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Florida Perinatal Quality Collaborative

ACT Initiative

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Since 2007, perinatal champions from five of the most populous states, CA, FL, IL, NY, and TX, which represent nearly 40% of the births in the U.S., have been working together to improve birth outcomes. Following the initial success of the Big 5 State early elective delivery pilot, (results published in Obstetrics and Gynecology Vol. 121, No. 5, May 2013) leaders have been planning the launch of the next Big 5 State initiative, improving the utilization of antenatal corticosteroids. 

11 Florida hospitals were involved in the March of Dimes ACT pilot.

Big 5 ACT Pilot Fact Sheet

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Why ACT?

  • Proven reduction in neonatal morbidity and mortality
  • Goal of 100% administration to at-risk mothers 23-34 weeks gestational age not being met
  • Optimal timing of ACT 24 hours – 7 days prior to preterm delivery often not achieve
  • Lack of standardized ACT protocols leads to inconsistent medical practice
  • Poor documentation of ACT
  • ACT is a PC-03 Joint Commission National Quality Measure