Transcript Indianapolis Healthy Babies Fetal 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.

Indianapolis Healthy Babies
Fetal 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 Programs
Indiana 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
Changes
in community systems
and improved birth
outcomes
Community
Action:
Integration of public
health strategies into
community driven
action
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
IHB-FIMR Partners
Anthem
IU School of Nursing
Bereavement Coalition
Marion County Coroner’s Office
Child Care Answers
Community Health Network
Covering Kids & Families of Central IN
DrugFree Marion County
Eskenazi Health
Marion County Public Health
Department: Action Center, Community
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
Based Care, MCH, Epidemiology, Lead Safe &
Healthy Homes, Social Work, Substance Use
Outreach Program, Vital Records & WIC
Data Gathering:
Medical & Vital
records, Stillbirth
Assessment, Coroner
Report, Maternal
Interview
Changes
in community systems
and improved birth
outcomes
Community
Action:
Integration of public
health strategies into
community driven
action
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
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
Changes
in community systems
and improved birth
outcomes
Community
Action:
Integration of public
health strategies into
community driven
action
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
Indianapolis Healthy Babies Fetal Infant Mortality Review Staff
Teri Conard BSN MS , Jackie Reedy MSN, Anne Lise Sullivan BSN MA & Sandy Minor MSN
IHB-FIMR Case Review Team Meeting
Strategic Actions to Improve
Birth Outcomes in Marion
County, Indiana
Focus Areas
Action Areas
Maternal
Health/
Prematurity
1.Pre & Inter Conception Care
2.Health
Behaviors
3.Perinatal Care
Infant
Health
1.Safety Issues
2.Breastfeeding
3.Injury
Prevention
Actions
-Public Education
Campaigns
-Reproductive Health
Plans & Family
Planning
-Mentoring programs
-Better control of
Chronic Diseases &
Obesity
Expand Medicaid for
IC care, Mental Health
& Substance Abuse
Programs
-PNC Coordination
-Safe Sleep & Home
Safety education
-Breastfeeding Support
-Long term CC services
-Substance Abuse
Screening & Treatment
IHB-FIMR Case Review Team Panel
Bill 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 Hospital
Yvonne Beasley RN MSN
Director, Maternal Child Health Department
Director Indianapolis Healthy Start
Marion County Public Health Department
Joni Cutshaw RNC, CPLC
Bereavement Coordinator, Maternity Services
Franciscan St. Francis Health
Laurie Weinzapfel MSW ACSW
Director of Program and Quality Improvement
MDwise, Inc.
Marion County Public Health Department
Teri Conard RN, BSN, MS
FIMR Coordinator 221.3103
[email protected]