Regional Perinatal Centers (RPCs) were invited to participate in the NYSPQC/MOD ACT Project.  The NYSPQC/MOD ACT Project enabled participating hospital teams to improve their practices so that all mothers of infants born between 23 0/7 and 34 0/7 weeks’ gestation receive appropriate ACT in order to reduce morbidity and mortality.  This exciting and challenging project required that teams engage with energy and skill to try new ways of delivering care.  This project was conducted in partnership with the March of Dimes Big 5 State Prematurity Collaborative. The March of Dimes Big 5 State Prematurity Collaborative is comprised of perinatal leaders from California, Florida, Illinois, New York and Texas, and has previously focused its attention on reducing early elective deliveries.  Through their participation in the project, participating NYS RPCs had the opportunity to work with birthing facilities from across these five states.

A variety of resources were provided to support hospital teams participating in the project, including an ACT change package, grand rounds, monthly training webinars and a secure data collection portal, all provided at no cost to participants.