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Antenatal Corticosteroid Treatment (ACT)






95%

The number of eligible mothers who received ACT.

60-70%

Mothers who received ACT 24 hours to 7 days prior to delivery.

Antenatal Corticosteroid Treatment (ACT), when given at the appropriate time, reduces neonatal morbidity and mortality


The March of Dimes Big 5 State Perinatal Collaborative (comprised of perinatal leaders from CA, FL, IL, NY and TX) formed a 5-state pilot program to help hospitals work towards 100% administration of ACT to mothers who are candidates to receive antenatal steroids and deliver between 23-34 weeks gestation. 12 participating Illinois hospitals received a variety of resources to support their improvment efforts, including a data collection portal, ACT toolkit, grand rounds and monthly training webinars, all provided at no cost to participating hospitals.

Objectives:


  • 1.
    Standardize ACT processes and procedures
  • 2.
    Develop, add or amend ACT hospital policy to document standardization of ACT processes
  • 3.
    Ensure ready availability of ACT on L&D
  • 4.
    Track ACT rates among patients who deliver between 23 and 34 weeks gestation
  • 5.
    Develop, add or amend ACT hospital policy to document standardization of ACT processes
  • 6.
    Ensure ready availability of ACT on L&D
  • 7.
    Track ACT rates among patients who deliver between 23 and 34 weeks gestation
  • 8.
    Sign Data Use Agreement and submit monthly data to Health Catalyst (third party)
  • 9.
    Participate in 9 of 12 one-hour Big 5 State webinars

Toolkit


The MOD Preterm Labor Assessment Toolkit can be found here.

The MOD Big 5 ACT Fact Sheet can be found here.

The MOD Big 5 ACT Data Collection Form can be found here.

The ACT Maternal Transport form can be found here.

The ACT Patient Passport version 1 can be found here.

The ACT Patient Passport version 2 can be found here.

The ACT Patient Passport content only can be found here.

For more information or technical support during the application process, please contact Nital Patel at NPatel@marchofdimes.org or 312-765-9040.