17-P (Reduce Preterm Births)

17-P Program (Reduce Preterm Births)

The objective of this project is to improve the use of 17-OH progesterone in women at risk for preterm birth. This working group will assess needs in the state, barriers to uptake, and strategies to increase utilization of the medication. Data to be collected will be global use of 17-OH P in the state as well as the preterm birth rate.

Key Activities

  1. Construction of 17OHP current process flow diagram
  2. Create Universal Prior Authorization form


  1. Determine current progesterone usage data for VA
  2. Recruit geographically specific clinics to participate in data collection
  3. Determine process improvement options


Marie PokrakaMarie Pokraka RN, MSN, IBCLC  | March of Dimes

Marie has been a registered nurse for more than 25 years and an internationally board certified lactation consultant for more than 15 years.  She has a BSN from NYU and MSN from GMU.  She currently serves as the Director of March of Dimes VA, Maternal Child Health and Governmental Affairs.

Dr. Cathleen McCoyCathleen McCoy, MD | Winchester Medical Center

Dr. Cathleen McCoy was born in Hong Kong and attended University of Michigan for a BS followed by Ohio State University for an MD. She completed her OBGYN and MFM residency and fellowship at DUKE and then joined the faculty of UNC. She has been the perinatal director at Winchester Medical center for 23 years and has delivered over 2000 babies and is a board certified OBGYN and MFM.