Child Death Review Child Death Review ReportingReporting
From Case Review to Data to From Case Review to Data to PreventionPrevention
Purpose of CDR Case ReportingPurpose of CDR Case Reporting
To systematically collect, analyze and report on:
Child, family, supervisor and perpetrator information
Investigation actions
Services needed, provided or referred
Risk factors by cause of death
Recommendations and actions taken to prevent deaths
Factors affecting the quality of your case review
How Do Teams Use Their CDR How Do Teams Use Their CDR Data?Data?
Local teams present annual findings to community groups to push for local interventions
Teams use data as a quality assurance tool for their reviews
State teams review local findings to identify trends, major risk factors and to develop recommendations
How Do Teams Use Their CDR How Do Teams Use Their CDR Data?Data?
State teams use findings to develop action plans based on their recommendations
Local teams and states use their reports to keep or increase CDR funding
National groups use state and local CDR findings to advocate for national policy and practice changes
Some National Groups showing Some National Groups showing interest in Child Death Review interest in Child Death Review DataData
Consumer Product Safety Commission CDC
Healthy People 2010Child Maltreatment Surveillance/Neglect DefinitionsNational Violent Death Reporting SystemNational Guidelines for Infant Death Investigations
National SAFE KIDS National Council of State Legislators American Prosecutors Research Institute American Academy of Pediatrics Department of Defense Manufacturers, e.g. Door and Window Mfg, National Pool Safety
Council, National Waste Management
State of the StatesState of the States
44 states have a case report tool
39 states publish an annual report with findings and recommendations
18 states have legislation that requires a report on child death
However, there is no consistency among any state case report tools or state reports
A New Case Report SystemA New Case Report System
Funded by Maternal and Child Health Bureau, HRSA, HHS
A 30 person workgroup of 18 states over two years, analyzed 32 existing state case report forms
Developed standard data elements, data dictionary and 31 standardized reports
Using the National MCH Center Using the National MCH Center SystemSystem
Participating
Considering
In Process
The Child Death Review Case Reporting System
From Case Review to Data to Action
Step 1: Complete case review of child death. Step 2: Complete CDR Case Report Online at www.cdrdata.org.
Step 3: Send Report through Web, to servers at MPHI
Step 4: Servers sort and store data and permit access according to state requirements.
Step 5: State and local teams and national CDR download standardized reports and/or download data to create custom reports.
Step 6: Reports and data are used to advocate for actions to prevent child deaths and to keep children healthy, safe and protected.
Standardized Reports – Standardized Reports – State and Local LevelState and Local Level
1. Demographics (Ethnicity/Race and Age Group by Sex)
2. Infant Death Information 3. Manner and Cause of Death by Age Group 4. Investigation Information 5. Motor Vehicle and Other Transport Death
Demographics 6. Vehicle Type Involved in Incident and
Position of Child 7. Risk Factors of Young Drivers (Ages 14-21)
Involved in the Crash 8. Motor Vehicle Protective Measures 9. Fire Death Demographics 10. Factors Involved in Fire Deaths 11. Drowning Death Demographics 12. Factors Involved in Drowning Deaths 13. Suffocation or Strangulation Death
Demographics 14. Weapon Death Demographics 15. Safety Features and Storage of Firearms
Used in Incident 16. Owner and Use of Weapon at Time of
Incident 17. Poisoning Death Demographics 18. Factors Involved in Poisoning Deaths
19. Sleep-Related Death Demographics 20. Sleep-Related Deaths by Cause 21. Circumstances Involved in Sleep-Related
Deaths 22. Factors Involved in Sleep-Related Deaths 23. Sleep-Related Deaths by Acts that Caused or
Contributed to Death 24. Acts of Omission/Commission Demographics 25. Acts of Omission/Commission Child Abuse
Information 26. Acts of Omission/Commission Child Neglect
Information 27. Acts of Omission/Commission Assault
Information (Not Child Abuse) 28. Acts of Omission/Commission Suicide
Information 29. Deaths by Manner and Cause by
Preventability 30. Team Prevention Recommendations 31. Review Team Process