Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of Public Health
Primary Purposes of CDR as Identified by Title V Program Directors Identify the circumstances causing a death (36 of 41) Improve service delivery systems (37 of 41) Develop policy (33 of 41) Improve community resources (26 of 41)
Why Should Title V Link to CDR? Title V: Has valuable epidemiology information and can help interpret mortality statistics Can bring a knowledge base, especially on infant mortality prevention, child injury prevention, and adolescent health Can link CDR teams to resources in communities Can be a team player in helping CDR meet its legislative mandates and reporting requirements Implement strategies to reduce future deaths
Funding Child Death Review Where’s the Money? CDR has never been heavily funded and relies on volunteer efforts, especially locally Funding ranges from $800,000 to nothing Median State funding is $50,000 Federal funds used by States include OCAN, CAPTA and CJA, CDC Core injury and NVDRS, MCH Title V and EMSC grants Only six States fund local teams
CDR can Inform Title V Assessment and the Title V performance measures Assurance Policy development
National Outcome Measures 1.The infant mortality rate per 1,000 live births 2.The ratio of the Black infant mortality rate to the White infant mortality rate 3.The neonatal mortality rate per 1,000 live births 4.The postneonatal mortality rate per 1,000 live births 5.The perinatal mortality rate per 1,000 live births plus fetal deaths 6.The child death rate per 100,000 children aged 1 through 14
Performance Measures Performance measure 08 The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children Performance measure 16 The rate (per 100,000) of suicide deaths among youths aged 15 19
Summary Child Death Review can help inform Title V programs Contact your State and/or local CDR Program Coordinator to get involved!