Mortality Reviews: Tools for MCH Programming

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Mortality Reviews Tools for MCH Programming

• March 29, 2000

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MCHB Perspective

• Ellen Hutchins, Sc.D.
• Chief, Perinatal and Womens Health Branch, MCHB

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MCHB Initiatives

• Fetal and Infant Mortality Review (FIMR)
• Invitational Meeting
• State Mortality/Morbidity (M/M) Review

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FIMR Model
Infant Death
Data Gathering
Case Review Team
Community Action Team
Interventions
Improved MCH Outcomes
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Unique Attributes of FIMR

• Community ownership
• Community action team
• Maternal interview
• Focus on changing systems

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State FIMR Support Programs

• 5 State demonstration projects (AR, CA, MD, MI,
  MS)
• Funded 1997-2000
• 150,000/year

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State FIMR Support Programs

• To utilize local FIMR findings at the State level

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State FIMR Support Programs

• Promote partnerships between local FIMRs and
  Title V

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State FIMR Support Programs

• Coordinate efforts and technical assistance needs

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FIMR Method

• Adaptable to address other mortalities and
  morbidities
• Brings people together to increase awareness
• Provides a variety of perspectives

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National FIMR Evaluation

• Purpose
• To identify the
• unique contributions of
• FIMR

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National FIMR Evaluation

• 3 phases
• National profile of perinatal initiatives
• Interviews with 200 sites
• Case studies

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Invitational Meeting

• Convened to
• examine and identify
• common and unique
• characteristics of each of
• 3 programs (CFR, FIMR,
• SIDS)

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Invitational Meeting

• Convened to
• discuss merits of
• coordination between
• review programs

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Invitational Meeting

• Participants agreed that
• coordination of FIMR, CFR
• and SIDS
• is valuable
• is possible
• should be encouraged

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State M/M Support Program

• 3 State projects (CO, MT, VA)
• Funded 1998-2001
• 150,000/year

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State M/M Review Support Program

• Purpose
• Incorporate review
• programs as ongoing
• capacity within the State
• MCH program

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State M/M Review Support Program

• Required to
• Coordinate mechanisms
• between at least 2
• different mortality/
• morbidity review programs

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M/M Reviews Promote Positive Outcomes

• For Families
• For MCH providers
• For Communities
• For States