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AL Dept of Public Health

Amy Stratton RN, BSN
FIMR Coordinator
201 Monroe St., Suite 1350
Montgomery, AL 36104
Phone: (334) 206-2928

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Fetal Deaths: 50
Neonatal Deaths: 100
Postneonatal: 1
Other: 5(Child)
 
PROBLEM: Pre-existing medical conditions such as asthma, hypertension, diabetes, mental health disorders, obesity, etc. existed in 83.3 percent of all review FIMR cases in 2013.
RECOMMENDATION: Limited case management and referral to a medical home for the approximately 25 percent of women who remain on full Medicaid after their 60 day post-partum visit and who have ever experienced and adverse pregnancy outcome.
INTERVENTION: Social Work Case Management protocol and referral process established and enacted statewide. OUTCOMES: Since February 2013 there have been more than 1,500 referrals for ICC Case Management with more than 1,000 of these mothers accepting services. Services provided include connecting mothers with a medical home, connecting infants with a primary provider, and providing education teaching, resources, and referrals as needed.

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Alameda County Public Health Department

Carole McGregor RN, PHN, MA
FIMR Coordinator
1100 San Leandro Blvd
Suite 120
San Leandro, CA 94577
Phone: (510) 667-3673

Program Keywords: safe surrender, postpartum, intrapartum, depression, cultural competency training, program,

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Approximate cases reviewed in calendar year: Fetal Deaths: 15, Neonatal Deaths: 1, Postneonatal Deaths: 5
Number of cases with an interview in a typical year: 10
Community Education Actions
-Conduct a media campaign to encourage early and continuous prenatal care, to promote family planning or STD screening
-Hold a town health fair
-Meet with community based organizations
-Safe Surrender public info campaign, kick counts awareness campaign
Service Systems Improvements
-Eliminate gaps in MHC services
-Improve referral patterns among agencies
Policy/Advocacy Actions
-Develop policy in collaboration with City or County law enforcement offices or emergency services
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Enhance services to bereaved families
-Implement screening for postpartum depression
Actions taken by FIMR program:
Problem:  Lack of community awareness of the Safe Surrender Law
Recommendation: Increase community awareness of Safe Surrender Law
Interventions: Conduct a public information campaign including postings of Safe Surrender information on bus benches and posters.
Outcomes: No infants abandoned and 10 babies have been safely surrendered since the start of the campaign.
Problem: Lack of maternal screening for depression
Recommendation: Implement routine screening and referral at public health suites with high volumes of pregnant and postpartum clients
Intervention: Developed training at 3 public health WIC sites in maternal depression screening.
Outcomes: Several thousand women have been screened, 14% screening positive. All received referrals to mental health programs.
Special religious or cultural subgroups served:  Black/ African American, American Indian, Latino, Pacific Islander, Asian
Total population in catchment area:  1,525,655


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Alaska Division of Public Health

Jared Parrish
FIMR Coordinator
PO Box 240249
Anchorage , AK 99524
Phone: (907) 269-3401

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Fetal Deaths:0
Neonatal Deaths:4
Postneonatal Deaths: 25

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Allegan Public Health Dept

Angelique Joynes RN, BSN
Health Officer
Allegan, MI
Phone: (269) 686-4553

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Allegany County Health Dept

Tina Tindal
PO Box 1745
12500 Willowbrook Rd
Cumberland, MD 21501-1745
Phone: (301) 777-2064     Fax: (301) 777-2063

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Anne Arundel County Dept of Health

Lisa Helms Guba RNC, MSN
Perinatal Nurse/FIMR Coordinator
3 Harry J Truman Parkway, HD #14
Annapolis, MD 21403
Phone: (410) 222-7223     Fax: (410) 222-7294

Website: www.aahealthybabies.org
Program Keywords: Maternal Interview, Two-tiered system,

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Approximate number of cases reviewed annually:  Fetal deaths 40, neonatal deaths 40
Case review typically includes information from family member:  Yes
Number of cases with an interview in a typical year:  2
Community Education Actions:
- Conduct a media campaign to encourage early and continuous prenatal care, address disparities in infant health, about risks of prematurity
- Promote breastfeeding
- Develop culturally relevant health education materials
- Meet with community based organizations
Service Systems Improvement/Linkage Actions:
- Improve referral patterns among agencies, including bereavement referral services
- Streamline MCH Medicaid application processes
Policy/Advocacy Actions:
- Develop local or state legislation
Practice, Program, and Policy Improvement Actions:
- Enhance services to bereaved families
- Implement screening for substance abuse
Actions taken by FIMR Program:
Part of FIMR, we developed a Storks Nest (March of Dimes) and we also developed a website, www.aahealthybabies.org, in which we have an online infant safety CEU which parents/caregivers can take.
Total population in catchment area:  544,403


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Baltimore City Health Department

Cathy Costa
FIMR Coordinator
1001 E. Fayette St
Baltimore, MD 21202
Phone: 410-396-1562

Website: http://healthybabiesbaltimore.com/home
Program Keywords: Two-tiered system, safe sleep, media campaign, case management, bereavement services

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Approximate cases reviewed annually:  Fetal deaths 20, neonatal deaths 8 postneonatal deaths:  2-3
Community Education Actions:
- Promote breastfeeding
- Hold a town health fair
- Develop culturally relevant health education materials
- Meet with community based organizations
- Publish an annual FIMR report
- Conduct a media campaign to encourage enrollment in home visiting, to reduce secondhand smoke exposure of pregnant women, to reduce deaths due to unsafe sleep, to prevent teen pregnancies, to promote family planning
Service Systems Improvement/Linkage Actions:
- Eliminate duplication and gap in both MCH and family planning services
- Improve referral patterns among agencies
- Improve bereavement referral services
- Streamline MCH Medicaid application processes.
Policy/Advocacy Actions:
- Initiate a Mayoral or Governor's proclamation of a day or week promoting MCH
- Develop local or state legislation
Practice, Program, and Policy Improvement Actions:
- Initiate or expand public health case management
- Expand services to pregnant substance abusers, bereaved families
- Expand family planning services
- Implement standardized prenatal risk assessment
- Implement screening for domestic violence, substance abuse, smoking, postpartum depression
Actions taken by FIMR Program:
Problem: Underutilization of prenatal home visiting programs and duplication of home visiting service areas.
Recommendation: Home visiting program service areas should be delineated and create a centralized referral system for home visiting.
Interventions: Collaborate with Medicaid Administrative Care Coordination Unit to become the centralized point of intake, created collaborative of all home visiting programs in the city, organized and continue to troubleshoot an assessment and vulnerability index to triage women into home visiting based on risk and city census tract.
Outcomes: Quarterly reviews through the home visiting collaborative to document increasing enrollment in home visiting.
Problem: High number of sleep-related deaths due to unsafe sleep environment.
Recommendation: Hospitals should educate mothers about safe sleep before postpartum discharge.
Interventions: Creation of a moving video that teaches safe sleep, arrangements with all seven city birthing hospitals to show the video before discharge and have mothers sign that they watched (FIMR OB was a major champion of this project), training more than 3400 providers (including hospital staff) on safe sleep.
Outcomes: Sustained decrease in deaths due to unsafe sleep environment.
Special religious or cultural subgroups served:  Spanish-speaking immigrants
Total population in catchment area:  620,000

Community action team:  B'more for Healthy Babies Steering Committee which oversees implementation of Baltimore's strategy to reduce infant mortality.


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Bay Franklin Gulf Healthy Start Coalition, Inc.

Kelly Byrns-Davis
FIMR Coordinator
459 Grace Ave
Panama City, FL 32401
Phone: (850) 872-4130 ext. 102     Fax: (850) 747-5435

Program Keywords: one-tiered, maternal interview

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Approximate cases reviewed in calendar year: Fetal Deaths: 28
Number of cases with an interview in a typical year: 9


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Beaverhead County Public Health

Sue Hansen RN
Director
90 Highway 91 South
Dillon, MT 59725
Phone: (406) 683-4771     Fax: (406) 683-3188

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Berrien County Health Dept

Cheryl Bury
Berrien County FIMR Coordinator
769 Pipestone
PO Box 706
Benton Harbor, MI 49023
Phone: (269) 927-5631

Program Keywords: two-tiered system, maternal interview

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Approximate cases reviewed in calendar year: Fetal Deaths: 4-12, Neonatal Deaths: 6-12, Postneonatal Deaths: 4-6
Two-tiered system to take recommendations to action
Community Education Actions
- Conduct media campaigns to encourage early and continuous prenatal care, to address disparities in infant health, to educate about risks of prematurity
- Promote breastfeeding
- Hold a town health fair
- Hold a FIMR town meeting
Service System Improvements
- Eliminate a duplication of MCH services
- Eliminate gaps in MCH services, family planning services
- Improve referral patterns among agencies
- Improve bereavement referral services
- Implement “one-stop-shopping” prenatal care
- Improve/develop transportation routes to MCH services with the City or County Transportation Department


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Big Horn County Health Dept

Esther Winne
809 North Custer Ave
Hardin, MT 59034
Phone: (405) 665-1025     Fax: (406) 665-1025

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Butler County Department of Health

Karen Carr RN
FIMR Coordinator
301 S. 3rd St.
Hamilton, OH 45011
Phone: (513) 887-5250

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Butte/Silver Bow Health

Karen Maloughney RN
Lead FICMMR Coordinator
25 West Front St
Butte, MT 59701
Phone: (406) 723-6507

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Calhoun County Health Dept

Erin Somerlott MPH
FIMR Coordinator
190 E. Michigan Ave
Battle Creek, MI 49015
Phone: (269) 969-6482

Program Keywords: one-tiered

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Approximate cases reviewed in calendar year: Fetal Deaths: 2, Neonatal Deaths: 5, Postneonatal: 2


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California Dept of Public Health

Mari Tylan
FIMR Coordinator
1615 Capital Ave MS 8306
PO Box 997420
Sacramento, CA 95899-7420
Phone: (916) 650-0378     Fax: (916) 650 0304

Website: http://www.cdph.ca.gov/programs/FIMR/Pages/default.aspx

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Calvert County Health Dept.

Betsy Bridgett RN, BSN
FIMR Coordinator
P. O. Box 980
Prince Frederick, MD 20678
Phone: (410) 535-5400 x 351     Fax: (410) 535-5285

Program Keywords: Maternal Interview, Two-tiered system

View Program Summary

Approximate cases reviewed annually: Fetal Deaths 5, Number of cases with an interview annually: 6
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care to promote prenatal alcohol and drug cessation, family planning, STD screening
- Promote Breastfeeding

- Develop culturally relevant health education materials
- Meet with community based organizations
Policy/Advocacy Actions
-Develop local or state legislation
Practice, Program, and Policy Improvement Actions
- Initiate or expand public health case management
- Expand services to pregnant substance abusers
- Expand family planning services


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Canton City Health District (CCHD)

Latoya Dickens RN-BC, MSN, FNP
FIMR/OEI Project Coordinator
420 Market Ave N
Canton, OH 44702
Phone: 330-438-4655

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Capital Area Healthy Start

Faye Gardner
FIMR Coordinator
1311 N. Paul Russell Road, Suite A101
Tallahassee, FL 32301
Phone: (850) 488-0288 ext 104     Fax: (850) 922-3622

Website: http://www.capitalareahealthystart.org/
Program Keywords: safe sleep, media campaign, culturally relevant health education, screening, provider training

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 30, Neonatal Deaths: 30, Postneonatal Deaths: 30
Number of cases with an interview in a typical year: 4
Community Education Actions
- Conduct a media campaign to address disparities in infant health
- Promote breastfeeding, hold a town health fair
- Develop culturally relevant health education materials
- Meet with community based organizations
- Participated in faith based group discussion on preconception care
Policy/Advocacy Actions
- Report the FIMR findings to Mayor, County executive, and/or other officials on an annual basis
- Meet with county and state officials to speak about infant mortality and racial disparities
Practice, Program, and Policy Improvement Actions
- Intensive SIDS education post partum at local hospitals
Professional Training
- Conduct provider education training on screening tools
- Partnered with local medical school, hospital, and Whole Child Leon to present a preconception counseling for CEs, CMEs
Total population in catchment area:  321, 782


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Caroline County Health Dept.

