Indianapolis Healthy Babies Fetal Infant Mortality Review IHBFIMR

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

Anthem IHB-FIMR Partners IU School of Nursing Bereavement Coalition Marion County Coroner’s Office Child Care Answers Community Health Network Covering Kids & Families of Central IN Drug. Free 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 Health. Net 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 tconard@hhcorp. org