Fatality Review Team News December 2022

[VanTil Amanda L]

You have been subscribed to this group because you are a member of a County Child Fatality Review Team in Oregon listed on your county's CAMI MDT 2021-23 grant application, you are a member of the Oregon Statewide Child Fatality Review Team, or you are otherwise involved in child fatality review and have requested and been approved to be included on this list. The DOJ CAMI Program created this list to share information about trainings, webinars, grants, resources, etc. related to child fatality review. If you do not wish to be included in the list, please contact Amanda.L.VanTil at doj.state.or.us<mailto:Amanda.L.VanTil at doj.state.or.us>

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  Fatality Review Team News                               December 2022




New NCFRP Updates



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Visit our website<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=07689f1d6b&e=5d2cd2fe8d>
Upcoming Events
National Center Launches Monthly Topic-Specific Office Hours Opportunities for Fatality Review Consultation and Networking
The National Center is pleased to announce the launch of four different, voluntary drop-in opportunities to support FIMR and CDR teams. The opportunities will be offered monthly and will be topic specific: Data Drop-ins; CDR Program Pop-ins; Epi Hours; and FIMR Role Roundtables. Each of the office hours opportunities will briefly highlight a different relevant topic, with the bulk of the time being reserved for open discussion. This will be a great opportunity for shared learning and problem solving. Check out the office hours opportunities and register below. Registering will simply put the office hours on your calendar. Though we certainly welcome you to join, there is no expectation that you will attend.
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                         FIMR Quarterly Regional Meetings

Western (CA, MT, NV, UT, WY): January 11, 2023, 4:00-5:00 PM EST
Northern (WV, PA, NJ, DE, MD, ME, DC): January 17, 2023, 9:30-10:30 AM EST
Midwest (MI, WI, OH, IL, IN): January 17, 2023, 11:00 AM-12:00 PM EST
Central (CO, NE, KS, OK, TX, MO, LA):  January 23, 2023, 11:00 AM-12:00 PM EST
Southern (KY, TN, MS, AL, FL): January 26, 2023, 10:00-11:00 AM EST

FIMR Quarterly State Coordinator's Meeting
March 1, 2023, 4:00-5:00 PM EST

Fatality Review Health Equity Learning Collaborative
March 8, 2023, 3:00-4:30 PM EST
Field Notes
Chicago FIMR Community Action Team Focuses on Medicaid Transportation Benefits and Education
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The Chicago, Illinois FIMR team was originally established in 1999 solely as a case review project and in 2020 expanded to include a Community Action Team (CAT). They recently developed and launched a new FIMR website to help with project recruitment as well as partnership support. Chicago's FIMR Project is focused on making meaningful change in the communities of Chicago, guided by the voices and stories of families who have suffered pregnancy or infant loss.

Every year in Chicago, FIMR releases new recommendations based on what was learned from families' stories and it is up to the CAT to turn them into meaningful action. This can be done by redefining already available supports, creating new supports, or advocating for policy changes. Cases reviewed in 2021 pointed to issues with transportation, including the lack of information on how to access available transportation resources. In 2022, FIMR began working on health education efforts surrounding managed healthcare benefits as well as exploring ways of making mass transit more accessible for birthing individuals and families. Transportation Medicaid benefits in Illinois cover more than just visits for healthcare. The availability of resource guides for providers showed a need for consumer-friendly resources as well. FIMR, in partnership with the Illinois Association of Medicaid Health Plans (IAMHP), developed a consumer-focused toolkit, brochure and one-pagers (specific to each MCO plan) to give consumers an easier way of accessing this benefit.

  *   To view the tool kit and to learn more about the guides, visit: https://www.fimrchicago.org/community-action-team<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=7754d3e20b&e=5d2cd2fe8d>.
  *   To explore the Chicago FIMR website, visit: https://www.fimrchicago.org/<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=e3ed56c0e1&e=5d2cd2fe8d>.
Multiple State CDR Programs Hold High-Volume Batch Reviews to Address Delays Caused by COVID-19
COVID-19 and the required response from state agencies impacted CDR teams in different ways. While some teams continued conducting reviews, others were understandably challenged to continue reviewing for different reasons. These included state or agency-level policies around the use of videoconferencing software, having to adopt or learn new information-sharing processes, local or state CDR staff being activated to COVID-19 response roles, or local teams being unable to complete reviews. These challenges, and others, have resulted in backlogs of fatalities for CDR teams to review.

In anticipation of these challenges, the National Center developed Planning for High-Volume Fatality Reviews in 2020. It summarizes some tips and strategies that can support teams in these efforts. It can be accessed here: https://ncfrp.org/wp-content/uploads/NCRPCD-Docs/Planning-For-Batch-Fatality-Reviews.pdf<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=60482a2ca4&e=5d2cd2fe8d>.