Jennifer Knapp
Perinatal Coordinator
P. O. Box 10
411 Franklin St
Denton, MD 21629
Phone: (410) 479-8000     Fax: (410) 479-4871

Program Keywords: safe sleep, media campaign, one tiered system, maternal interviews

View Program Summary

Approximate cases reviewed in calendar year:
Fetal Deaths: 3-4
Neonatal Deaths: 2-3
Postneonatal Deaths: 1-2
Case review typically includes information from family member:  yes
Number of cases with an interview in a typical year: one
Community Education Actions
-Conduct a media campaign to encourage early and continuous prenatal care,  to promote prenatal alcohol                     and drug cessation, to promote family planning or STD screening
-Promote breastfeeding, hold a town health fair
-Develop culturally relevant health education materials
-Meet with community based organizations
Policy/Advocacy Actions
-Report the FIMR findings to the State MCH Director
-Develop local or state legislation
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Expand services to pregnant substance abusers
-Enhance services to bereaved families
-Expand family planning services
-Implement standardized prenatal risk assessment
-Implement screening for domestic violence, substance abuse, smoking, postpartum depression
Actions taken by FIMR program:
Problem:  Babies co-sleeping with parents, unable to afford crib, outdated unsafe cribs
Recommendation: Education on safe sleep
Interventions: Purchase of cribs for needy families, community outreach on safe sleep
Outcomes: No co-sleeping or crib death since outreach and education
Special religious or cultural subgroups served:  Latino, Haitian
Total population in catchment area:  33,000


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Carroll Co Health Dept

Cindy Marucci-Bosley CRJP, BSN, LCCE
FIMR Coordiantor/Women's Health Program Manager
290 S Center St
Westminster, MD 21157
Phone: (410) 876-4944     Fax: (410) 876-4959

Program Keywords: two tiered system, co-sleeping, safe sleep, maternal interview

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 5, Postneonatal Deaths: 5
Number of cases with an interview in a typical year: 2
Community Education Actions
-Conduct a media campaign to promote prenatal alcohol and drug cessation, to promote family planning or STD screening
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Expand services to pregnant substance abusers
-Implement standardized prenatal risk assessment
-Implement screening for domestic violence, substance abuse, smoking, postpartum depression
Actions taken by FIMR program:
Problem: Multiple infant losses related to sleep environment
Recommendation: Crib distribution program
Outcomes: Became a Cribs for Kids affiliate 


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Cascade City - County HD

Jo Viviane Jones RN
FIMR Manager
115 4th St South
Great Falls, MT 59401
Phone: (406) 454-6950     Fax: (406) 454-6959

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Case Western Reserve University

Sharon Groh-Wargo, PhD, RD, LD
Associate Professor of Pediatrics and Nutrition
R240 MetroHealth Medical Center
2500 MetroHealth Dr
Cleveland, OH 44109-1998
Phone: (216) 778-5902

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CDNDSC/FIMR

Delaware has two FIMR programs in North and South Delaware, both staffed by Joan Kelly.

Joan Kelley RN
FIMR Program Coordinator
900 N. King St
Suite 220
Wilmington, DE 19801
Phone: (302) 255-1766     Fax: (302) 577-1129

Website: http://dethrives.com/
Program Keywords: SIDS, Prematurity, media campaign, maternal interview, two-tiered, fetal movement

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths:30, Neonatal Deaths: 30 Postneonatal Deaths: 5
Percentage of cases with an interview in a typical year: 30
Community Education Actions
-Develop culturally relevant health education materials
-Safe sleep campaign, Kick Counts campaign, Youth Women and Teen Life Plans and DE Thrives website
Service Systems Improvement
-Improve bereavement referral services
 -Partner with local MOD Prematurity campaign
-Develop 211 system- DE helpline
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Expand hospital quality assurance programs
Actions taken by FIMR program:
Problem:  Lack of education about fetal movement
Recommendation: Education on fetal movement
Interventions: Institute a fetal Kicks Count campaign
Outcomes: Increased knowledge on fetal kick counts, the campaign has been introduced at national forums


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Cecil County Health Department

Tina Bell
FIMR Coordinator
401 Bow St
Elkton, MD 21921
    Fax: (410) 996-5183

Website: http://cecilcountyhealth.org

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Central Jersey Family Health Consortium

Sheryl Dwyer BSN, RNC-OB
FIMR Corrdinator
788 Shrewsbury Avenue
Bldg. 2, Suite 203
Tinton Falls, NJ 07724
Phone: 732-345-0500 Ext. 128     Fax: 732-345-0505

Website: www.CJFHC.org

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths: 42, Neonatal: 8, Postneonatal: 8
Case review typically includes information from family member:  No; 32% of cases included interview last year, an additional 17 % were scheduled but cancelled by the mother. 
Community Education Actions
- Distribute health education information at health fairs
Service Systems Improvement/ Linkages
- Improve bereavement referral services
Practice, Program, and Policy Improvement Actions
- Enhance services to bereaved families
- Educational bulletin to providers and hospitals regarding recommendations/standards of care
- Developed a brochure for post partum depression after loss in conjuction with state PPD initiative
Professional Training
- Implement bereavement training
Problem: Lack of consistent bereavement care
Recommendation: Professional education on bereavement care
Interventions: Sponsor state wide bereavement training with other FIMR programs; Establishment of a region wide perinatal bereavement task force.
Outcomes: Review of cases noted improvement in bereavement care being documented; 2 hospitals initiating revised bereavement care; 100% of participants stated the bereavement task force positively affected the practice at their institution and was beneficial to their practice.
Participants: staff nurses, social workers, chaplains, support group facilitators

Special religious or cultural subgroups served: Asian Indian, Observant Jewish
Total population in the catchment area: 2,835,111
Total number of live births 30,000
Total number of fetal deaths 195
Total number of infant deaths 68


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Central Racine County Health Dept

Margaret Gesner
10005 Northwestern Ave
Franksville, WI 53126
Phone: (226) 898-4463

Program Keywords: Maternal Interview, Two-tiered system

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Approximate cases reviewed in calendar year: Fetal Deaths: 14, Neonatal Deaths: 9, Postneonatal Deaths: 5
Number of cases with an interview in a typical year: 14
Total population in catchment area:  195,000

 


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Charles County Health Dept

Lois Beverage RN, BSN
CHN Program Manager
PO Box 1050
White Plains, MD 20695
Phone: (301) 609-6803     Fax: (301) 934-7048

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Chattanooga Hamilton County Health Department

Lisa Vincent RN, BSN
FIMR Coordinator
921 E 3rd ST
Chattanooga, TN 37403
Phone: 423-209-8055

Program Keywords: safe sleep, media campaign, culturally relevant health education, communication, continuity of care, provider training

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths: 9, Neonatal Deaths: 6, Postneonatal Deaths: 9
Number of cases with an interview in a typical year: 6
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care, to promote prenatal alcohol and drug cessation, to promote family planning or STD screening
- Conduct a media campaign to address disparities in infant health and prematurity
- Promote breastfeeding
- Develop culturally relevant health education materials
- Meet with community based organizations
- Publish a FIMR newsletter
Service System Improvements
Eliminate gap of MHC services, family planning services
- Improve referral patterns between agencies and bereavement services
- Partner with local MOD prematurity campaign
Policy/Advocacy Actions
- Report the FIMR findings to the State MCH Director
- Initiate a Mayoral or Governor’s proclamation of a day or week promoting MHC
Practice, Program, and Policy Improvement Actions
Expand hospital quality assurance standards
- Expand services to homeless women and children
- Implement screening for postpartum depression
Actions taken by FIMR program:
Problem:  Lack of patient empowerment and communication with providers
Interventions: distribute passport to all OBs in county for use with patient
Outcomes: Patients are in possession of their medical information, positive feedback from providers, ongoing evaluation
Problem: lack of knowledge about safe sleep and resource utilization
Recommendation: media campaign to educate the public and distribution of pack and plays to the community.
Interventions: Bus advertising, interviews with health officials, town and county fairs.
Outcomes: ongoing data collection about deaths due to unsafe sleep environment
Special religious or cultural subgroups served:  Black/ African American


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Child Death Review Commission

Anne Pedrick
Executive Director
900 N.King Street Suite 200
Wilmington, DE
Phone: 302-255-1760

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Children’s Health Alliance of Wisconsin

Abby Collier
Senior Project Manager, Co-State FIMR Coordinator
6737 W. Washington St., Suite 1111
West Allis, WI 53214
Phone: (414) 337-4566     Fax: (414) 266-4876

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Chipola Healthy Start

Lisa Grice
Executive Director
P.O. Box 1006
Marianna, FL 32446
Phone: (850) 482-1236 ext. 305     Fax: (850) 482- 9204

Program Keywords: bereavement, media campaign, culturally relevant health education, screening, one-tiered

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Approximate cases reviewed anually: Fetal Deaths: 10, Other (LBW): 18
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care, address infant health disparities, risks of prematurity
- Promote breastfeeding
- Develop culturally relevant health education materials
- Meet with community based organizations
- Created bereavement support group
Service System Improvements
 - Improve bereavement referral services
Policy/Advocacy Actions
- Invite Mayor, County executive, or other elected officials to chair a FIMR town meeting
Practice, Program, and Policy Improvement Actions
- Implement standardized prenatal risk assessment
- Enhance services to bereaved families
Professional Training
- Implement cultural competency training, bereavement training, cultural competency assessment FIMR team members
Actions taken by FIMR program:
Problem:  Lack of bereavement support services
Recommendation: Community and professional education/resources 
Interventions: Provide training for peer specialist as well as training for professionals that will deal with families who
have lost their babies


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Cincinnati Health Dept

Corinn Taylor MSN, RN
Fetal Infant Mortality Review (FIMR) Director
3101 Burnet Ave., Room 202
Cincinnati, OH 45229
Phone: (513) 357-7266

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City of Milwaukee Health Dept

Karen Michalski MA, MSW
Vital Records manager
841 North Broadway
RM 115
Milwaukee, WI 53202
Phone: (414) 286-5012     Fax: (414) 286-2036

Program Keywords: Maternal Interview, one-tiered

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Approximate cases reviewed in calendar year: Fetal Deaths 75, Neonatal Deaths 90, Postneonatal Deaths 30


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Columbus Public Health

Lauren Rose-Cohen, RN
FIMR Coordinator
240 Parsons Ave
Columbus, OH 43215
Phone: (614) 645-6537     Fax: (614) 645-0865

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Confederated Salish and Kootenai Tribal HD

Tammy Matt
FICMMR Coordinator
30 Round Butte Rd
Ronan, MT 59864
Phone: 406-475-3525     Fax: (406) 676-0134

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Contra Costa County Health Services

Natalie V Berbick MSW
FIMR Coordinator
597 Center Ave
Suite 365
Martinez, CA 94553
Phone: (925) 313-6123     Fax: (925) 313-6708

Website: http://www.cchealth.org/groups/fmch/
Program Keywords: culturally relevant health education, African American; screening; referral services, bereavement, fetal loss

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths: 15, Neonatal Deaths: 7, Postneonatal Deaths: 3
Number of cases with an interview in a typical year: 25
Community Education Actions
-Conduct a media campaign to address disparities in infant health
-Promote breastfeeding
-Develop culturally relevant health education materials
Service Systems Improvement
-Improve bereavement referral services
-Improve linkages for father engagement
Practice, Program, and Policy Improvement Actions
-Enhance services to bereaved families
- Implement screening for postpartum depression
Actions taken by FIMR program:
Problem:  African American mothers are at highest risk for infant death
Recommendation: Focus on health of African American mothers
Interventions: Organize and promote regional African American baby showers to educate regarding life course theory, data and interventions
Outcomes: Institutionalized regional event that continues to education African American mothers regarding adverse birth outcomes and strategies to eliminate disparities.
Problem: Lack of referrals from largest LD hospitals in regards to fetal deaths, grief and bereavement support
Recommendation: Centralize referrals for fetal and infant deaths to FIMR program to assure referrals to bereavement services
Intervention: Develop education and streamlined referral system
Outcomes: Coordinated system of referrals from a major labor and delivery hospital and majority of providers for low- socioeconomic population that has experienced fetal loss
Total population in catchment area:  1,049, 025


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County of San Bernardino Department of Public Health

Sara Hernandez-Singh RN, BSN, MPH
FIMR Coordinator
606 East Mill Street
San Bernardino, CA 92415
Phone: (909) 383-3027     Fax: (909) 383-3030

Program Keywords: maternal interview, one tiered, safe sleep, 911 system

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 3, Neonatal Deaths: 3, Postneonatal Deaths: 9
Number of cases with an interview in a typical year: 2
Community Education Actions
-Conduct a media campaign to promote prenatal alcohol and drug cessation
-Promote breastfeeding
-Develop culturally relevant health education materials
-Promote safe sleeping
Service Systems Improvement
 -Partner with local MOD Prematurity campaign
- Develop a 911 system
Practice, Program, and Policy Improvement Actions
-Enhance services to bereaved families
Professional Training
-Conduct provider training on prematurity/ preterm labor management
-Implement SIDS training programs


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Cuyahoga County Board of Health

New FIMR program

Angela Newman-White
FIMR Program Supervisor
5550 Venture Drive
Parma, OH 44130
Phone: (216) 201-2000

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Dallas Healthy Start

Alexea Collins
FIMR Coordinator
4917 Harry Hines Blvd.
Dallas, TX 75235
    Fax: (214) 590 1672

Program Keywords: Text 4 Baby; kick counts; preterm labor; provider education

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Actions taken by FIMR program:
Problem:  Lack of knowledge and awareness about kick counts and signs of preterm labor
Recommendation: Increase utilization of existing resources
Interventions: Train providers to use and recommend Text 4 Baby
Outcomes: Ongoing evaluation of outcomes


