1. Indianapolis Healthy Babies Fetal Infant Mortality Review (IHB-FIMR) Labor of Love Infant Mortality Summit Nov 13, 2014 Fetal Infant Mortality Review: Program Development/Purpose, Implementation/Maintenance and Sustainability

2. Goals & Objectives of this Breakout Session Participants will be able to : Describe the purpose of a FIMR program in relation to reducing fetal and infant mortality at the community level. Explain the 4 steps in the FIMR process model and discuss how implementation leads to improved community resources and service delivery systems. Synthesize the principles of the IHB-FIMR Program, navigate the National FIMR website and begin applying FIMR tools to new program development. Understand the role of the FIMR Case Review Team through the sharing of experienced CRT members Have the opportunity to ask questions of FIMR CRT Members & Staff

3. 220 National FIMR Programs Indiana has 3 programs: (East Central, Marion & Vanderburgh FIMR Programs) 3

5. Johns Hopkins FIMR Evaluation “[The FIMR program] …also creates a setting and a set of concrete activities wherein everyone has a contribution to make and everyone learns from the process. The case study findings indicate that because the FIMR process extends beyond problem identification to promote problem solutions, observable changes in practice and programs occur; ‘things get fixed’ and participants are inspired to take further action.” Source: Women's and Children's Health Policy Center, Johns Hopkins University. The evaluation of FIMR programs nationwide: early findings. [Online, 2002]. http://www.jhsph.edu/wchpc/pub/Brochure.pdf :/ :/

6. Data Gathering: Medical & Vital records, Stillbirth Assessment, Coroner Report, Maternal Interview Maternal Interview: : Provide bereavement support, Interconception care, Referrals & a platform for the maternal voice to be heard. Case Review: Fetal & Infant death case review by multidisciplinary team Community Action: Integration of public health strategies into community driven action Changes in community systems and improved birth outcomes

7. AnthemIU School of Nursing Bereavement CoalitionMarion County Coroner’s Office Child Care Answers Community Health Network Covering Kids & Families of Central IN DrugFree Marion County Eskenazi Health Marion County Public Health Department: Action Center, Community Based Care, MCH, Epidemiology, Lead Safe & Healthy Homes, Social Work, Substance Use Outreach Program, Vital Records & WIC Franciscan St. Francis HealthKate Cares Stillbirth Program Future PromisesMarion County Child Fatality Review HealthNetMDwise Healthy FamiliesMidtown Child & Adolescent Services Indianapolis Healthy StartNurse Family Partnership Indianapolis Public SchoolsRaphael Health Center IU Health (Riley, Methodist, University)St. Vincent Health IU School of MedicineSt. Vincent Stillbirth Assessment Program IHB-FIMR Partners

8. Data Gathering: Medical & Vital records, Stillbirth Assessment, Coroner Report, Maternal Interview Maternal Interview: : Provide bereavement support, Interconception care, Referrals & a platform for the maternal voice to be heard. Case Review: Fetal & Infant death case review by multidisciplinary team Community Action: Integration of public health strategies into community driven action Changes in community systems and improved birth outcomes

9. Anne Lise at the National APHA Conference 2013; NAS Poster in Collaboration with Dr. Jo Ann Matory

10. Data Gathering: Medical & Vital records, Stillbirth Assessment, Coroner Report, Maternal Interview Maternal Interview: : Provide bereavement support, Interconception care, Referrals & a platform for the maternal voice to be heard. Case Review: Fetal & Infant death case review by multidisciplinary team Community Action: Integration of public health strategies into community driven action Changes in community systems and improved birth outcomes

11. Teri Conard BSN MS, Jackie Reedy MSN, Anne Lise Sullivan BSN MA & Sandy Minor MSN Indianapolis Healthy Babies Fetal Infant Mortality Review Staff

12. IHB-FIMR Case Review Team Meeting

13. Maternal Health/ Prematurity Infant Health 1.Pre & Inter - Conception Care 2.Health Behaviors 3.Perinatal Care 1.Safety Issues 2.Breastfeeding 3.Injury Prevention Focus Areas Action Areas - Public Education Campaigns -Reproductive Health Plans & Family Planning -Mentoring programs -Better control of Chronic Diseases & Obesity Expand Medicaid for IC care, Mental Health & Substance Abuse Programs -PNC Coordination Actions - Safe Sleep & Home Safety education -Breastfeeding Support -Long term CC services -Substance Abuse Screening & Treatment Strategic Actions to Improve Birth Outcomes in Marion County, Indiana

14. IHB-FIMR Case Review Team Panel Bill Allen MD OB/GYN, Clinical Preventive Services Action Health Center Jo Ann Matory MD Medical Director NICU Sydney & Lois Eskenazi Hospital Associate Professor of Clinical Pediatrics Indiana University School of Medicine Attending Staff at Riley Children's Hospital Yvonne Beasley RN MSN Director, Maternal Child Health Department Director Indianapolis Healthy Start Marion County Public Health Department Joni Cutshaw RNC, CPLC Bereavement Coordinator, Maternity Services Franciscan St. Francis Health Laurie Weinzapfel MSW ACSW Director of Program and Quality Improvement MDwise, Inc.

15. Marion County Public Health Department Teri Conard RN, BSN, MS FIMR Coordinator 221.3103 tconard@hhcorp.org