Indianapolis Healthy Babies Fetal Infant Mortality Review (IHB-FIMR) Labor of Love Infant Mortality Summit Nov 13, 2014 Fetal Infant Mortality Review:

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

Anne Lise at the National APHA Conference 2013; NAS Poster in Collaboration with Dr. Jo Ann Matory

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

IHB-FIMR Case Review Team Meeting

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.

Marion County Public Health DepartmentTeri Conard RN, BSN, MS

FIMR Coordinator [email protected]