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Indianapolis Healthy BabiesFetal 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
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
220 National FIMR ProgramsIndiana has 3 programs: (East Central, Marion & Vanderburgh FIMR
Programs)
3
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 :/
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
Anthem IU School of Nursing
Bereavement Coalition Marion County Coroner’s Office
Child Care AnswersCommunity Health NetworkCovering Kids & Families of Central INDrugFree Marion CountyEskenazi 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 Health Kate Cares Stillbirth Program
Future Promises Marion County Child Fatality Review
HealthNet MDwise
Healthy Families Midtown Child & Adolescent Services
Indianapolis Healthy Start Nurse Family Partnership
Indianapolis Public Schools Raphael Health Center
IU Health (Riley, Methodist, University) St. Vincent Health
IU School of Medicine St. Vincent Stillbirth Assessment Program
IHB-FIMR Partners
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
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
Teri Conard BSN MS , Jackie Reedy MSN, Anne Lise Sullivan BSN MA & Sandy Minor MSN
Indianapolis Healthy Babies Fetal Infant Mortality Review Staff
Maternal Health/
Prematurity
Infant Health
1.Pre & Inter -Conception
Care2.Health Behaviors3.Perinatal Care
1.Safety Issues2.Breastfeeding3.Injury Prevention
Focus Areas Action Areas
-Public Education Campaigns-Reproductive Health Plans & Family Planning-Mentoring programs-Better control of Chronic Diseases & ObesityExpand 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
IHB-FIMR Case Review Team PanelBill 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 HospitalYvonne Beasley RN MSN
Director, Maternal Child Health Department Director Indianapolis Healthy Start
Marion County Public Health DepartmentJoni Cutshaw RNC, CPLC
Bereavement Coordinator, Maternity ServicesFranciscan St. Francis Health
Laurie Weinzapfel MSW ACSWDirector of Program and Quality Improvement
MDwise, Inc.