Eliminating Elective Deliveries Prior to 39 Weeks Gestation

According to Leapfrog survey results, the hospital's rate of elective deliveries prior to 39 weeks gestation was higher than the national target.

In 2009, the hospital's rate of elective deliveries prior to 39 weeks gestation was 25 percent or 78 out of 312 patients. In 2010, it was 10 percent or 27 out of 275 patients. In 2011, the rate was 0.47 percent or 1 out of 215 patients who electively delivered prior to 39 weeks gestation.

By focusing on elective deliveries prior to 39 weeks gestation, they have seen better birth outcomes, fewer NICU admissions and reduced patient medical complications. APGAR scores at five minutes are higher and fewer interventions at birth are needed.

This case study is part of the Illinois Hospital Association's annual quality awards. Each year, IHA recognizes and celebrates the achievements of Illinois hospitals in continually improving and transforming health care in the state. These hospitals are improving health by striving to achieve the Triple Aim--improving the patient experience of care (including quality and satisfaction); improving the health of populations; and reducing the per capita cost of health care.

Award recipients achieve measurable and meaningful progress in providing care that is:

• Safe
• Timely
• Effective
• Efficient
• Equitable
• Patient-centered

(The Institute of Medicine's six aims for improvement.)