Fetal and Infant Mortality Review by Thomas M. Miller, MD
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Fetal and Infant Mortality Review by Thomas M. Miller, MD
description
Fetal and Infant Mortality Review by Thomas M. Miller, MD. National Fetal and Infant Mortality Review Program. Collaborative effort Began in late 1980’s More than 220 programs 40 states, the District of Columbia, Puerto Rico, and the Virgin Islands 15 statewide programs. FIMR Goals. - PowerPoint PPT Presentation
Transcript of Fetal and Infant Mortality Review by Thomas M. Miller, MD
Fetal and Infant Mortality Review
by Thomas M. Miller, MD
National Fetal and Infant Mortality Review Program
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Collaborative effortBegan in late 1980’sMore than 220 programs40 states, the District of Columbia, Puerto
Rico, and the Virgin Islands15 statewide programs
FIMR Goals
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To describe significant social, economic, cultural, safety, health and systems factors that contribute to mortality
To design and implement community-based action plans built upon information obtained from the reviews
FIMR Model - ACOG Guidelines
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Infant Death
Data Gathering
Case Review Team (CRT)
Community Action Team (CAT)
Interventions
Improved Maternal and Child Health Outcomes
Alabama Fetal and Infant Mortality Review Program
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Pursuant to section Code of Ala. 1975, §§ 22-9A-21, 22-2-2(6)
Implemented January 21, 2009
Neonatal deaths
Statewide
Perinatal Regions
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Factors Contributing to Infant Death
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Low birth weightPrematurityMaternal pre-existing healthUnplanned pregnancyObesitySubstance Abuse
Key FIMR Concepts
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Systematic evaluation of individual casesIdentification of a broad range of factorsInclusion of information not available through
routine quantitative methodsSentinel eventsAvoidance of preventable/non-preventable
classifications of deathsAvoidance of blameTwo-tiered process – analytic and action processFeedback mechanismMultidisciplinary involvement
FIMR Process
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Helps communities prepare and deliver culturally appropriate interventions to improve service systems and resources for their multi-ethnic populations.
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Thank You!
Questions?