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Dawson County Health Dept

Timber Dempewolf
Health Dept Director
207 W Bell
Glendive, MT 59330
Phone: (406) 377-5213     Fax: (406) 377-2022

Program Keywords: two-tiered system, maternal interview

View Program Summary

Approximate cases reviewed in calendar year: 2
Community Education Actions
- Promote breastfeeding
Service Systems Improvement/ Linkages
- Eliminate a gap in MCH services
- Improve referral patterns among agencies
Policy/Advocacy Actions
- Report the FIMR findings to the State MCH Director
Practice, Program, and Policy Improvement Actions
- Implement screening for postpartum depression, smoking, substance abuse, domestic violence
- Initiate or expand public health case management
Professional Training
- Conduct provider training on prematurity/preterm labor management
- Implement SIDS training programs, bereavement training
One-on-One Counseling or Assessment 
- Provide cribs for safe sleep
- Go into the home to teach parenting skills, signs and symptoms of preterm labor
- Conduct infant car seat installation checks
Special religious or cultural subgroups served:  American Indian
Total population in the catchment area: 8966


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Detroit Dept of Health and Wellness Promotion

Yolanda Hill-Ashford
FIMR Coordinator
3245 E.Jefferson Suite 100
Detroit, MI 48207

View Program Summary

Cases reviewed in 2014: 16 (all fetal deaths), Cases reviewed YTD: Neonatal Deaths: 1, Postneonatal Deaths: 4
Number of maternal interviews conducted YTD: 5 (7 attempted)
Community Education Actions
- Publish an annual FIMR report
- Meet with community based organizations and stakeholders, including Community Action Team (CAT)
- Develop culturally relevant health education materials
- Promote 5 key messages using PPOR data designed to target social and physiological determinants of health
- Breastfeeding
- Safe sleep (includes a smoking cessation message in addition to Back to Sleep message)
- Medical home for moms and babies
- Preterm birth prevention (cervical screening and health education
-
Family planning/birth spacing
Service System Improvements
- Eliminate gaps in MCH services across perinatal health system
- Improve referral patterns among agencies (emphasis on home visiting referrals, referrals to mental health, and bereavement)
- Coordinate health messages and priorities among the three local hospital systems
- Enhance linkage to basic needs (food, housing, cribs, diapers)
Improved Policies/Programs
- Implement screening for postpartum depression, smoking, substance abuse, domestic violence, prenatal risk assessment
- Enhance services to bereaved families
Professional Training
- Conduct provider training on 5 key messages, community resources and eligibility criteria for WIC/home visiting
- Develop a community resource directory for health and other social service providers


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Dorchester County Health Dept.

Roger Harrell
Health Officer
3 Cedar St
Cambridge, MD 21613
Phone: (410) 228-3223

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Douglas County Health Dept

Carol Isaac RN, BSN, MA
Public Health Nurse
111 South 41st St
Omaha, NE 68105
Phone: (402) 444-7219

Website: http://www.babyblossomsomaha.org/

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East Central Indiana FIMR

Genice Smithson RN
FIMR Nurse
2401 W. University Ave
Muncie, IN 47303

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East Tennessee Regional Health Dept.

Autumn Mays
East Tennessee Regional Health Offices
2101 Medical Center Way
Knoxville, TN 37920
Phone: (865) 546-9221

Program Keywords: safe sleep; co-sleeping; hospital, quality assurance; provider training; patient education

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Approximate cases reviewed in calendar year: Fetal Deaths: 25, Neonatal Deaths: 10, Number of cases with an interview in a typical year: 15
Community Education Actions
-Hold a town health fair
-Develop culturally relevant health education materials
-Meet with community based organizations
Practice, Program, and Policy Improvement Actions
-Expand hospital quality assurance standards
Actions taken by FIMR program:
Problem:  Unsafe sleep related deaths
Recommendation: Education on safe sleep
Interventions: Draft hospital policy and patient education materials
Outcomes: Two local hospitals employed and piloted the new protocols and patient education materials. The protocols and patient education materials further expanded and are used as statewide templates


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Elkhart County Health Department

Amy Williams
FIMR coordinator
117 N. 2nd St.
Goshen, IN 46528
Phone: 574-535-6765

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Escambia County Healthy Start Coalition

Theresa Chmiel
Executive Director
5625 Dixie Drive, Suite 3
Pensacola, FL 32504

Website: www.healthystart.info
Program Keywords: two-tiered, safe sleep, SIDS; media campaign; referrals; bereavement

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths: 9, Neonatal Deaths: 15, Postneonatal Deaths: 4
Community Education Actions
-Conduct a media campaign to encourage early and continuous prenatal care,  to promote prenatal alcohol and drug cessation, to promote family planning or STD screening
-Conduct media campaign about risk of prematurity
-Promote breastfeeding
-Meet with community- based organizations
Service Systems Improvements
-Eliminate gap in MHC services
-Improve bereavement referrals and referral patterns between agencies
- Partner with local MOD prematurity campaign
-Streamline MHC Medicaid application services


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Fergus County Nurse's Office

Kathy Anderson
Public Health Director
712 W Main-Courthouse
Lewistown, MT 59457
Phone: (406) 535-7433     Fax: (406) 538-7434

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FIMR- University of Chicago

Virginia Julion
5841 S. Maryland MC 2001 C-010
Chicago, IL 60652
Phone: (773) 834-5659

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Flathead City-County Health Department

Joan Paulson
1035 1st Ave West
Kalispell, MT 59901
Phone: (406) 751-8115     Fax: (406) 751-8111

Website: http://www.flatheadhealth.org
Program Keywords: one-tiered, media campaign, screening, provider education

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Approximate cases reviewed in calendar year: Fetal Deaths: 5, Neonatal Deaths: 8
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care
Service System Improvements
-Eliminate gap in MCH services
Policy/Advocacy Actions
-Initiate a mayoral proclamation of day of week promoting MCH
Practice, Program, and Policy Improvement Actions
-implement screening for postpartum depression
Professional Training
-Implement SIDS training program
Actions taken by FIMR program:
Problem: Children encountering choking hazards
Recommendation: Education of providers on chocking hazards including foods
Interventions: Mass outreach to pediatricians by health department
Outcomes: On going evaluation
Special religious or cultural subgroups served: None
Total population in catchment area: 100,000
 

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Florida Department of Health

Quartil Robinson
Human Services
Tallahassee, FL 32399
Phone: 850-245-4444 ext. 2571

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Frederick County Health Dept.

Jan Sparks RN, BSN
FIMR Coordinator
350 Montevue Lane
Frederick, MD 21702
Phone: (301) 600-1757     Fax: (301) 600-3662

Program Keywords: Access to care, SIDS risk reduction, transportation, safe sleep, screening

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Approximate cases reviewed annually: Fetal Deaths: 5
Case review typically includes information from family member:  Yes
Number of cases with an interview in a typical year: 6
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care, to promote prenatal alcohol and drug cessation, to promote family planning or STD screening
-Promote breastfeeding
-Develop culturally relevant health education materials
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Expand services to pregnant substance abusers, family planning services
-Implement screening for substance abuse
Professional Training
-Implement SIDS training program
-Develop community resource directory
-Training on caring for drug substance impacted newborns
Actions taken by FIMR program
Problem:  Lack of continuity of health and mental care for patients with substance abuse 
Recommendation: Need for comprehensive program that provides “one stop shop” services for clients with substance abuse
Interventions: Apply for an preconception care and education grant
Outcomes: Awarded grant in 2014; outcome indicators are being collected
Special religious or cultural subgroups served:  None


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Fresno County Dept of Community Health

Erica Alexander RN, BSN, PHN
BIH, FIMR & SIDS Coordinator
West Fresno Regional Center
142 E. California
Fresno, CA 93721
Phone: (559) 600-1021     Fax: (559) 600-1132

Program Keywords: bereavement, cultural competency, prenatal care

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Approximate cases reviewed in calendar year: 20
Number of cases with an interview in a typical year: 1-15
Community Education Actions
-Community wide baby showers to promote pre- and interconceptual care
- Develop workshop on stress reduction, breastfeeding, and prenatal care for African American mothers
Service System Improvement / Linkages
- Improve bereavement referral services


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Gallatin City County Health Dept

Tracy Knoedler RN
215 West Mendenhall
Room 117
Bozeman, MT 59715
Phone: (406) 582-3109     Fax: (406) 582-3112

Program Keywords: two-tiered, advocacy, media campaign, mental health, screening, referral, provider training

View Program Summary
Approximate cases reviewed in calendar year:  Fetal Deaths: 10
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care, to promote prenatal alcohol and drug cessation, to promote family planning or STD screening
- Promote breastfeeding
- Develop culturally relevant health education materials
- Meet with community based organizations
Service System Improvements
- Improve referral pattern agencies
Policy/Advocacy Actions
- Report the FIMR findings to the State MCH Director
- Develop policy in collaboration with City or County law enforcement or emergency services
- Report findings to Mayor, County executive, or other officials on annual basis
Practice, Program, and Policy Improvement Actions
- Initiate/expand public health case management
- Expand services to pregnant substance abusers, homeless women and children
- Implement standardized prenatal risk assessment
- Implement screening for domestic violence, substance abuse, smoking, postpartum depression
Professional Training
- Conduct provider training on use of screening tools
- Develop community resource directory
Actions taken by FIMR program:
Problem: Lack of referrals to mental health services
Recommendation: Care coordination and referrals as well as depression screening at every visit
Interventions: Distributed gun locks to all providers
Special religious or cultural subgroups served: Latino
Total population in catchment area: 90,000

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Garrett County Health Department

Earleen Beckman RN
FIMR Coordinator
1025 Memorial Dr, Oakland, MD 21550
Oakland, MD 21550
Phone: (301) 334-7777

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Geary County FIMR

Dani Holliday
Program Coordinator/Interviewer
1212 West Ash
PO Box 282
Junction City, KS 66441
Phone: 785-762-5788 x 117

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Genesee County Health Dept

Almeta Milow
FIMR Coordinator
630 S. Saginaw
Flint, MI 48502
Phone: (810) 768-7970     Fax: (810) 257-3121

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Glacier County Health Department

Carol Mcdivitt
Lead Public Health Official
1210 East Main Street
Cut Bank, MT 59427
Phone: 406-873-5885

Website: http://www.glaciercountygov.com/?page_id=11486

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Granite County Public Health

Karyn Johnston
RN, PHN
Drummond, MT 59832
Phone: 4065315442

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Great Plains Tribal Chairman Health Board

Jerilyn Church
Rapid City, SD 57702
Phone: (800) 745-3466

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Hartford County Health Department

Judy Churn MS RN C.
Perinatal Coordinator
34 N Philadelphia Blvd
Room 211
Aberdeen, MD 21001
Phone: (410) 273-5626     Fax: (410) 272-5467

Program Keywords: Maternal Interview

View Program Summary

Approximate number of cases anually:  Fetal deaths 3, postneonatal deaths 5
Number of cases with an interview in a typical year:  2
Community Education Actions:
- Conduct a media campaign to encourage early and continuous prenatal care, to promote prenatal alcohol and drug cessation
- Promote breastfeeding
- Meet with community based organizations
Service Systems Improvement/Linkage Actions
- Eliminate a gap in family planning services
- Improve referral patterns among agencies, bereavement referral services
- Streamline MCH Medicaid application processes
Practice, Program, and Policy Improvement Actions:
- Expand services to pregnant substance abusers, to bereaved families
- Expand family planning services
- Implement screening for domestic violence, for substance abuse, for smoking, for postpartum depression
Actions taken by FIMR Program:
Problem: Increase in Drug Affected Newborns (up 29%) in the last 5 years. Lack of care coordination and follow up for these dyads has led to infant deaths, infant removal from home by DSS, and fragmented substance abuse treatment for moms.
Recommendation: Birth hospitals to refer DANs to Health Dept. for care coordination and referrals to specialty services.
Intervention: Formed a Home Visiting Program for infants identified as Drug Affected Newborn (DAN) or with mothers having current or history of mental health issues that need treatment.
Outcome: Developed a pilot program in 2013 to serve this population, made the program permanent in 2014 with dedicated staff.