National Center staff have been working closely with several states to help them catch up on reviews from 2020-2022 timeframe. Since each program and its needs are unique, the National Center has consulted with state programs to consider what strategies may be most appropriate and helpful to them as they plan and complete reviews with more cases than normal. If your program is in need of this type of support to help address a backlog of cases, please reach out to the National Center at info at ncfrp.org<mailto:info at ncfrp.org>.
Kudos Corner
FIMR Champion Receives APHA Award for Service to Mothers and Children
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At the American Public Health Association (APHA) meeting last month, Arthur James, MD, FACOG, an adjunct professor at Case Western Reserve University School of Medicine, and longtime FIMR campion, received the Martha May Eliot Award for his lifetime work in lowering Black infant mortality rates and bringing attention to racism's impacts on public health. The award honors extraordinary health services to mothers and children and has been awarded since 1964 by the APHA to commemorate the late Dr. Martha May Eliot.

Dr. Eliot served as Chief of Children's Bureau, Department of Health, Education and Welfare (now Department of Health and Human Services) before her retirement in 1956.

Dr. Arthur R. James is an obstetrician, gynecologist, and pediatrician who has been involved in care of underserved populations throughout his career. In Michigan, he served as the medical director of a federally qualified health center (FQHC), medical director of Bronson Methodist Hospital's Women's Care Clinic, and founding/medical director of Borgess Medical Center's Women's Health office. He is the founder and former medical director of the Kalamazoo County, MI, FIMR and, for many years, led the community's efforts to reduce infant mortality and incidence of teen pregnancy.

Between 2011 and 2017, Dr. James was an associate professor of obstetrics and gynecology and pediatrics at the Ohio State University Medical Center and Nationwide Children's Hospital, co-director of the Ohio Better Birth Outcome, co-chair of the Ohio Collaborative to Prevent Infant Mortality, senior policy advisor to the Ohio Department of Health, interim medical director for the Care Alliance Health Center in Cleveland, and interim executive director of the Ohio State University's Kirwan Institute for the Study of Race and Ethnicity. On a national level, he has served on the Health and Human Services Secretary's Advisory Committee on Infant Mortality, the Board of Directors for the National Healthy Start Association, and the Centering Healthcare Institute, Inc., the Center for Disease Control and March of Dimes' Health Equity workgroup.

Please join us is wishing Dr. James a heartfelt congratulations! Read more about the Martha May Eliot Award here: https://www.apha.org/about-apha/apha-awards/martha-may-eliot-award<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=54e616b7d1&e=5d2cd2fe8d>.
Executive Director Retires from Delaware FIMR and CDR Programs

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The National Center offers warm congratulations to Anne Pederick on her retirement after 30 years of service to the state of Delaware. Anne served as the executive director of the Maternal and Child Death Review Commission, starting that role in 2006. Anne coordinated the Mid-Atlantic CDR region and was the 2021 recipient of the Theresa M. Covington Award for Excellence in Fatality Review. Thank you, Anne, for your many years of service and leadership to FIMR and CDR.
Data Matters
Additional Items Included as Priority Variables in NFR-CRS
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The National Fatality Review-Case Reporting System (NFR-CRS) prioritizes some variables as shown above, with a star in online data entry. Priority variables are monitored in annual data quality summaries and provide fatality review teams with a place to start when working to improve data quality.

Seven new variables have recently been added to the list of priority variables. They are A17, household income; H1f, motor vehicle incident type; H1g, driver responsible for the incident; H5f, was firearm kept locked; H5j, owner of fatal firearm; L1, significant challenges/findings; and L3, recommendations and/or initiatives. For a full list of priority variables, contact us at info at ncfrp.org<mailto:info at ncfrp.org>.
Resources for Prevention
Quality Improvement Collaborative Focuses on Evidence-Based Suicide Prevention in Emergency Departments
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The Health Resources and Services Administration's (HRSA) Emergency Medical Services for Children (EMSC) program is launching the Emergency Department (ED) Screening and Treatment Options for Pediatric (STOP) Suicide Quality Improvement (QI) Collaborative. The purpose of the ED STOP QI Collaborative is to bring together ED-based teams from across the nation with experts in pediatric mental health to exchange evidence-based best practices and optimize the care and follow-up of children and adolescents presenting with acute suicidality. The collaborative will run from February through November 2023.

  *   For more information on the collaborative, visit: https://emscimprovement.center/collaboratives/suicide/<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=8bd2cb8d78&e=5d2cd2fe8d>
  *   To identify the EMSC State Partnership manager in your state, visit: https://emscimprovement.center/programs/grants/<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=4b9d9fd338&e=5d2cd2fe8d>
National Healthy Start Association and AIM-CCI Releases Maternal Monologues Toolkit for Communities
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The National Healthy Start Association and the Alliance for Innovation on Maternal Health Community Care Initiative has released the Maternal Monologues Toolkit. Maternal Monologues are community presentations of stories by women/birthing persons, their partners, and supporters about the journey of birthing and maternal health. These stories are based on real experiences and designed to serve as a tool for communities to tell their own stories for healing, raising awareness, and mobilizing for change.

Maternal Monologues engages audiences in a discussion around how they can organize and become involved in the work to advocate for supporting and protecting women/birthing persons and improving birth and maternal health outcomes in their own communities.

