198355 Nonfatal Severe Child Injury Review - the California Model

Sunday, November 8, 2009

Michael Durfee, MD , ICAN National Center on Child Fatality Review, La Canada, CA
Nonfatal/severe child injury review will augment the multiagency child death review teams that exist in multiple countries, often tied to child abuse. Some states have added nonfatal child injury review and California awarded a grant to the ICAN National Center for Child Fatality Review (NCFR) to develop guidelines for review of nonfatal severe child injury. The grant ends in 2009 and ICAN-NCFR has begun a new system of hospital based programs that include more than half of the hospital beds for injured children under age five. This probably includes the majority of California's children with family violence related injuries severe enough to require hospitalization. Program models and special issues include: connections between hospitals, review of all injuries at intake, use of ICD9CM codes to detect possible abuse, screening as quality control, personal issues for professionals, multiagency teams and the need for ties with other states, national experts, federal agencies and national associations. The initial model for common data collection includes review of child injuries under age three that were served in a pediatric intensive care unit, PICU. The first data collection included 20 % of possible cases statewide. That should grow to 60% of California, or roughly 5% of the US by the APHA presentation and be augmented by hospitals in other states. The presentation will cover program models, injury codes and data patterns used to detect child abuse, multiagency teams, and prevention programs. Reference will be made to the involvement of public health models and services.

Learning Objectives:
1 Describe the status of non-fatal child injury review in the US 2 Describe the California Model including the role of hospitals 3 Identify a barrier for this project and how it was addressed. 4 List at least three results the California based project

Keywords: Child Health, Family Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have 33 years experience addressing child abuse. I built the first child death review team and designed the model for nonfatal severe abuse review in California
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.