<39 Weeks Toolkit
CMQCC, the March of Dimes, and the <39 Weeks Toolkit Development Task Force, have developed a Quality Improvement Toolkit, "Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age" to decrease deliveries before 39 weeks in California and to help disseminate and determine best practices for prevention of early deliveries and to outline the most effective strategies for supporting California health care providers in implementing those practices.
6.13.11 - The Toolkit has been updated to correct an error on Page 5.
Download complete March of Dimes/CMQCC Toolkit.
The toolkit has the following sections which can be downloaded separately by clicking on the links below.
After you click on the link below, you will be directed to a page that lists the title of the section or article(s); select "Download" next to the title of interest. You will see a pop-up window: "You have chosen to open..."; you can open the .pdf document using the default (typically Adobe Acrobat Reader) or save the file to your computer.
- Title Page
- Table of Contents
- Acknowledgements
- Making the Case -NOTE: Errata#2: 8/31/11 to the toolkit under "Elective Deliveries a Growing Concern", PAGE 5. Please see Errata #2 Summary document for an outline of the changes.
- Implementation Strategy
- Data Collection /QI Measurement
- Clinical Education
- Patient Education
- Appendices Listing (summary)
- Appendix A: Form 3 - Induction/Cesarean Section Delivery Scheduling Form
- Appendix A: Form 4 - Scheduling Process Form
- Appendix A: Form 5 - Consent Form
- Appendix B: Case Studies
- Appendix C: Form 6 - QI Tools - MAP-IT Worksheet
- Appendix C: Fishbone Diagram
- Appendix C: PDSA Method
- Appendix D: Letters of Support
- References
Click here to view resources for the toolkit.
THE HISTORY OF THE TOOLKIT
The Toolkit Development Task Force, with co-chairs Brenda Chagolla, RNC, MSN, CNS, Elliott Main, MD, and Bryan Oshiro, MD, worked collaboratively with the March of Dimes, CMQCC, and the California Department of Public Health, Maternal, Child, and Adolescent Health Division to develop and disseminate this Toolkit. Academic and clinical leaders in California and across the United States contributed as writers and reviewers. The goal of the toolkit is to provide guidance and support to obstetric providers, clinical staff, hospitals, and healthcare organizations to develop efficient and successful quality improvement programs to eliminate elective deliveries <39 weeks gestation.
DOWNLOAD <39Weeks TOOLKIT SLIDESET
To support the QI Toolkit, a set of slides is downloadable that includes two presentations, one for use in Grand Rounds and one for Quality Department meetings. Download the Toolkit SlideSet here.
Profile in Improvement
Learn how Elliott Main of Sutter's California Pacific Medical Center is improving the care for first labors and births.