Session: Exploring Ways Title V Programs can use Fatality Review Findings to Improve Maternal and Child Outcomes in Communities, Oct. 17
- Abby Collier, Director, National Center for Fatality Review and Prevention
- Rosemary Fournier, FIMR Director, National Center for Fatality Review and Prevention
- Susanna Joy, Program Associate, National Center for Fatality Review and Prevention
"We're seeing communities take the worst thing that can happen to them and change that into a positive so they can move forward." – Abby Collier
Child Death Reviews (CDRs) and Fetal and Infant Mortality Reviews (FIMRs) help title V programs improve address National Performance Measures to improve outcomes
What they are
CDRs review child deaths, generally from 0 to 18 years of age.
1,350 local and state teams, covering every state.
FIMRs review live-born infants who die before reaching their first birthday, and stillborn infants; those born without signs of life, generally after 20 weeks gestation.
175 teams in 29 states
The National Center for Fatality Review and Prevention is a resource and data center that supports CDR and FIMR programs.
How they work
Teams for each are composed of local providers, experts, and leaders from multiple disciplines.
"We want the table to look like your community and we want the table to fit your needs." – Abby Collier
Continuous quality improvement process identifies system vulnerabilities that contribute to deaths and system change that can prevent deaths.
"What can we learn from a death that will help us prevent more deaths?" – Rosemary Fournier
- Involves data gathering, case review, and community action/change
- The process and team composition differ slightly for CDRs and FIMRs.
- Covers multiple factors and systems, including medical, social, economic, cultural, family, safety, and health.
- Family engagement is important but sensitive. FIMR teams interview the mother involved if she wishes.
"We invite her to tell her story. There is so much more we can learn from her experience." – Rosemary Fournier
National Performance Measures Addressed
Addressed by FIMRs:
1 – Well-woman visit
2 – Low-risk Cesarean delivery
3 – Risk-appropriate perinatal care
Addressed by CDRs:
8 – Physical activity
9 – Bullying
10 – Adolescent well-being
12 – Transition
Addressed by FIMRs and CDRs:
4 – Breastfeeding
5 – Safe sleep
6 – Developmental screening
7 – Injury hospitalization
11 – Medical home
13 – Preventative dental visit
14 – Smoking
15 – Adequate insurance