Explore the toolkit here: Home - Alliance for Innovation on Maternal Health Community Care Initiative (aimcci.org)<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=41a5ab96d2&e=5d2cd2fe8d>
National Center Releases Enhancing Collaboration Across Maternal and Child Fatality Review Programs
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Fatality review is a proven process in maternal and child health (MCH), equipping communities and states with unique data to inform prevention recommendations and program planning. As it becomes more common for jurisdictions to have multiple fatality review processes, national fatality review leaders developed a resource to support effective collaboration between multiple MCH fatality review programs.
Enhancing Collaboration Across Maternal and Child Fatality Review Programs (URL: https://ncfrp.org/wp-content/uploads/NCFRP_Fatality_Collaboration_Guidance.pdf<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=caab0cfde2&e=5d2cd2fe8d>) highlights maternal mortality review (MMR), FIMR, CDR, and Sudden Unexpected Infant Death and Sudden Death in the Young Case Registry activities; initial considerations before collaborating; and recommended strategies for programmatic alignment. It also includes examples of states that are collaborating across some or all of these programs. Effective collaboration between these programs can streamline efforts, maximize resources, and achieve collective impact for MCH populations.
National Center's Online Learning Resources for Fatality Review
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The National Center has a variety of learning and training resources to support CDR and FIMR teams available at www.ncfrp.org<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=88048a62da&e=5d2cd2fe8d>. Among them are several video-based learning options that can be accessed any time to enrich understanding of fatality review or relevant topics. They can also be used for onboarding or training new fatality review staff or team members. These resources include:

Webinar Archive: The National Center keeps an active archive of the approximately six webinars conducted every year. The webinars and speakers are wide ranging, focused on topics related to fatality review and maternal and child health. Access the Webinar Archive here: Archived Webinars - The National Center for Fatality Review and Prevention (ncfrp.org)<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=a82cf4efc8&e=5d2cd2fe8d>

Training Modules: In an effort to provide training content on the CDR and FIMR processes, the National Center developed a set of training modules focused on specific aspects of these processes. Individual modules vary in length from about 20 minutes to an hour. Access the CDR and FIMR training modules here: Training Modules - The National Center for Fatality Review and Prevention (ncfrp.org)<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=7a13634f92&e=5d2cd2fe8d>

Child Death Scene Investigation Learning Series: The Child DSI Learning Series is currently comprised of 10 video modules focused on sudden and unexpected deaths. These modules offer continuing education units for multiple professionals involved in fatality review, including physicians, nurses, investigators, social workers, and health educators. New modules are added to the series periodically. Access the series here: Child Death Scene Investigation Learning Series - The National Center for Fatality Review and Prevention (ncfrp.org)<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=157e3815c8&e=5d2cd2fe8d>
Suicide Prevention Resource for Action: Policies, Programs, and Practices to Support Communities
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Child death review is an important tool to better understand and prevent suicide, and CDR teams frequently make prevention recommendations related to suicide. To help states and communities plan and prioritize suicide prevention activities, the Centers for Disease Control and Prevention's National Center for Injury Prevention and Control is releasing the Suicide Prevention Resource for Action.
This resource was previously known as Preventing Suicide: A Technical Package of Policies, Programs, and Practices. It has been updated, expanded, and renamed, and it includes strategies with the best available evidence to make an impact on saving lives. Strategies include those that prevent suicide in the first place and those that lessen the immediate and long-term harms of suicidal behavior to individuals, families, and communities.

To explore this prevention resource, visit: Suicide Prevention Resource for Action | Suicide | CDC<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=a80f8e7fa6&e=5d2cd2fe8d>.
Emerging Research Describes Injury Patterns in Children and Youth with Special Healthcare Needs
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Recently published research is drawing attention to ways children and youth with special healthcare needs (CYSHCN) experience different patterns of traumatic injuries than their non-special health care needs (SHCN) peers. Characterizing Physical Trauma in Children and Youth with Special Health Care Needs, authored by Denise Lillvis, Karen Sheehan, Jihnhee Yu, Katia Noyes, Kathryn Bass, and Dennis Kuo, was published in the September 2022 edition of the Journal of Trauma and Acute Care Surgery. Using data from the 2018 National Trauma Data Bank, the researchers found that almost 17% of pediatric encounters involved a CYSHCN. Injuries to these children and youth were likelier to have been as a result of an assault, or to have been a self-inflicted injury, than injuries experienced by non-SCHN children and youth. This research may be informative for fatality review teams in better understanding and addressing risk within this population. To read more, visit: shorturl.at/glqCG<https://ncfrp.us5.list-manage.com/track/click?u=4cdf76c24103d4aa09dbe9cc7&id=0714f2f207&e=5d2cd2fe8d>.

Lillvis, D. F., Sheehan, K. M., Yu, J., Noyes, K., Bass, K. D., & Kuo, D. Z. (2022). Characterizing physical trauma in children and youth with special health care needs. The Journal of Trauma and Acute Care Surgery, 93(3), 299-306. https://doi.org/10.1097/TA.0000000000003608

If you have a training need, the National Center will be happy to connect with you to find a creative solution and provide technical assistance or training to your program. Reach out to us at info at ncfrp.org<mailto:info at ncfrp.org?subject=Technical%20Assistance%20Request>!


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