Maternal and neonatal levels of care vary by geography and institution, with outcomes linked to a hospital’s ability to appropriately treat a patient’s condition. When a patient requires a higher level of care, transport delay can greatly impact her outcome. Our objective was to improve the efficiency of the maternal acceptance process as a means to improve maternal and neonatal outcomes. A prospective cohort study was conducted at a single institution with two distinct, yet coordinated L&D and neonatal ICU units. Significant coordination is required between these four units to accept a maternal antepartum transport from an outside facility. Lean-Six sigma principles were utilized to understand the current process of patient acceptance into the institution with baseline data collected. “Time to accept” the patient was defined as the time from the initial phone call from an outside transporting physician until the receiving unit verbalized transfer approval. A new workflow and intervention were designed and implemented, including the creation of an online-dashboard reflecting the real-time status of each unit needed for maternal and/or neonatal acceptance. Following a 3-month period of execution, post-analysis was performed. 59 maternal transports occurring between May - Aug ’19 were included in initial analysis. Median time from the first call with the transporting hospital until verbal ‘acceptance’ was 43 minutes (IQR 27-80). Following 3-months of intervention deployment and utilization, post-intervention analysis was performed: 81 maternal transports occurred with the median time of “acceptance” decreasing to 17 minutes (IQR 9-23), representing a 26-minute reduction (60%) from baseline to post-intervention. A real-time, synchronous dashboard can coordinate disparate unit’s response to incoming maternal transports resulting in optimized acceptance times. Although clinical outcomes are currently lacking, decreasing maternal transport time to an appropriate care facility should greatly improve both maternal and neonatal outcomes.View Large Image Figure ViewerDownload Hi-res image Download (PPT)