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Health Council of Southeast Florida (HCSEF)

Odeth O'Meally PhD, MPH
Director of Health Planning
600 Sandtree Drive, Suite 101
Palm Beach Gardens, FL 33403
Phone: 561.844.4220 ext. 1500

Website: www.hcsef.org

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Healthy Mothers, Healthy Babies Coalition of Broward County

Sandra Despagne
Infant Mortality Program Manager
PO Box 350446
Ft Lauderdale, FL 33315
Phone: (954) 765-0550 Ext 344     Fax: (954) 765-0587

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Healthy Start Coalition of Brevard County

Brevard County runs a modified review conducted every 6 months

Jennifer Floyd
P.O. Box 560868
Rockledge, FL 32956-0868
Phone: (321) 634-6101     Fax: (321) 634-6108

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Healthy Start Coalition of Hardee, Highlands and Polk Counties

Tonya Akwetey
FIMR Coordinator
650 E. Davidson St
Bartow, FL 33830
Phone: (863) 534-9224     Fax: (863) 519-8111

Website: http://www.healthystarthhp.org
Program Keywords: head trauma, teen pregnancy, teen health, breastfeeding

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Community Education Actions
- Promote breastfeeding
Practice, Program, and Policy Improvement Actions
- Initiate/expand public health case management
- Expand services to pregnant substance abusers
- Implement screening postpartum depression
Actions taken by FIMR program:
Problem:  Head trauma due to Shaken Baby Syndrome
Outcomes: Improvement in number of head trauma cases in infants
Problem: Need for programs centering on teen parents’ health and their infants’ health, focusing on prevention of child protective service intervention


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Healthy Start Coalition of Hillsborough County

Leisa Stanley
P.O. Box 18974
Tampa, FL 33679-8974
Phone: (813) 233-2800     Fax: (813) 233-2809

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Healthy Start Coalition of Miami-Dade

Amy Olen LM, CLC, CEIM
7205 NW 19th Street, Suite 500
Suite 1401
Miami, FL 33126
Phone: (305) 541-0210     Fax: (305) 541-0213

Website: http://www.hscmd.org
Program Keywords: Maternal Interview, Two-tiered system

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Approximate cases reviewed annually: Fetal Deaths: 15, Neonatal Deaths: 8, Postneonatal Deaths: 8


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Healthy Start Coalition of Osceola County

Patricia McWhirter
Executive Director
P. O. Box 701995
St Cloud, FL 34770-1995
Phone: (407) 891-9199     Fax: (407) 891-8066

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Healthy Start Coalition of Pinellas, Inc.

Michelle Schaefer
Health Analyst/FIMR Coordinator
2600 East Bay Drive
Suite D
Largo, FL 33771
Phone: (727) 507-6330 x.225     Fax: (727) 507-6331

Website: http://www.healthystartpinellas.org
Program Keywords: Maternal Interview, Two-tiered system, media campaign, culturally relevant health education, breastfeeding

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 20, Neonatal Deaths: 9, Postneonatal Deaths: 3
Number of cases with an interview in a typical year: 6
Community Education Actions
- Promote breastfeeding
- Develop culturally relevant health education materials
- Meet with community based organizations
- Publish FIMR newsletter
Service Systems Improvements
-Eliminate duplication and gap of MCH services, in family planning services
-Improve referral patterns between agencies and bereavement referral services
-Partner with local MOD prematurity campaign
-Streamline MCH Medicaid application process
Policy/Advocacy Actions
-Develop local or state legislation
Practice, Program, and Policy Improvement Actions
-Improve cultural competency protocols 
-Expand services to pregnant substance abusers
-Enhance services to bereaved families
Professional Training
- Conduct provider education programs, training on use of screening tools
- Implement cultural competency training, SIDS training programs
- Develop a community directory
Total population in catchment area:  917,028


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Healthy Start Coalition of Sarasota County, Inc.

Terri Roberts
FIMR Coordinator
1750 17th St
Building A
Sarasota, FL 34234
Phone: (941) 373-7070     Fax: (941) 373-7073

Website: http://www.HealthyStartSarasota.org

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Hill County Health Dept

Amy Ferguson
FICMMR Coordinator
302 4th Ave
Haure, MT 59501
Phone: (406) 265-5481     Fax: (406) 265-6976

Website: http://www.hillcountyhealth.com

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Humboldt County Dept. of Health & Human Services

Allisons Tans MA
MCAH Analyst FIMR/CDRT Coordinator
908 Seventh Street
Eureka, CA 95501
Phone: (707) 441-5085     Fax: (707) 476-4960

Program Keywords: safe sleep, SIDS, media campaigns, screening, homeless, shelter

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 14, Neonatal Deaths: 0, Postneonatal Deaths: 1
Community Education Actions
-Develop culturally relevant health education materials
-Meet with community based organizations
-Publish annual FIMR report
Service Systems Improvements
-Improve bereavement referral services
Practice, Program, and Policy Improvement Actions
-implement screening postpartum depression
Professional Training
- Implement SIDS training program
Actions taken by FIMR program:
Problem:  Lack of permanent housing has led to unstable, unsafe sleeping environments
Recommendation: Education on safe sleep
Interventions: Developed educational campaign, trained homeless shelter staff on unsafe sleeping, and provided “snuggle nests” for families.
Problem: Families and friends expressed overwhelming grief following a loss.
Recommendation: Provide further support following a loss
Interventions: Developed “wallet cards” for families. Distributed by emergency response staff.
Total population in catchment area:  134, 000


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Indian Health Service

Susan Snitker RN
Public Health Nurse
PO Box 67
Poplar, MT 59255
Phone: (406) 768-3491     Fax: (406) 768-3603

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Indian Health Service

Lori Byron MD FAAP
MD
PO Box 9
Crow Agency, MT 59032
Phone: (406) 638-3300     Fax: (406) 638-3572

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Ingham County Health Department

Alysia Osoff RN, MSN, CEN
FIMR Coordinator
5303 S. Cedar Street
Lansing, MI 48909
Phone: 517-272-4110     Fax: 517-887-4382

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Intertribal Council of Michigan

Raeanne Madison MPH
FIMR Coordinator
2956 Ashmun
Sault Ste Marie, MI 49783
Phone: 906-632-6896 ext. 126

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Jackson County Health Dept

Renee Marks
FIMR Coordinator
1715 Lansing Ave. Ste 221
Jackson, MI 49202
Phone: (517) 768-2114     Fax: (517) 768-1640

Program Keywords: two-tiered system, maternal interview, provider education

View Program Summary

Approximate cases reviewed in calendar year: Neonatal Deaths: 8, Postneonatal Deaths: 3
Number of cases with an interview in a typical year: 5
Community Education Actions
- Publish an annual FIMR report
- Meet with community based organizations
- Develop culturally relevant health education materials
- Promote breastfeeding
Service System Improvements
- Eliminate gaps in MCH services, in family planning services
- Improve referral patterns among agencies
- Improve bereavement referral services
- Implement “one-stop-shopping” prenatal care
- Improve/develop transportation routes to MCH services with the City or County Transportation Department
Improved Policies/Programs
- Implement screening for postpartum depression, smoking, substance abuse, domestic violence, prenatal risk assesmentent
- Enhance services to bereaved families
Professional Training
- Conduct provider training on prematurity/preterm labor management, on use of screening tools
- Develop a community resource directory


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Jefferson County Public Health

Kim Franchi
R.N.
P.O. Box 872
Boulder, MT 59632
Phone: 406-225-4008

Website: http://www.jeffersoncounty-mt.gov/health/index.html

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Kalamazoo County Human Services

Deb Lenz MA
FIMR Coordinator
100 Oakland Drive
Kalamazoo, MI 49008
Phone: (269) 373-5024

Website: http://www.kalcounty.com

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Kenosha County

Gianna Ventura
8600 Sheridan Road Suite 600
Kenosha, WI 53143
Phone: 262-605-6700

Program Keywords: maternal interview, one tiered

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Approximate cases reviewed in calendar year: Fetal Deaths: 12, Neonatal Deaths: 7, Postneonatal Deaths: 2
Number of cases with an interview in a typical year: 50%


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Kent County

Sarah E. MacDonald BSN, RN
FIMR Coordinator
Healthier Communities Department MC 129
665 Seward Ave NW Suite 110
Grand Rapids, MI 49504
Phone: (616) 391-1511     Fax: (616) 391-5000

Program Keywords: interconception care, prenatal care, preterm birth, transportation, maternal interview

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths: 4, Neonatal Deaths: 40, Postneonatal Deaths: 6
Number of cases with an interview in a typical year: 10
Two-tiered system to take recommendations to action
Community Education Actions
-Promote breastfeeding
-Meet with community based organizations
-Safe Sleep media campaign, Summit on infant mortality
Service System Improvements
-Improve bereavement referrals and referral patterns among agencies
-Improve, develop transportation services
Policy/Advocacy Actions
-Initiate Mayoral or Governor’s proclamation of day or week promoting MCH
- Report FIMR findings to Mayor or County Executive on annual basis
- Report the FIMR findings to the State MCH Director
- Include Mayor or other County Executive as FIMR Community Action Team member
Practice, Program, and Policy Improvement Actions
-Expand hospital assurance standards, family planning services
-Enhance services to bereaved families
-Implement standardized prenatal risk assessment
-implement screening for domestic violence, substance abuse, smoking, postpartum depression
Actions taken by FIMR program:
Problem:  Lack of preconception counseling
Recommendation: Increase preconception counseling
Interventions: Developed Kent County Interconception Care Program
Outcomes: 324 women enrolled in program. Outcomes show decrease in NICU admission, increase in average birth weight, and increase in average gestational age at birth.
Total population in catchment area:  602,622


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Kent County Health Dept

Faye Manley RN, BSN
IPO Coordinator
126 South Lynchburg Stree
Chestertown, MD 21620
Phone: (410) 778-1350     Fax: (410) 778-7913
Program Keywords: Maternal Interview, Two-tiered system

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Kern County Dept of Public Health

Elaine Anthony PHN, MPA
MCAH/ FIMR Coordinator
1800 Mount Vernon AVE
Bakersfield, CA
Phone: (661) 868-0356     Fax: (661) 868-1291

Program Keywords: Maternal Interview

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 25, Neonatal Deaths: 25, Postneonatal Deaths: 25

Total population in the catchment area: 874,589

Total number of live births: 14,552

Total number of infant deaths: 7.0/1,000 births

 


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Knox County Health Department

Katie Larsen
Fetal Infant Mortality Review Program Manager
140 Dameron Avenue
Knoxville, TN 37917
Phone: 865-215-5330

Website: https://www.knoxcounty.org/health/

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LA Department of Health and Hospitals

State FIMR Coordinator

Robin J Gruenfeld MPH
State Maternal and Child Health Coordinator
1450 Poydras Ave.
Suite 2032
New Orleans, LA 70112
Phone: (504) 568-2642

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LA Region 1

Rosa Bustamante-Forest
FIMR Coordinator
Alexandria, LA 71301
Phone: (318) 487-1850

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LA Region 2

Kelly Bankston
FIMR Coordinator
2710 Marye St
Alexandria, LA 71301
Phone: (225) 922- 0783

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LA Region 3

Nicole Soudelier RN
MCH Regional Coordinator
1434 Tiger Drive
Thibodaux, LA 70301
Phone: (985) 447-0916 ext 322     Fax: (985) 447-0920

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LA Region 4

Christine Cornell RN
MCH Regional Coordinator
Brandywine III, Suite 100
825 Kaliste Saloom Road
Lafayette, LA 70508
Phone: (337) 262-5644     Fax: (337) 262- 5237

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LA Region 5

Nancy Roach
MCH Regional Coordinator
707A East Prien Lake Rd
Lake Charles, LA 70601
Phone: (337) 475-3224     Fax: (337) 475-3222

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LA Region 6

Annelle Tanner RN,MSN,EdD
FIMR Coordinator
2710 Marye St
Alexandria, LA 71301
Phone: (318) 487-1850

Program Keywords: safe sleep, culturally relevant health education, screening, rural health, faith based health, provider training

View Program Summary

Approximate cases reviewed in calendar year: Fetal and Infant: 25
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care, to promote prenatal alcohol and drug cessation, to promote family planning or STD screening
- Promote breastfeeding, hold a town health fair
- Develop culturally relevant health education materials
- Meet with community based organizations
- Conduct training for churches in establishing faith based health clinics to promote and monitor health in their community
Service System Improvements
- Eliminate gap in MCH services
- Improve bereavement services
- Partner with local MOD prematurity campaign
Policy/Advocacy Actions
- Develop policy in collaboration with City or County law enforcement offices or emergency services
- Develop local or state legislation
Practice, Program, and Policy Improvement Actions
- Expand hospital quality assurance programs
- Expand services to pregnant substance abusers
- Enhance services to bereaved families
- Implement standardized prenatal risk assessment, screening for domestic violence, substance abuse, smoking, postpartum depression
- Improve pathological screening and report from fetal demise
Provider Training
- Conduct provider training on use of screening tools
- Implement SIDS training programs
- Develop community resource directory-Implement bereavement training
- Training hospital nurses to recognize and address signs of domestic violence
Actions taken by FIMR program:
Problem: Lack of sufficient clinical information about cause of fetal death
Recommendation: Delivering physician must submit placenta from fetal death to pathologist for assessment
Interventions: Request and rationale shared with delivering physicians during OB staff meetings in each hospital
Outcomes: Percentage of placental tissue and fetus submitted to pathologist increased with resulting improved clinical information about death.

