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Title V Technical Assistance Meeting

 Using Fatality Reviews to Improve Outcomes through Title V

title v 2.pngSession: Exploring Ways Title V Programs can use Fatality Review Findings to Improve Maternal and Child Outcomes in Communities, Oct. 17
Slides



Presenters:

  • 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

Main takeaway

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