In December 1993 Perinatal Pro-ACT®was implemented at Robert Wood Johnson University Hospital. Pro-ACT®, an acronym for Professionally Advanced Care Team, is a system of health care delivery that includes two components: case management and a restructured practice environment. The perinatal units represent the final service that operationalized the Pro-ACT®model and completed Robert Wood Johnson University Hospital's 5-year goal for implementation on all inpatient units. This model facilitates the institutional commitment to provide cost-effective, highquality care with enhanced patient and staff satisfaction.