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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. 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.

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Fetal and Infant Mortality Review by Thomas M. Miller, MD

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  1. Fetal and Infant Mortality Review by Thomas M. Miller, MD

  2. 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

  3. FIMR Goals • 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

  4. FIMR Model - ACOG Guidelines Infant Death Data Gathering Case Review Team (CRT) Community Action Team (CAT) Interventions Improved Maternal and Child Health Outcomes

  5. Alabama Fetal and Infant Mortality Review Program • Pursuant to section Code of Ala. 1975, §§ 22-9A-21, 22-2-2(6) • Implemented January 21, 2009 • Neonatal deaths • Statewide

  6. Perinatal Regions

  7. Factors Contributing to Infant Death • Low birth weight • Prematurity • Maternal pre-existing health • Unplanned pregnancy • Obesity • Substance Abuse

  8. Key FIMR Concepts • Systematic evaluation of individual cases • Identification of a broad range of factors • Inclusion of information not available through routine quantitative methods • Sentinel events • Avoidance of preventable/non-preventable classifications of deaths • Avoidance of blame • Two-tiered process – analytic and action process • Feedback mechanism • Multidisciplinary involvement

  9. FIMR Process • Helps communities prepare and deliver culturally appropriate interventions to improve service systems and resources for their multi-ethnic populations.

  10. Thank You! Questions?

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