Problem: Lack of healthcare providers in one particularly rural, isolated parish confounded by lack of transportation to needed healthcare
Recommendation: Involve faith based communities in extending basic human health services
Interventions: Offer training and basic supplies to churches. Training to 15 churches in establishing faith based center for assessment, education, and referral.
Outcomes: Follow up at 1 and 4 years later indicate majority of churches maintaining clinic with great satisfaction from participants based on information they receive about a healthier lifestyle.
Special religious or cultural subgroups served: American Indian/ Alaska Native, Black/ African American
Total population in catchment area: 300,000


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LA Region 7

Shelley Ryan-Gray
FIMR Coordinator
1525 Fairfield Avenue
Room 528
Shreveport, LA 71101
Phone: (318) 676-5000     Fax: (318) 676-7560
Program Keywords: two-tiered, bereavement, breastfeeding, screening, safe sleep, SIDS

View Program Summary
Approximate cases reviewed in calendar year: Fetal Deaths: 4, Neonatal Deaths: 4, Postneonatal Deaths: 4
Community Education Actions
-Promote breastfeeding
Service System Improvement
-Improve bereavement referral services
Provider Training
-Conduct provider training on prematurity/ preterm labor management
-Conduct provider training on use of screening tools
-Implement SIDS training programs, community resource directory
 

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LA Region 8

Amy Pyles
Regional Coordinator
21 Lynn Gayle Robertson Road
Rayville, LA 71269
Phone: 318.728.4441

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LA Region 9

Martha Hennegan
MCH Regional Coordinator
OPH Southeast Region 9 Office
15481 West Club Deluxe Rd
Hammond, LA 70403
Phone: (985) 871-1324

Program Keywords: two-tiered, media campaign, breastfeeding, screening, provider training, smoking, substance abuse, depression

View Program Summary
Approximate cases reviewed in calendar year: Fetal Deaths: 4, Neonatal Deaths: 8, Postneonatal Deaths: 2
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care
- Promote breastfeeding
- Meet with community based organizations
Service System Improvements
- Eliminate duplication and gap of MCH services
- Improve referrals between services
- Streamline MCH Medicaid application
Policy/Advocacy Actions
- Include Mayor or County executive as part of FIMR CAT
Practice, Program, and Policy Improvement Actions
- Expand services to pregnant substance abusers
- Expand family planning services
- Implement screening for domestic violence, substance abuse, smoking, postpartum depression
Actions taken by FIMR program:
Problem: Provided inservice education for OB providers about screening tool for substance abuse, DV, tobacco and depression. The result was increased referrals for moms with suspected problems.
Total population in catchment area: 550,000

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Lake County Health Dept, FP & WIC

Linda Davis RN
Co-Coordinator of Lake Co. FICMR team
802 Main St
Suite A
Polson, MT 59860
Phone: (406) 883-7288     Fax: (406) 883-7290
Website: http://www.lakecounty-mt.org/lchd

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Lewis and Clark County Health

Drenda Niemann
1930 Ninth Ave
Helena, MT 59601
Phone: (406) 457-8915     Fax: (406) 457-8990

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Los Angeles County Dept of Public Health

Luz Arboleda-Babcock BSN, PHN
FIMR/SIDS Coordinator
600 South Commonwealth Avenue, Suite 800
Los Angeles, CA 90005
Phone: (213) 639-6413     Fax: (213) 427- 6160

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Louisville Metro Public Health and Wellness

Mary Jolly
MCH Coordinator
400 E. Gray ST
Louisville, KY 40203
Phone: (502) 574-1947

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Macomb County Health Dept

Lori Devos RN
FIMR Abstractor
25401 Harper Ave
St. Claire Shores , MI 48081
Phone: (586) 466-6852

Program Keywords: two-tiered, safe sleep, community outreach

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths: 3, Neonatal Deaths: 12
Community Education Actions
- Hold a town health fair
- Publish an annual FIMR report
Service SystemsImpvoements/Linkages
- Improve bereavement referral services
- Partner with local MOD Prematurity Campaign
Total population in catchment area:  841,000


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Madison County Health Dept

Melissa Brummel RN, BSN
FICMR Lead
PO Box 278
7 Placer Loop
Virginia City, MT 59755
Phone: (406) 843-4295     Fax: (406) 843-5231

Website: http://madison.mt.gov/departments/public_health/public_hlth.asp

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Mahoning County District Board of Health

Tracy Styka MS
FIMR Coordinator
50 Westchester Drive
Youngstown, OH 44515
Phone: 330-270-2855 ext.109

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Maine State Bureau of Health

This fairly new program consists of multidisciplinary panel reviews cases. Many recommendations relate to increasing awareness about an issue and identify provider educational actions. The program works with a statewide perinatal outreach program as well as perinatal nurse managers to recommend best practices.

Ellie Mulcahy RNC
FIMR Coordinator
11 State House Station
286 Water Street 7th Floor
Augusta, ME 04333
Phone: (207) 287-4623     Fax: 207-287-4743

Program Keywords: Maternal Interview

View Program Summary

Approximate cases reviewed in calendar year: 3-5 cases per year
Service System Improvements
- Improve referral patterns among agencies
- Improve bereavement referral services
- Partner with local MOD Prematurity Campaign
Practice, Program, and Policy Improvement Actions
- Enhance services to bereaved families
- Implement screening for domestic violence and postpartum depression
Professional Training
- Conduct provider trainings on prematurity/preterm labor management, use of screening tools (e.g., substance use, domestic violence, etc.)
- Conduct provider education programs (e.g., management of IUGR, diabetes in pregnancy, etc.)
- Implement SIDS training programs
- Implement bereavement training


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Marion County Public Health Department

Teri Conard RN, MS
FIMR Coordinator
3838 N. Rural
Indianapolis, IN 46205
Phone: (317) 221-3103     Fax: (317) 221-2472

Website: http://mchddatamart.com/general_health_detail.php?ID=204&page_title=Maternal%20and%20Child%20Health
Program Keywords: Maternal Interview, Two-tiered system

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Approximate number of cases reviewed annually:  Fetal deaths 36, neonatal deaths 38, Postneonatal dealths 21
Number of cases with an interview in a typical year:  37
Community Education Actions:
- Develop culturally relevant health education materials
- Meet with community based organizations
Service Systems Improvement/Linkage Actions:
- Improve referral patterns among agencies, including bereavement referral services
Policy/Advocacy Actions:
FIMR findings to a State Attorney General Taskforce on NAS
Practice, Program, and Policy Improvement Actions:
- Enhance services to bereaved families
- Implement screening for substance abuse
Update Safe sleep education through FIMR SUID case findings
Actions taken by FIMR Program:
Problem: Vital and Medical record discrepancies on fetal and infant birth and death certificates Recommendation: Improve vital record data for correct identification of perinatal problems.
Interventions: In collaboration with the county vital records department a meeting of hospital staff involved with vital records and the state VR Registar was arranged for hospital input into the new fetal death and infant birth certificates
Outcomes: Hospital feedback on ways to improve VR data collections and issues with the new software with potential solutions were voiced. And improved communications was an outcome between the state and hospitals.

Background: In Marion County, Indiana a top contributing factor to fetal and infant mortality is maternal substance use. The escalating abuse of prescription opioids during pregnancy is particularly problematic. Although the relationship between adverse pregnancy outcomes and opioid use is well established, pregnant women are still experiencing institutional barriers to obtaining proper treatment.
Objectives: Assess barriers to substance abuse identification and treatment based on our consumer voices. Share our recommendations for practice and policy development related to substance abuse prevention and treatment in pregnancy.
Methods: We conducted one-on-one interviews with opioid addicted mothers who experienced a loss. We convened our multidisciplinary Fetal Infant Mortality Review (FIMR) team to review de-identified medical record data and maternal interview transcripts to prioritize key indicators for systems change.
Results: Six main barriers to care emerged: moms avoid prenatal care when they feel labeled as: “drug seekers”; moms conceal drug use histories for fear of inadequate pain management during delivery; moms are not advised of the risks of using opioids during pregnancy even if medication is being used legally; moms are not being screened for drug use equally across all socio-economic levels; communication and collaboration between health providers is poor; and ER visits where opioids are dispensed are not adequately tracked.
Discussion: FIMR findings suggest that systemic barriers to addiction recognition, treatment utilization and service disparities still exist. Our recommendations serve as a basis for developing meaningful initiatives to improve pregnancy outcomes and reduce fetal and infant mortality.
Recommendations: These findings were shared at a local MCH consortium. A poster presentation was accepted at APHA Nov 2013. A Indiana Drug Task Force member attending the conference saw the poster and invited FIMR to share at their NAS sub committee. THe FIMR results were disseminated to the committee and corroborated the Attorney General Drug Tasdforce findings related to NAS. Taskforce recommendations are before the state legislature to address substance abuse issues.


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Maternal Child and Family Health Coalition

Lora Gulley
FIMR Coordinator
1300 Hampton Ave.
Suite 111
St. Louis, MO 63139
Phone: (314) 880-5705

Website: http://www.stl-mcfhc.org
Program Keywords: maternal interview, one tiered

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Approximate cases reviewed in calendar year: Fetal Deaths: 12-18
Maternal Interview: 
2-3/year


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Md Dept of Health and Mental Hygiene

Alison Whitney
State FIMR Coordinator
201 W. Preston St
Room 308
Baltimore, MD 21201
Phone: 410-767-3409

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Metro Public Health Department

D’Yuanna Allen-Robb MPH
Fetal Infant Mortality Review Program Director
Family, Youth and Infant Bureau
2500 Charlotte Avenue
Nashville, TN 37203
Phone: (615) 340-0552

Program Keywords: continuity of care, provider training, bereavement, prenatal care, screening

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 30, Neonatal Deaths: 30, Postneonatal Deaths: 15
Number of cases with an interview in a typical year: 33
Community Education Actions
-Conduct a media campaign to encourage early and continuous prenatal care and infant health disparities
-Promote breastfeeding
-Meet with community based organizations
Service System Improvements
-Develop 24/7 prenatal hotline
- Eliminate dumplication of MCH services
- Eliminate gap in family planning and bereavement services
- Implement one stop shopping prenatal care
- Partner with local MOD prematurity campaign
- Improve or develop transportation routes to MCH services with City or County transportation departments
Policy/Advocacy Actions
- Initiate a Mayoral or Governor’s proclamation of a day or week promoting MHC
- Report FIMR findings to Mayor, County Executive, and/or other officials on an annual basis
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Enhance services to bereaved families
Professional Training
- Develop community resource directory
- Implement bereavement training


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Michigan Dept of Community Health

Jeff Spitzley
Manager, Infant Health Unit
109 W. Michigan Avenue, 3rd Floor
Lansing, MI 48913
Phone: 517-335-8131

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Mid-Shore Perinatal Advisory Council

Tina Basel BS
Regional Perinatal Coordinator
219 South Washington St
Easton, MD 21601
Phone: (410) 822-1000     Fax: (410) 822-1783

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Mineral County Health Dept

Peggy Stevens RN
PO Box 488
Superior, MT 59872
Phone: (406) 822-3564     Fax: (406) 822-3381

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Minnesota Department of Health

Michelle Chiezah MPH, MA
Infant Mortality Consultant
85 E 7th Place, Ste 220
P.O.Box 64882, MN 55114
Phone: 651-201-3621

Website: http://www.health.state.mn.us/index.html

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths:, Neonatal Deaths:, Postneonatal Deaths: 

Number of cases with an interview in a typical year: N/A

Two-tiered system to take recommendations to action: Yes

Community Education Actions
Developing a culturally-competent curriculum to address racism experienced by the American Indian poulation in healthcare system

Service System Improvement

Results from FIMR led to a staff liaison position being created at one of the local hospitals to create a linkage between the American Indian community and broader healthcare community

Practice, Program, and Policy Improvement Actions

 
Created an American liaison position at local hospital to link the American Indian population with broader community services


Actions taken by FIMR program:
Revamping our FIMR program, and many individuals who participated in previous CAT or CRT have been helping out with that process
Special religious or cultural subgroups served: 
Total population in catchment area:  


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Minnesota Dept of Health

The Minnesota program is an in point-in-time FIMR so we do not review cases on an annual basis.

Michelle A. Chiezah MA, MPH
Infant Mortality Consultant
Maternal and Child Health Section
P.O. Box 64882
St Paul, MN 55164-0882
Phone: 651) (201-3621     Fax: (651) 201-3590

Program Keywords: SIDS Risk Reduction/ Safe Sleep, Health Disparities, Cultural Competence, Two-tiered

View Program Summary

Community Education:
- Develop culturally relevant health education materials
Service Systems Improvement/Linkages:
- Improve bereavement referral services
Policy/Advocacy
- Develop local or state legislation
Improved Practices, Programs and Policies
- Initiate or expand public health case management
-Professional Training
- Implement bereavement training, SIDS training programs
One-on-One Counseling or Assessment
- Develop a mother-to-mother bereavement support prograMS
Actions taken by FIMR program:
Problem: Lack of culturally-sensitive training regarding how to provide care to American Indian families and pregnant women.
Intervention: The American Indian CATs are developing an American Indian culturally-specific curriculum for providers.

