a nicu is more expensive than a regular postpartum sort of service delivery. if one created the evidence, we looked at three ways of changing clinical behavior. you see the softer intervention where education was provided. in the blue section, you can see that there is a semi-hard stop which provides the obstetrician with information about the findings that early preterm delivery delivers at a high rest. risk. they were allowed to make the decision to go too early elected delivery. the hard stop was simply a policy. over the last year, all of them converged against national backdrop of somewhere between 80-85% compliance, we have moved up to 96% compliance with early preterm delivery. when one thinks about these questions, what is intuitive may not always the correct. how can we go so long without this information? no doctor in his or her experience has enough caseload to detect what will take a fairly large sample to find the differences. in my experience, it is simply not adequate. there is a joke that if a doctor says that is something is in his experience,

and in fact we have to ask the question now or their potential water consequences, and certainly the nicu and it is a whole lot more expensive than a regular postpartum sort out service delivery.

and in fact we have to ask the question now or their potential water consequences, and certainly the nicu and it is a whole lot more expensive than a regular postpartum sort out service delivery. well, if one read the evidence one has the obligation to use a and we look at the three bays of the clinical behavior. on the right and the yellow will look at the second and what one sees as the soft intervention were just education was provided. in the second part you can see there was what was called the semi hard stop which was providing the obstetricians with information about the findings that early preterm delivery resulted in the higher risk for newborn intensive care and access poor outcomes. they were allowed to make the decision but any decision to go to the early elected delivery resulted in the peer review of the decision. the heart stop was a policy of each hospital except thou shall not do this, but over the last year converged and against the national backdrop but somewhere between 80 to 85% compliance up to 96 compliance with early preterm delivery. what are the lessons one can t