Cutting-Edge Practice

Recommendation Tools to Align Fatality Review Programs to Improve Maternal and Infant Health Outcomes

State/Jurisdiction: Michigan
Setting: Community
Population: Perinatal/Infant Health,
Topic Area: Reproductive Health,
NPMs: NPM 3: Risk-Appropriate Perinatal Care

Fetal Infant Mortality Review (FIMR) is an evidence-based process that identifies and analyzes factors contributing to fetal and infant deaths. In Michigan, 13 local teams make up the Michigan FIMR Network. The information obtained from the local case reviews as well as the recommendations developed by the Michigan FIMR Network are essential for identifying areas for system change to improve health and available resources for infants, women, and families. In June 2019, the Michigan FIMR Network went through four Lean Process Improvement workshops to improve the method of how recommendations were written and then elevated to the State for analysis. After the workshops, a FIMR recommendation form and log were developed by the FIMR Network to assist in writing actionable, specific recommendations during the case reviews along with tracking recommendation implementation which align with the Michigan Maternal Mortality Surveillance recommendation tools. Additionally, through the workshops a maternal/family interview guide, health equity toolkit, Community Action Team roles & responsibilities document, and data sources reference document for case abstraction were developed to support the recommendation process. The Michigan Fetal Infant Mortality Review Program (FIMR) created tools to improve the process of how local FIMR recommendations were written, collected, and elevated to the state for analysis and to align with Michigan Maternal Mortality Surveillance recommendations to identify common themes/trends. Additionally, the tools assist with tracking and implementation of recommendations at the local level.

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Implementation Handout

Michigan Department of Health and Human Services
Audra Brummel
Practice Website
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