Total population in catchment area: Approximately 70,000


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Mississippi State Dept of Health

Mary Craig RN, MSN, MS
FIMR Coordinator
752 Cherryhill Drive
Diamondhead, MS 39525
Phone: 228-332-1565

Program Keywords: two-tiered

View Program Summary

Approximate cases reviewed in calendar year: ~40
Community Education Actions
- Promote breastfeeding, hold a town health fair
- Meet with community based organizations
Service Systems Improvement/ Linkages
- Eliminate gaps in MCH services, family planning services
- Improve referral patterns among agencies, bereavement referral services
- Partner with local MOD Prematurity Campaign
Practice, Program, and Policy Improvement Actions
-Initiate or expand public health case management
- Expand hospital quality assurance standards, services to homeless women and children, services to bereaved families, family planning services
- Implement screening for smoking
Professional Training
- Conduct provider training on prematurity/preterm labor management
- Implement SIDS training programs, bereavement training
One-on-One Counseling or Assessment 
- Conduct infant car seat installation checks
Actions/Interventions taken by FIMR programs: 
Problem: Infant deaths due to suffocation/ infant unsafe sleep practices
Recommendation: Hospitals made aware of the issue
Interventions: FIMR program gave information on safe sleep DVDs to providers
Outcomes: Hospitals instituted procedures that new mothers view the Safe Sleep video, hospitals working with obstetricians to write an order for mother to view Safe Sleep video prior to discharge, all hospitals agreed to frame and hang Safe Sleep posters in L&D and waiting rooms. 

Special religious or cultural subgroups served:  Black/ African American, Asian


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Missoula City-County Health Dept

Julie Stroh RN
301 West Alder
Missoula, MT 59802
Phone: (406) 258-4289     Fax: (406) 523-4781

Program Keywords: one-tiered, media campaign, culturally relevant health education, screening, mental health

View Program Summary
Approximate cases reviewed in calendar year: Fetal Deaths: 5-10, Neonatal Deaths: 5-10, Postneonatal Deaths: 5-10
Community Education Actions
- Develop culturally relevant health education materials
- Meet with community based organizations
Service Systems Improvements
- Improve referral patterns among agencies, improve bereavement referrals
Policy/Advocacy Actions
- Develop policy with City or County Law enforcement offices or emergency services
Practice, Program, and Policy Improvement Actions
- Enhance services to bereaved families
- Expand referrals for counseling for teens and their families
Actions taken by FIMR program:
Improve referral system for getting teens and their families into counseling and other needed mental healthcare.
Improve community awareness of importance of providing guard tape at construction sites.
Total population in catchment area: 100,000 

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MO Dept of Health and Senior Services

Craig Ward
Chief, Bureau of Vital Statistics
Jefferson City, MO
Phone: (573) 751-6458

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Mobile County Health Department

Alicia Mathis
FIMR Coordinator
248 Cox St
Mobile, AL 36604
Phone: (251) 690-8895     Fax: (251) 431-0167

Website: http://mchd.org/General/Home.aspx
Program Keywords: safe sleep, co-sleeping, media campaign, culturally relevant health education, screening, maternal interview

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths: 30, Neonatal Deaths: 20, Postneonatal Deaths: 8
Number of cases with an interview in a typical year: 2
Two-tiered system to take recommendations to action
Community Education Actions
-Conduct a media campaign to encourage early and continuous prenatal care, to promote prenatal alcohol and drug cessation, to promote family planning or STD screening, to inform about risks for prematurity
-Promote breastfeeding
-Develop culturally relevant health education materials
Service System Improvement
- Eliminate gap in family planning services, implement “one stop” prenatal care
- Partner with local MOD prematurity campaign
- Improve and develop transportation routes with the city and/ or county
Practice, Program, and Policy Improvement Actions
- Implement screening for substance abuse
Actions taken by FIMR program:
Problem:  Babies co-sleeping with parents
Recommendation: Education on safe sleep
Interventions: Develop a monthly safe sleep class
Outcomes: Sleep related deaths have not increased
Special religious or cultural subgroups served:  Black/ African American
Total population in catchment area:  412,000


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Montana Dept of Public Health and Human Services

Kari Tutwiler MSW
State Fetal, Infant and Child Mortality Review Coordinator
1400 Broadway #A116
Cogswell Building
Helena, MT 59620
Phone: 406-461-9700     Fax: (406) 444-2606

Website: http://dphhs.mt.gov/publichealth/cdrp

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Montgomery Co Dept of Health and Human Services

Sheilah O'Connor RN
Perinatal Loss Coordinator
1335 Piccard Dr
Suite 222
Rockville, MD 20850
Phone: (240) 777-1289     Fax: (240) 777-4499

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Mother & Child Health Coalition

Mary Jean Brown MS, RNC
Coordinator, FIMR Project
6400 Prospect, STE 216
Kansas City, MO 64132
Phone: (816) 283-6242 x 248

Program Keywords: Maternal Interview, Two-tiered system, SIDS Risk Reduction/ Safe Sleep

View Program Summary

Approximate cases reviewed in calendar year: 25-30
Number of cases with an interview in a typical year: 0-3
Community Education:
- Conduct a media campaign to encourage early and continuous prenatal care
- Promote breastfeeding
Service Systems Improvement/Linkages:
- Created a list of providers that would do pregnancy testing for enrollment into Mecicaid and the cost, if any, for the test. Published this in the Resource Guide (ENG and SP) that is distributed city wide to agencies and health departments.
Professional Training:
- Implement SIDS training programs
- Develop a community resource directory
One-on-One Counseling or Assessment:
- Provide cribs for safe sleep
Actions taken by FIMR program:
Surveyed local hospitals with maternity services to see if they were using ACOG guidelines pertaining to lab draws from women having a stillbirth. Turned that information back to them.


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New Jersy Dept of Health and Senior Services

Maggie Gray RNC, MSN
Coordinator, Primary and Preventive Care
PO Box 364
Trenton, NJ 08625-0364
Phone: (609) 292-5616

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Northeast Florida Healthy Start Coalition

Tracy Claveau RN, BSN
FIMR Coordinator
644 Cesery Blvd
Suite 210
Jacksonville, FL 32211
Phone: (904) 723-5422 ext 106     Fax: (904) 723-5433

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Northeast Nebraska Public Health Dept.

Julie Rother RN, BSN
Director of Public Health Nursing
215 Pearl St.
Wayne, NE 68787
Phone: (402) 375-2200     Fax: (402) 375-2201

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Oakland County Health Division

Dave Roth DrPH, BSN, RN
Public Health Nursing Supervisor
1200 N. Telegraph Rd
BLG 34E
Pontiac, MI 48341
Phone: (248) 858-1378

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Office of the Medical Examiner

Barbara Marshall
Co Chair Infant Mortality Review
401 E. Street SW
Washington, DC 20024
Phone: (202) 698-9097

Program Keywords: one-tiered

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Ohio Department of Health

Andrea Filio BSN
PAMR/FIMR Coordinator
246 North High Street
Columbus, OH 43215
Phone: (614) 644-9416

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Oklahoma City-County Health Dept

Kelli McNeal
FIMR Supervisor
921 NE 23rd
Oklahoma City, OK 73105
Phone: (405) 425-4406

Website: https://www.occhd.org/community/fimr

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Olmsted Medical Center

Barbara Yawn MD MS
FIMR Director
210 Ninth St SE
PO Box 4300
Rochester, MN 55903
Phone: (507) 287-2758     Fax: (507) 287-2722

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oneHealth Montana

Kami Doughty RN
210 S. Winchester
Miles City, MT 59301
Phone: 406-874-8700

Website: http://onehealthmt.com/

View Program Summary
  • Total population in the catchment area19,400
  • Total number of live births360
  • Total number of fetal deaths2
  • Total number of infant deaths1

  •  

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Palm Beach County Health Dept./ Division of Epid.

Olga Mohyuddin RN, MSPH
FIMR Coordinator
1050 W. 15th St
Riviera Beach, FL 33404
Phone: (561) 840-4566

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Park County Health Dept

Wendy Brown RN
FIMR Coordinator
414 East Callender
Livingston, MT 59047
Phone: (406) 222-4140     Fax: (406) 222-4199

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Partnership for Maternal and Child Health of Northern New Jersey

Carly Ryan
FIMR Coordinator
50 Park Place, Suite 700
Newark, NJ 07102
Phone: (973) 268-2280 ext 110

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Perinatal & Reproductive Health Division

Jill Nobles-Botkin MSN, APRN-CNM
Administrative Program Manager
1000 NE 10th Street, Room 905
Oklahoma City, OK 73117
Phone: (405) 271-4476

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Philadelphia Department of Public Health Division of Maternal, Child and Family Health

Emily Donovan
Special Projects Coordinator
1101 Market Street, 9th Floor
Philadelphia, PA 19107
Phone: 215-685-5238

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PHS Indian Hospital

Gerry England RN
PO Box 760
Browning, MT 59417
Phone: (406) 338-6191     Fax: (406) 338-2959

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Placer County

Sue Seaters RN, PHN
Senior Public Health Nurse
11484 B Ave
Auburn, CA 95603
Phone: (530) 889-7155     Fax: (530) 889-7198

View Program Summary
  1. Fetal deaths:7
  2. Neonatal deaths: 12
  3. Postneonatal deaths: 2
  4. Other: 2
  5.  
  6. Problem: Continue seeing sleep related deaths in our communities.
  7. Recommendation: offer outreach to licensed daycare workers on Safe to Sleep recommendations and materials. Also provide materials for parents whose children attend the daycares. Intervention: At least once annually give a presentation, partnering with the County Coroner, to licensed daycare providers through the office of education.
  8. Outcomes: Reinforcing safe sleep guidelines promoted by the AAP; daycare providers are able to provide documentation to support the manner in which they sleep all babies in their centers (unless a MD has provided documentation for sleep position to be other than supine). Decrease in infant deaths in daycare settings.

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Pondera County Health Department

Cynthia Grubb
RN, Director
311 S Virginia Suite 1
Conrad, MT 59425
Phone: 4062713247

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Prince Georges County Health Dept.

Karen C. Marcelle RN, BSN, CDDN
Community Health Nurse
Prince George’s County Health Department
9201 Basil Court, Suite 403
Larg, MD 20774
Phone: (301) 883-7237     Fax: (301) 844-1397

Program Keywords: maternal interview, one tiered, family planning

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 5
Number of cases with an interview in a typical year: 6
Community Education Actions 
-Conduct a media campaign to encourage early and continuous prenatal care, to promote prenatal alcohol and drug cessation, to promote family planning or STD screening
-Promote breastfeeding
-Develop culturally relevant health education materials
-Meet with community-based organizations
Policy/Advocacy Actions 
-Report the FIMR findings to Mayor, County Executive, and/or other officials on an annual basis 
-Practice, Program, and Policy Improvement Actions 
-Initiate/expand public health case management 
-Expand services to pregnant substance abusers 
-Expand family planning services 
-Implement screening for substance abuse 
Professional Training 
-Implement SIDS training program 
-Develop community resource directory 
-Training on caring for drug substance impacted newborns 
Actions taken by FIMR program 
Problem: Lack of continuity of health and mental care for patients with substance abuse 
Recommendation: Need for comprehensive program that provides “one stop shop” services for clients with substance abuse Interventions: Apply for an preconception care and education grant 
Outcomes: Awarded grant in 2014; outcome indicators are being collected 
Special religious or cultural subgroups served: None


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Public Health Anaconda-Deerlodge Co

Katherine Basirico RN
Director
115 W. Commercial
Anaconda, MT 59711
Phone: (406) 563-7863     Fax: (406) 563-2387

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Public Health Madison and Dane County

Daniel Stattelman-Scanlan RN, BSN
FIMR Program Director
2705 E Washington Ave
Madison, WI 53704
Phone: (608) 243-0404

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Puerto Rico FIMR

Cindy Calderón MD, FAAP
Consultora Pediátrica
PO Box 70184
San Juan, PR 00936-8184
Phone: 787-765-2929 ext 4582

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Queen Anne's County Health Department

Melissa Aftoora
206 North Commerce St
Centerville, MD 21617
Phone: (443) 262- 4430     Fax: (410) 758-2838

Program Keywords: Maternal Interview, Two-tiered system

View Program Summary

Approximate number of cases reviewed anually: Fetal deaths 3           


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Ravalli County PHN Dept.

