Antenatal Corticosteroids (ANCS) Project
OPQC’s Antenatal Corticosteroids Project aimed to increase the percent of women between 24 0/7 weeks and 33 6/7 weeks who receive any ANCS prior to delivery. Nineteen OPQC OB charter hospitals participated in the project. Hand-collected and Ohio Integrated Perinatal Health Information System (IPHIS or the birth registry) data were used to track progress. Review of hospital medical records showed rates of ANCS administration consistently >90% and, as of December 2014, based on birth registry data, 86% of births 24 0/7 to 33 6/7 weeks gestation received ANCS, approaching our goal of 90%. These results indicate that not only are ANCS administration rates high, but they are reflected in Ohio's largest perinatal data base, the birth registry. The current level of ANCS use can best be monitored and sustained by improving the quality and timeliness of Ohio birth registry data documenting ANCS administration for women who deliver between 24 0/7 and 33 6/7 weeks.
OPQC has developed a toolkit, “Optimizing Antenatal Use of Steroids to Improve Outcomes for Preterm Infants,” to share lessons learned and describe quality improvement interventions to promote reliable systems for appropriate administration of ANCS. This toolkit includes tools for:
- ANCS administration
- Establishing an ANCS documentation system
- Improving the identification of eligible mothers
- Creating a “High Reliability” culture to optimize ANCS administration
You can print the ANCS Toolkit free of charge by clicking on the link below under Project Resources, and please contact firstname.lastname@example.org if you have any questions.