Indianapolis Healthy Start CityMatCH PPOR Seminar October 10, 2006

1
Indianapolis Healthy StartCityMatCH PPOR
SeminarOctober 10, 2006

• Speakers
• Yvonne Beasley, MN, RN
• Director, Maternal and Child Health
• Marion County Health Department
• Indianapolis Healthy Start Program Director
• Teri Conard, MS, RN
• FIMR Coordinator
• Marion County Fetal Infant Mortality Review
• Barbara Himes, CLC
• Infant Health and Survival Coordinator
• Indiana Perinatal Network
• Lola D. King, MS, RD, CD
• Special Projects Coordinator
• Indianapolis Healthy Babies Consortium
• Shelley Vaughn, MS

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Agenda

• Yvonne Beasley, MN, RN
• PPOR Data Review and Efforts
• Panel Introductions
• Shelley Vaughn, MS
• Indianapolis Healthy Start Response
• Lola K. King, MS, RD, CD
• Indianapolis Healthy Babies Consortium Response
• Teri Conard, MS, RN
• Fetal Infant Mortality Review Response
• Barbara Himes, CLC
• Safe Sleep Getting Out the Right Message
  Conference
• Safe Sleep Survey Results

3
PPOR Team Members

• PPOR Team Members
• Originally started with only three members
  currently 13 members
• Marion County Health Department 7 members
• Population Health Bureau Director, Maternal
  Child Health Director, Healthy Start, FIMR, and
  Epidemiology
• Indiana State Department of Health 2 members
• MCH Nurse Consultant, Epidemiology
• Indiana Perinatal Network 2 members
• Indiana Access, SIDS Infant Health and Survival
• Wishard Health Services 1 member
• Indiana University Child Protection Team
• Child Fatality Review Team
• Healthy Families 1 member

4
PPOR Findings and Efforts

• Infant health was the second highest PPOR
  category
• Causes of death
• 1 - Other accidental suffocation and
  strangulation
• 2 Other external causes
• 3 Accidental suffocation and strangulation in
  bed
• Focused efforts as a result of PPOR
• Data collection of safe sleep policies
• Consumer and provider knowledge
• Consumer insight on personal infant loss
  experience
• Increasing awareness of AAP guidelines

5
Indianapolis Healthy Start Response

• Community Participants
• Media campaign radio, billboard, bus cards,
  posters, brochures, newspaper, Safe Sleep
  conference press release
• Canvassing
• Health fairs
• Faith community SIDS Sundays
• Daycare training
• Barber/Beauty shops
• Seniors
• Health education classes/OB registration
• Program Participants
• Safe sleep education Back to Sleep Onesies
• Safe sleep environment assessment
• Indiana Womens Prison
• Baby First Advocate Presentation/Education Annual
  Events
• Block Party
• Grandmother Tea
• Baby Shower

6
Indianapolis Healthy Babies ConsortiumResponse

• Consortium Meeting
• July 28, 2006
• Approximately 67 MCH care providers in attendance
• Parent Panel
• Their tragic stories
• 3 month old infant death in daycare setting
• 28 day old infant death in bed sharing setting
• Key messages
• First responders
• Consistent safe sleep messages
• Assistance maneuvering the system after an infant
  death
• Provider survey responses

7
Preliminary FIMR findings from Unsafe Sleep
Related Cases

• In 2005 Positional Asphyxia Cases-6, SIDS 4,
  Related 2 Abstracted-2 Reviewed 2
• In 2006 Positional Asphyxia Cases 1, SIDS 4
• Sleep Position/Place Placed on side found face
  down on mattress, couch, on the bed not breathing
  without pulse, Prone, Placed on stomach, turned
  head to side propped bottle, adult mattress
  bed sharing

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Preliminary FIMR findings from Unsafe Sleep
Related Cases

• Documentation of Safe Sleep Education
• No education documented
• Cases where health literature discounted safe
  sleep education
• Cast care book given to mother was misinterpreted
• Environmental
• Second hand smoke

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Preliminary FIMR findings from Unsafe Sleep
Related Cases Community services

• Bereavement services for residential deaths are
  not as available
• Coroners Office Reported by parents to be
  helpful at scene
• Problem identified with length of time to obtain
  autopsy results (four to eleven months)

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Safe Sleep Getting Out theRight Message
Conference

• Interpret national, state and local data on
  leading causes of infant death and the
  contributing factors.
• Understand current American Academy of Pediatrics
  (AAP) risk reduction recommendations and
  guidelines.
• Gain insights on what parents want and need to
  know about safe-sleep recommendations and
  guidelines.
• Understand Centers for Disease Control
  Prevention (CDC) death scene protocols.

11
Safe Sleep Surveys

• Baby First Advocates
• Completed and analyzed 140 surveys
• WIC Clinics and Vital Records
• 250 completed

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Contact Information

• Yvonne Beasley, MN, RN Barbara Himes,
  CLC Shelley Vaughn, MS
• Director, Maternal and Child Health Infant Health
  and Survival Coordinator Marion County Health
  Department
• Marion County Health Department Indiana
  Perinatal Network Project Manager
• Project Director, Indianapolis Healthy Start 1991
  E. 56th Street (effective 12/18/06) Indianapolis
  Healthy Start
• 3838 N. Rural Street Indianapolis, IN
  46220 Indianapolis, IN 46205
• Indianapolis, IN 46205 [phone] (317)
  221-2126
• [phone] sidsbhimes_at_aol.com svaughn_at_hhcor
  p.org
• ybeasley_at_hhcorp.org
• Teri Conard, MS, RN Lola D. King, MS, RD, CD
• Marion County Health Department Special Projects
  Coordinator
• FIRM Coordinator Marion County Health Department
• 3838 N. Rural Street Indianapolis Healthy Babies
  Consortium
• Indianapolis, IN 46205 3838 N. Rural Street
• [phone] Indianapolis, IN 46205
• tconard_at_hhcorp.org lking_at_hhcorp.org
• P. Joseph Gibson, MPH Ph.D. Julie K. Sautter,
  MSW
• Director, Epidemiology PPOR Team Coordinator