LuAnn Burgmuller RN
Public Health Nursing and WIC Director
205 Bedford
Suite L
Hamilton, MT 59848
Phone: (406) 375-6670     Fax: (406) 375-6349

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Richland County Health Department

Judy LaPan MS MBA
221 5th St SW
Sidney, MT 59270
Phone: (406) 433-2207     Fax: (406) 433-6895

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Rock County Health Department

Deborah Erickson
FIMR Project Director
3328 N US Hwy 51
Janesville, WI 53545
Phone: 608-757-5440

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Roosevelt County Health Department

Patty Presser
FIMR Coordinator
400 2nd Ave S
Wolf Point, MT 59201
Phone: (406) 653-6223     Fax: (406) 653-0000

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Rosebud Healthy Start

Sandra Wilcox
Coordinator - Rosebud Healthy Start
Box 997
Mission, SD 57555
Phone: (605) 856-5184     Fax: (605) 856-5187

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Sacramento County Dept Public Health

Quinn Wells RN, MPH
Director of Maternal Child Adolescent Health
9616 Micron Ave
Suite 670
Sacramento, CA 95827
Phone: 916-875-5869     Fax: (916) 875-6001

Program Keywords: referrals

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Saginaw County Dept of Public Health

Deb Rhodes
FIMR Coordinator and Healthy Start Case Manager
1600 N. Michigan
Saginaw, MI 48602
Phone: (989) 758-3757     Fax: (989) 758-3859

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Salish-Kootenai Tribal Health Dept

Kevin Howlett
Director
PO Box 880
St Ignatius, MT 59865
Phone: (406) 745-3525

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San Antonio FIMR

John Duah
FIMR Coordinator
210 North Rio Grande ST
San Antonio, TX 78202
Phone: (210) 207-4665

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San Diego County

Rhonda Freeman MPH
MCAH/NIH/FIMR Coordinator
3851 Rosecrans Street
MS P511H
San Diego, CA 92110
Phone: (619) 542-4039     Fax: (619) 692-8827

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San Francisco County HD

Aline Armstrong PHN, MSN
FIMR/SIDS Coordinator
30 Van Ness Ave
Suite 260
San Francisco, CA 94102
Phone: (415) 575-5716     Fax: (415) 575-5799

Program Keywords: one-tiered, maternal interview, safe sleep, sling death

View Program Summary

Approximate cases reviewed in calendar yer: Fetal Deaths: 15, Neonatal Deaths: 4, Postneonatal Deaths: 10
Number of cases with an interview in a typical year: 12
Community Education Actions
- Conduct a media campaign on infant health
- Implement Kids for Cribs project
- Develop educational brochure on sling death
Service Systems Improvement
Improve bereavement referral services
- Developing project to combat disparities in African American population with City MatCH
Policy/Advocacy Actions
 - Include Mayor or County Execute as part of FIMR team
- Develop policy with City or County law enforcement
Practice, Program, and Policy Improvement Actions
- Enhance services to bereaved families
- Preconception and interconception care
Actions taken by FIMR program:
Problem:  Lack of referrals from local hospitals
Recommendation: Increase number of referrals
Interventions: Home visits by public health nurses
Outcomes: Some increase in number of referrals


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San Joaquin County Public Health Services

Michelle Scott RN, BSN, PHN
MCAH Director/FIMR Coordinator/ SIDS Coordinator
420 South Wilson Way
P.O. Box 2009
Stockton, CA 95205
Phone: (209) 468-3050     Fax: (209) 468-2072

View Program Summary

Approximate cases reviewed in calendar year: Fetal Deaths: 15, Neonatal Deaths: 5


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Sanders County Health Department

Karen Morey
Public Health Director
1111 Main Street
Thompson Falls, MT 59873
Phone: (406) 827-6925     Fax: (406) 827-4388

View Program Summary

 


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SC Dept of Health and Environmental Control

Lisa Hobbs
MCH Planning and Evaluation Coordinator
2600 Bull Street
Columbia, SC
Phone: (803) 898-0771     Fax: (803) 898-2065

Program Keywords: safe sleep; media campaign, two-tiered

View Program Summary

Approximate cases reviewed in calendar year: Neonatal Deaths: 50, Postneonatal Deaths: 80
Community Education Actions
-Conduct a media campaign to encourage safe sleep
Service Systems Improvements
-Eliminate gap in MCH services
 -Improve referral patterns among agencies
Policy/Advocacy Actions
-Report the FIMR findings to the State MCH Director
Total population in catchment area:  57,000


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Sedgwick County Health Department

Anne Auld
FIMR Supervisor
1900 E. 9th Street
Wichita, KS 67214
Phone: (316) 660-7365     Fax: (316) 660-7431
Program Keywords: safe sleep, smoking cessation, culturally relevant health education, maternal interviews

View Program Summary

Approximate cases reviewed annually: Fetal Deaths: 25, Neonatal Deaths: 25, Postneonatal Deaths: 15
Number of cases with an interview in a typical year: 15
Community Education Actions
- Publish FIMR newsletter
- Meet with community based organizations
Service Systems Improvement
- Improve bereavement referral services
Policy/Advocacy Actions
- Report the FIMR findings to the State MCH Director
Practice, Program, and Policy Improvement Actions
Expand hospital quality assurance standards, services to pregnant substance abusers, services to bereaved families
Professional Training
- Implement SIDS training programs
- Develop a community resource directory
Actions taken by FIMR program:
Smoking cessation training and safe sleep taskforce
Special religious or cultural subgroups served:  Latino, Black/ African American
Total population in catchment area:  300,000


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Sedgwick County Health Department

Noel Bruner
FIMR Coordinator
1900 E. 9th street North
Wichita, KS 67214
Phone: 316.660.7198

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Shawnee County FIMR

Diane Creek
Shawnee FIMR Coordinator
1615 SW 8th street
Topeka, KS 66606
Phone: (785) 251-2464

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Shelby County Health Department

Jamila Batts BSN, RN, MPH, CHES
FIMR Team Leader
814 Jefferson Ave, Rm 439
Memphis, TN 38105
Phone: 901-222-9263     Fax: 901-222-9278

Program Keywords: continuity of care, provider training, bereavement, prenatal care, screening

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Approximate cases reviewed annually: Fetal Deaths: 30, Neonatal Deaths: 30, Postneonatal Deaths: 15
Number of cases with an interview in a typical year: 33
Community Education Actions
- Conduct a media campaign to encourage early and continuous prenatal care and infant health disparities
- Promote breastfeeding
- Meet with community based organizations
Service System Improvements
- Develop 24/7 prenatal hotline
- Eliminate dumplication of MCH services
- Eliminate gap in family planning and bereavement services
- Implement one stop shopping prenatal care
- Partner with local MOD prematurity campaign
- Improve or develop transportation routes to MCH services with City or County transportation departments
Policy/Advocacy Actions
- Initiate a Mayoral or Governor’s proclamation of a day or week promoting MHC
- Report FIMR findings to Mayor, County Executive, and/or other officials on an annual basis
Practice, Program, and Policy Improvement Actions
- Initiate/expand public health case management
- Enhance services to bereaved families
Professional Training
- Develop community resource directory
- Implement bereavement training


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Sheridan County Public Health Office

Kathleen Jensen RN, BSN
Sheridan County Public Health Office Director
100 W Laurel Ave
Plentywood, MT 59254
Phone: (406) 765-3410     Fax: (406) 765-3495

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Solano County Health and Social Services

Nancy Calvo MPH
Maternal Child Health Director
275 Beck Ave
MS 5-240
Fairfield, CA 94533
Phone: (707) 784-8610     Fax: (707) 421-6618

Website: http://www.solanocounty.com

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Somerset County Health Dept.

Lee Ann Ennis RN
Family Health Supervisor
7920 Crisfield Hwy.
Westover, MD 21871
Phone: (443) 523-1764     Fax: (410) 651-2572

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Sonoma County

Karen Clemmer RN, MN, PHN
MCAH, FIMR, SIDS Coordinator
625 Fifth Street
Santa Rosa, CA 95404-4428
Phone: (707) 565-4553     Fax: (707) 565-4550 FAX

Program Keywords: safe sleep, unintended pregnancy, contraception, maternal interview

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Approximate cases reviewed in calendar year: Fetal Deaths: 10, Other: 5-8
Number of cases with an interview in a typical year: 7-10
Community Education Actions
-Conduct a media campaign to encourage early and continuous prenatal care,  to promote prenatal alcohol and drug cessation,  to promote family planning or STD screening
-Promote breastfeeding
-Develop culturally relevant health education materials
-Meet with community based organizations
Service System Improvements
-Eliminate duplication and gap in MHC services
- Eliminate gap in family planning services
-Improve bereavement referral services
-Improve/ develop transportation routes to MCH services
Policy/Advocacy Actions
-Develop local or state legislation
Practice, Program, and Policy Improvement Actions
- Expand hospital quality assurance standards
-Expand services to pregnant substance abusers
-Enhance services to bereaved families
-Expand family planning services
-Implement screening for domestic violence, substance abuse, smoking, postpartum depression
Actions taken by FIMR program:
Problem:  Unsafe sleep environments
Recommendation: Campaign to increase knowledge on co-bedding and cribs
Interventions: Conducted campaign with floor talkers and posters
Outcomes: Process evaluation and monitoring of sleep related deaths


Problem: Unintended pregnancies
Recommendation: promote access to LARC through family planning clinics
Interventions: training health professionals on IUD and implants; education of child- bearing age women on contraceptive methods
Outcomes: monitor teen pregnancy rates and utilization of Tier 1 birth control
Special religious or cultural subgroups served:  Latino, American Indian/ Alaskan Native
Total population in catchment area:  500,000


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Southern NJ Perinatal Cooperative

Judith Stark RN
Nurse Coordinator Special Projects
2922 Atlantic Ave
2nd Floor
Atlantic City, NJ 08401
Phone: (609) 345-6420     Fax: (609) 345-6423

Website: http://www.snjpc.org
Program Keywords: Obesity, SIDS, Prematurity, media campaign

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Approximate cases reviewed in calendar year: Fetal Deaths: 25, Neonatal Deaths: 5
Number of cases with an interview in a typical year: 5
Community Education Actions
-Conduct a media campaign to encourage early and continuous prenatal care
-Meet with community based organizations
-Working on report for FIMR
Service System Improvement
-Improve bereavement referral services
-Partner with local MOD Prematurity campaign
Practice, Program, and Policy Improvement Actions
-Enhance services to bereaved families
Actions taken by FIMR program:
Problem:  Obesity increases risk for fetal loss
Recommendation: Provider education on obesity
Interventions: Provided provider training on obesity in pregnancy called “Food for Thought”
Problem: women presenting for prenatal care later in pregnancy
Recommendation: Inquire why women do not seek prenatal care earlier in pregnancy
Intervention: media campaign on importance of early prenatal care
Outcome: Timely entry has improved


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Summit County Public Health

Adam Oakerson
Public Health Specialist
1867 West Market St
Akron, OH 44313
Phone: 330-926-5649

Website: www.scphoh.org

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Sweet Grass County

Jennifer Chappell RN
County Health Nurse
PO Box 509
Big Timber, MT 59011
Phone: (406) 932-5449     Fax: (406) 932-5444

Website: http://www.co.sweetgrass.mt.us

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Talbot County Health Department

Marilyn Morris
FIMR Coordinator
100 S. Hanson ST
Easton, MD 21601
Program Keywords: two-tiered

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Approximate number of cases reviewed annually:  Fetal deaths 1, neonatal deaths 1, postneonatal deaths 1
Community Education Actions:
- Promote breastfeeding
- Hold a town health fair
- Develop culturally relevant health education materials
Service Systems Improvement/Linkage Actions:
- Eliminate a duplication of MCH services
- Improve referral patterns among agencies, bereavement referral services
- Improve/develop transportation routes to MCH services with the City or County Transportation Department
Practice, Program, and Policy Improvement Actions:
- Enhance services to bereaved families
Actions taken by FIMR Program:
- Invited FIMR team members to become members of the CFR team when sleep related deaths were being reviewed
- Provided bus tickets to the Chesapeake Multicultural Resource Center for non-English speaking PN and PP women to be able to get to appointments


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Tarrant County Public Health Dept

Rose Mary Bennett RN, BSN
FIMR Coordinator
1101 S. Main Street
Fort Worth, TX 76104
Phone: (817) 321-5311     Fax: (817) 548-3996

Program Keywords: two-tiered, maternal interview, media campaign; screening; interconception, obesity; sexually transmitted diseases; prematurity, fetal movement, Kicks Count

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Approximate cases reviewed annually: Fetal Deaths: 38, Neonatal Deaths: 30, Postneonatal Deaths: 3
Number of cases with an interview in a typical year: 27
Community Education Actions
-Conduct a media campaign to encourage early and continuous prenatal care ans to promote family planning or STD screening
-Publish annual FIMR report
-Meet with community -based organizations
Practice, Program, and Policy Improvement Actions
-Enhance services to bereaved families
Actions taken by FIMR program:
Problem:  STI’s identified as a major risk factor for premature deliveries and infant deaths
Recommendation: Referrals, early treatment, and safer sex practices
Interventions: Medical director of public health department wrote an article in the Tarrant County Physician identifying STI’s as a risk factor and including recommendations in a form of a handout. 
Outcomes: Ongoing review of STI cases.
 

