The Indiana State Department of Health (ISDH) Fatality Review and Prevention (FRP) Division will use this funding opportunity to build upon current Healthy People 2020 objectives to reduce the rate of maternal mortality (MICH-5) and to reduce maternal illness and complications due to pregnancy (MICH-6). Establishing a Maternal Mortality Review Committee (MMRC) to systematically and comprehensively review identified maternal deaths in the state of Indiana will ultimately aid in the development of data driven recommendations, strategies, and interventions at patient, provider, facility, system, and community levels to prevent future maternal deaths. If awarded, we will further build upon the collaborative efforts between the ISDH FRP Division and Indiana Hospital Association, Indiana Family Social Services Association, the, Indiana Section of the American College of Obstetricians and Gynecologists, Indiana Perinatal Levels of Care, and the Alliance for Innovation on Maternal Health program to implement recommendations and best practices established by Indiana’s MMRC. This wide-reaching collaboration will leverage initiatives by addressing provider and facility factors through quality improvement plans focused on policy changes in birthing facilities and physicians’ practices.
Expanding and strengthening Indiana’s maternal mortality review (MMR) process will allow for the establishment and implementation of best practices through data-driven decision making for programmatic growth and improvement. Through the use of standardized data, MMR outcomes, and MMRC prevention recommendations, ISDH will be able to establish timely, accurate incidence rates on maternal mortality, and develop public data briefs and other products that can be used to inform programs and key stakeholders. Armed with this information, ISDH will increase community awareness on MMRC recommendations; develop and implement evidence-based policies and protocols across care settings that will prevent or manage maternal illness; improve timely recognition of early warning signs and maternal change in clinical status; assure appropriate escalation of care; and provide effective postpartum discharge counseling and follow-up.
Funding for this project will support staff, including a MMR coordinator, MMRC chairperson, administration support, and medical chart abstractors, who will manage daily activities for the Indiana MMRC, and provide timely, accurate, and standardized data reporting on maternal deaths during pregnancy and the year after the end of pregnancy, as well as support the statewide MMRC members on the implementation of data driven recommendations.