1. Fetal and Infant Mortality Review (FIMR) Process Jodi Shaefer, RN, PhD, Director Shreya Durvasula, Program Specialist National Fetal and Infant Mortality Review Program (NFIMR) American College of Obstetricians & Gynecologists National Fetal, Infant and Child Death Review Center National Fetal and Infant Mortality Review: New opportunities & possibilities September 16, 2015

2.  Changes in funding  NFIMR priorities  Maternal interview  We need your help  How can NFIMR help you with your work?

5. Center committed to FIMR & CDR process Looking for efficiencies between review systems Data, training, recommendations to action Coordination at local level

6. NFIMR priorities Expand database capabilities with input from FIMR programs Maternal interview Diversity for CRT & CAT TA for programs, including web based resources Connect programs via website Newsletters on FIMR & Life Course Theory and 2014 FIMR survey results Continue to promote expansion of FIMR methodology to other conditions

7. Expansion of the Case Review System to include CDR and FIMR cases Case Review System Database CDRFIMR

8. States in work group and beta testing States ‘in line’ Ohio, Florida, Kansas, Chicago

9. Variables id by FIMR coordinators 300 variables Web based HIPPA compliant Developed with Michigan HD & MCHB funds at MPHI

11. NFIMR database Use database in your program Join workgroup to develop case data system

12. You will need to sign a data use agreement.

13. NFIMR priorities Expand database capabilities with input from FIMR programs Maternal interview Diversity for CRT & CAT TA for programs, including web based resources Connect programs via website Newsletters on FIMR & Life Course Theory and 2014 FIMR survey results Continue to promote expansion of FIMR methodology to other conditions

14. FIMR Includes a Key Informant Interview

15. Maternal Interview Online program outline 1.FIMR Overview 2.Locate and interview mother and/or family members 3.Conduct interview 4.Grief experience 5.FIMR process for other morbidities and maternal mortality

16. NFIMR priorities Expand database capabilities with input from FIMR programs Maternal interview Diversity for CRT & CAT TA for programs, including web based resources Connect programs via website Newsletters on FIMR & Life Course Theory and 2014 FIMR survey results Continue to promote expansion of FIMR methodology to other conditions

17. CRT CAT diversity & focus

18. NFIMR priorities

19. http://www.nfimr.org/ search for topics, list-serve, webinars, request info Search for topics FIMR & Healthy Start

20. Search Programs for activities

21. English & Spanish

22. New Program Kit

24. NFIMR priorities

25. Why do FIMR/HIV? Work goes beyond perinatal HIV exposure/transmission and improves perinatal health systems for ALL women Improves HIV care systems for women Brings together key partners Low cost, high impact FIMR/HIV National Resource Center | www.fimrhiv.org Partner with CDC CityMatCH ACOG PACPI

26. Changes in funding NFIMR priorities Maternal interview  We need your help  How can NFIMR help you with your work?

28. Survey of FIMR programs-annual report Workgroups

29. WORK GROUPS Database – variable identification; cross walk with all current databases ▫Review data elements, accept / reject ▫Determine data for specific causes of death ▫Propose reports for FIMR CRT Best practices to decrease racial disparities FIMR & CDR models collaboration Sign up for data system

32. Two work groups Database – variable identification; cross walk with all current databases ▫Review data elements, accept / reject ▫Determine data for specific causes of death ▫Propose reports for FIMR CRT Models of care for high disparity populations Use NFIMR web based data system

33. Changes in funding NFIMR priorities Maternal interview We need your help How can NFIMR help you with your work?