Problem: Lack of pre- and interconception care to mothers with obesity and chronic diseases.
Recommendation: Promote and increase interconception care to women.
Interventions: TC Infant Health Network community based collaboration as part of FIMR CAT to promote the recommendation
Outcomes: Ongoing review of obesity and overweight cases
 

Problem: Mothers were able to recognize lack of fetal movement but were unsure of what to do or how long to wait for assistance
Recommendation: Start a Kicks Count campaign promoting awareness of fetal movement patterns
Interventions: The Infant Health Network with TCPH published Kicks Counts Campaign and presented at various community meetings. Additionally, brochures were available for healthcare providers.
Outcomes: Number of brochures handed out to providers.
Special religious or cultural subgroups served:  Latino, Black/ African- American


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The Healthy Start Coalition of Flagler & Volusia Counties, Inc.

Rosha Loach
Healthy Start Program Manager/FIMR Coordinator
109 Executive Circle
Daytona Beach, FL 32114
Phone: (386) 252-4277     Fax: (386) 252-4270

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TN Dept of Health

Rachel Heitmann MS
Program Director
425 5th Ave North
Cordell Hull Bldg 4th Flr
Nashville, TN 37423
Phone: (615) 741-0368

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 Approximate cases reviewed in calendar year: 73


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Toledo-Lucas County Health Department

Tanika Carter MPH
Epidemiologist
635 North Erie Street
Toledo, OH 43604
Phone: 419-213-4100

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Tougaloo College/Delta Healthpartners

Arletha Howard
Project Director
230 WEST MAIN ST.
Marks, MS 38646
Phone: 662-326-3673

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Tulsa City County Health Dept

https://www.ok.gov/health/Child_and_Family_Health/Improving_Infant_Outcomes/index.html

Kelly VanBuskirk, MPH
Division Chief
5051 S 129th E Ave
Tulsa, OK 74134
Phone: (918) 595-4448     Fax: 918-595-4585

Website: http://www.tulsa-health.org
Program Keywords: Maternal Interview

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Utah Dept of Health

Megan Kimberly RN, DNP
Perinatal Mortality Review Coordinator
3760 S Highland Dr
Salt Lake City, UT 84114-2001
Phone: 801-273-2851

Website: http://www.health.utah.gov/mihp
Program Keywords: infection; provider education; culturally sensitive training, provider training, one-tiered

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Approximate cases reviewed in calendar year: Fetal Deaths: 50
Practice, Program, and Policy Improvement Actions
-Expand hospital quality assurance standards
Professional Training
- Working with Office of Health Disparities on projects aimed at African American and Pacific Islander communities to target birth outcomes 
Actions taken by FIMR program:
Problem:  Fetal and maternal death from urosepsis due to untreated UTI
Recommendation: Institute an alert system for urine cultures
Interventions: Instituted red flag in EMR to alert providers
Outcomes: Decrease in maternal and fetal deaths due to urosepsis
Special religious or cultural subgroups served:  Mormom, Hispanic, Medicaid populations
Total population in catchment area:  2,855,000


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Valley County Health Dept

Ella Tweten
501 Court Sq
Box 11
Glasgow, MT 59320
Phone: (406) 228-6261     Fax: (406) 228-6242

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Vanderburgh County FIMR

Lynn Herr
FIMR Coordinator
420 Mulberry St. Room 204
Evansville, IN 47713-1231
Phone: 812-435-5761

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Ventura County Health Department

Claudia Pineda Benton MSN, PHN, RN-BC
MCAH/ FIMR/ SIDS Coordinator
2220 East Gonzales Rd
Suite 102
Oxnard, CA 93036
Phone: (805) 981-5380     Fax: (805) 654-7610

Program Keywords: provider training; community outreach, NFIMR resources; local campaigns, one-tiered

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Approximate cases reviewed in calendar year: Fetal Deaths: 15, Neonatal Deaths: 2, Postneonatal Deaths: 2
Number of cases with an interview in a typical year: 4
Community Education Actions
-Promote breastfeeding  
-Meet with community- based organizations
Service Systems Improvement
-Eliminate gap in MHC services and family planning services
- Improve bereavement referrals and referral patterns among agencies
-Partner with local MOD Prematurity campaign
Practice, Program, and Policy Improvement Actions
-Improve standardized prenatal risk assessment
Actions taken by FIMR program:
Problem:  Lack of awareness of FIMR and its purpose
Recommendation: Training and Perinatal Periods of Risk data presentation to revive FIMR
Interventions: Training for nurses on grief and bereavement, use of NFIMR forms to assess cases, collaboration with MOD on training healthcare providers in Becoming a Mom, integration of life-course theory
Outcomes: FIMR reinstated, successful training, nurses familiar with NFIMR forms
Special religious or cultural subgroups served:  Asian, Black/ African American
Total population in catchment area:  800,000


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Walworth Co. DHHS

Etty Wilberding
W4051 County Road NN
PO Box 1005
Elkhorn, WI 53121
Phone: (262) 741- 3213

Program Keywords: head trauma; teen pregnancy, teen health; preventative care; breastfeeding, one-tiered

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Community Education Actions
-Promote breastfeeding
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Expand services to pregnant substance abusers
-Implement screening postpartum depression
Actions taken by FIMR program:
Problem:  Head trauma due to Shaken Baby Syndrome
Outcomes: Improvement in number of head trauma cases in infants
Problem: Need for programs centering on teen parents’ health and their infants’ health, focusing on prevention of child protective service intervention


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Washington County Health Dept.

Patti Murphy
FIMR Coordinator
1302 Pennsylvania Ave
P. O. Box 2067
Hagerstown, MD 21742
Phone: (240) 313-3464     Fax: (240) 313-3222

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Washoe District Health Dept- Pilot

Rebecca Gonzalez RN
Public Health Nurse
1001 E. Ninth St
Bldg B, Box 11130
Reno, NV 89520-0027
Phone: (775) 328- 2465     Fax: (775) 328-3750

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Weld County Health Department

Melanie Cyphers RN, BSN
Fetal Infant Child Mortality Review Coordinator
1555 N. 17th Ave
Greeley, CO 80631
Phone: (970) 304-6420

Program Keywords: safe sleep, media campaign, provider education, culturally relevant health education, screening

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Approximate cases reviewed in calendar year: Fetal Deaths:4, Neonatal Deaths: 1 
Community Education Actions
-Conduct a media campaign on safe sleep, met with medical groups and distributed education kits
-Develop culturally relevant health education materials
-Meet with community based organizations
Policy/Advocacy Actions
-County proclamation of Safe Sleep Month
Professional Training
-Brief training on safe sleep provided to medical and day care providers, educational tool kits provided
Actions taken by FIMR program:
Problem:  Higher than normal sleep related deaths in 2012
Recommendation: Education on safe sleep
Interventions: Safe sleep campaigns, provider education
Outcomes: No sleep related deaths since initiation of campaign
Special religious or cultural subgroups served:  Latino, Somali, Burmese
Total population in catchment area:  253, 000


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Wicomico County Health Department

Valerie Laureska RN, BSN
IPO Coordinator
108 E Main St
Salisbury, MD 21801
Phone: (410) 543-6958 ext 12815     Fax: (410) 543-6568

Program Keywords: two-tiered

View Program Summary

Approximate number of cases reviewed annually:  Fetal deaths 8, neonatal deaths 4, postneonatal deaths 0
Community Education Actions:
- Conduct a media campaign to encourage early and continuous prenatal care
- Meet with community based organizations
- Conduct media campaign to promote safe sleep education
Service Systems Improvement/Linkage Actions:
- Improve referral patterns among agencies, bereavement referral services
Practice, Program, and Policy Improvement Actions:
- Expand services to pregnant substance abusers
- Enhance services to bereaved families
- Implement screening for substance abuse, for smoking
Actions taken by FIMR Program:
Problem: Area pregnant women with late access to prenatal care
Recommendation: Submission of grant application to Community Foundation of the Eastern Shore
Outcome: Grant awarded for $4,680 – billboards promoting early entry into prenatal care displayed in multiple locations on Lower Shore Tri-County for 5 months
Problem: Infant deaths due to unsafe sleep practices
Recommendation: Promote Safe Sleep education in tri-county lower shore
Interventions: Home visits to distribute Pack-n-Plays to high risk clients, "Safe Sleep - Alone, Back, Crib - No exceptions" DVD circulated to area providers/offices, Safe Sleep radio ads aired on 3 local stations reaching over 93,000 listeners.
Outcomes: Improved SIDS related death numbers


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Wisconsin Division of Public Health

Kate Gillespie
State FIMR Coordinator
1 West Wilson St
Po Box 2659
Madison, WI 53701-2659
Phone: (608) 266-1538

Program Keywords: care coordination; transportation; SIDS, safe sleep; media campaign, one-tiered

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Approximate cases reviewed in calendar year: Fetal Deaths: 10, Neonatal Deaths: 6, Postneonatal Deaths: 4
Community Education Actions
- Conduct media campaign on safe sleep
Service System Improvements
-Improve referral patterns among agencies
Policy/Advocacy Actions
-Develop local or state legislation that will aid in data abstraction for FIMR cases
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Enhance services for pregnant substance abusers, enhance screening for diabetes in early pregnancy, enhance placental analysis testing
Actions taken by FIMR program:
Problem:  SIDS deaths are related to unsafe sleeping
Recommendation: Create a simple consistent safe sleep message
Interventions: Marketing campaign
Outcomes: Ongoing evaluation of SIDS deaths
Problem: Lack of transportation coordination between Opioid Treatment Providers (OTP) and other pregnancy related services. Over 10% of mothers from FIMR cases are opioid dependent.
 

Recommendation: Bring OTP and other providers together to better understand how services should be used.
Interventions: Offer mothers going to OTP a referral to public health. Obtain a release of information so providers can exchange information more efficiently. Provide open house so community members and providers can tour the OTC clinic and meet staff.
Outcomes: Ongoing assessment of care coordination.
Total population in catchment area:  500,000


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Wood County Public Health

Leah Meidl
Wisconsin Rapids, WI 54495
Phone: (715) 4218923

Program Keywords: referrals; bereavement; care collaboration, one-tiered

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Approximate cases reviewed in calendar year: Fetal Deaths: 3, Neonatal Deaths: 20
Service System Improvement
-Improve referral for bereavement and referrals between agencies
Practice, Program, and Policy Improvement Actions
-Initiate/expand public health case management
-Enhance services to bereaved families


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WV OMCFH

Melissa Baker
350 Capitol St
Room 427
Charleston, WV
Phone: (304) 356-4438

Program Keywords: safe sleep, maternal interview, community baby shower

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Approximate cases reviewed annually: Neonatal Deaths: 90, Postneonatal Deaths: 60
Community Education Actions
-Hold town fair
-Promote safe sleep and community baby shower
Policy/Advocacy Actions
-Report the FIMR findings to the State MCH Director
Practice, Program, and Policy Improvement Actions
-Implement standardized prenatal risk assessment
Professional Training
-Implement SIDS training programs
Total population in catchment area:  1,800,000


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Wyandotte County FIMR

Terrie Garrison
FIMR Program Manager
619 Ann Ave
Kansas City, KS 66101
Phone: (913) 573-6726

Program Keywords: two-tiered

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Wyoming Department of Health-Maternal and Child Health Unit

Danielle Marks
Women and Infant Health Program Manager
6101 Yellowstone Road Suite 420
Cheyenne, WY 82002
Phone: 307-777-7944

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Yellowstone City County HD

Kim Bailey RN
125 So 27th
Billings, MT 59101
Phone: (406) 247-3357     Fax: (406) 651-6430

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 Approximate cases reviewed in calendar year: Fetal Deaths: 8, Neonatal Deaths: 8, Postneonatal Deaths: 7


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Yolo County Health Department

Anna Sutton RN, PHN, MSN
AFLP/CPSP/FIMR/SIDS Coordinator
137 N. Cottonwood Street
Suite 2450
Woodland, CA 95695
Phone: (530) 666-8649     Fax: (530) 669-1549 FAX

Program Keywords: fetal kick counts, maternal interview, provider education

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 Approximate cases reviewed in calendar year: Fetal Deaths: 6, Neonatal Deaths: 1-2
Number of cases with an interview in a typical year: 6-8
Community Education Actions
- Develop kicks count magnet and education campaign targeted at providers
- Developed FIMR report
Actions taken by FIMR program:
Problem:  Lack of education about fetal kicks counts
Recommendation: Develop and educational campaign and tool
Interventions: Develop kicks count magnets for clients
Outcomes: Successful distribution of education materials to providers, home visiting programs, increased demand for magnets from providers
Total population in catchment area:  201, 071


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© Copyright 2018 American College of Obstetricians and Gynecologists. The National Fetal and Infant Mortality Review Program is a collaborative effort between the American College of Obstetricians and Gynecologists and the Maternal and Child Health Bureau, Health Resources and Services Administration.