5056.0: Wednesday, October 24, 2001 - Board 9

Abstract #26611

State MCH coordination of multiple mortality reviews: Experiences from programs funded in Colorado, Montana, and Virginia

Ellen M Hutchins, ScD, MSW, Department of Health and Human Services, Maternal and Child Health Bureau/HRSA, Parklawn Bldg - Room 11A-05, 5600 Fishers Lane, Rockville, MD 20857, 3014439534, Ehutchins@hrsa.gov, Wilda McGraw, RN, BSN, Montana Department of Public Health and Human Services, P.O. Box 202951, Helena, MT 59620, Karen Trierweiler, MS, Women's Health Section, Colorado Department of Public Health and Environment, HPDP-WHS-A5, 4300 Cherry Creek Drive South, Denver, CO 80262, and Suzanne Keller, MA, Office of the Medical Examiner, Virginia Department of Health, 400 E. Jackson St, Richmond, VA 23219.

Over the last decade, a growing number of states and localities have recognized the importance of identifying and responding to issues raised by maternal and child health deaths and have initiated several types of comprehensive case reviews. The primary examples of these are Fetal and Infant Mortality Review (FIMR), Maternal Mortality Review (MMR), and Child Fatality Review (CFR). MCHB has promoted the initiation and coordination of these MCH mortality review programs to improve the health of women, infants, children, and families.

In 1998 MCHB initiated the State Mortality/morbidity Review Support Program by funding State Maternal and Child Health programs in Colorado, Montana, and Virginia for a three year period 1998-2001. The intent of this program has been two-fold: 1)use local findings at State MCH level for capacity building, and 2)improve coordination between two or more types of review processes that co-exist in the State. This effort was designed to stimulate, promote, coordinate, and sustain mortality and morbidity review programs at State and local levels in order to enhance needs assessment capacity, policy development, and quality improvement efforts.

Findings from these three states have reinforced MCHB's position that the coordination of certain aspects of MCH-related mortality/morbidity review processes and their findings is a valuable, efficient, and effective effort towards improving health services and systems for women and children at the local and state MCH level. This poster session will describe these findings and common lessons learned from three States with very different infrastructures, review processes, and populations.

Learning Objectives: 1. Discuss approaches that led to improved coordination of mortality and morbidity review programs at the State and local level 2. Describe strategies to utilize recommendations from these review programs to build MCH capacity by enhancing needs assessment, policy development, and continuous quality improvement efforts at the State level

Keywords: Maternal and Child Health, Mortality

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA