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California Pregnancy Associated Mortality Review: A Deeper Look at Maternal Deaths

Award Number: NU58DP006700
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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California Pregnancy Associated Mortality Review: A Deeper Look at Maternal Deaths - Maternal deaths – resulting from causes related to or aggravated by the pregnancy or its management up to one year after the end of pregnancy – are tragic events that have a profound negative impact on the children and families left behind, as well as their communities and the nation as a whole. In California, an estimated 80 women die each year from obstetric-related causes (maternal mortality rate 7.3 deaths per 100,000 live births in 2013). California is a microcosm of the U.S. – ethnically, geographically, economically, and with regard to health delivery. Approximately 1 in 8 U.S. births occurs in California annually (nearly 500,000 births at 260 delivery hospitals). Compared to the national rate, California’s maternal mortality rate is not only relatively low but also on the decline. However, improvements in maternal mortality rates have not benefitted all racial/ethnic groups equally. In particular, Black women are disproportionately affected, experiencing rates of maternal deaths 3 to 5 times higher than those of the other racial/ethnic groups (including White, Asian, and Hispanic women). Close to half of maternal deaths were determined to be preventable, but opportunities to intervene were missed, as California has learned through conducting in-depth maternal mortality case reviews. California’s declining rate is the result of multifactorial public-private partnerships and collaborations, which informed translational activities, most notably, a series of provider and hospital toolkits to improve obstetric emergencies. The California Department of Public Health (CDPH) Maternal, Child and Adolescent Health (MCAH) Division established the California Pregnancy-Associated Mortality Review (CA-PAMR) in 2006 to investigate and inform strategies to improve the outcomes of pregnant and postpartum women, in collaboration with the California Maternal Quality Care Collaborative (CMQCC) and the Public Health Institute (PHI). To date, CA-PAMR has conducted over 1,000 case reviews of maternal deaths. Despite these accomplishments, building capacity to provide and review current data on maternal deaths has been a challenge. CA-PAMR has scaled back its comprehensive case reviews, and, instead, is conducting less-detailed rapid-cycle reviews. With funding via this cooperative agreement, CA-PAMR will pilot a “maternal mortality reporting system” to make maternal mortality a reportable event for California, in addition to refining its existing infrastructure and framework, including the implementation of the Maternal Mortality Review Information Application (MMRIA) data system to facilitate data collection and reporting. CA-PAMR will also resume in-depth reviews to complement the ongoing rapid-cycle reviews. Lastly, CA-PAMR findings will inform possible development of further tools and quality improvement efforts to improve maternal and infant outcomes. Toolkits and best practices developed by California will continue to be shared nationally in the hopes of eliminating preventable maternal deaths in the U.S. CA-PAMR expects to (a) produce timely, accurate, and standardized information about California maternal deaths up to one year postpartum; (b) increase dissemination of the CA-PAMR project findings and data-driven recommendations; (c) implement data-driven recommendations to improve maternity care and support; (d) promote widespread implementation of quality improvement toolkits and policies to achieve the highest standards of care; and (e) reduce the incidence of maternal morbidity and mortality and narrow racial disparities.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $620,000 )
2023	2023	PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	00	5	7/20/2023	NON-COMPETING CONTINUATION	$620,000
														Subtotal = $620,000

Issue Date FY: 2022 ( Subtotal = $450,000 )
2022	2022	Public Health, California Department of	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	00	4	6/30/2022	NON-COMPETING CONTINUATION	$450,000
2022	2022	PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	01	4	9/22/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $450,000

Issue Date FY: 2021 ( Subtotal = $450,000 )
2021	2021	PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF	1615 CAPITOL AVE	SACRAMENTO	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	00	3	6/30/2021	NON-COMPETING CONTINUATION	$450,000
2021	2021	PUBLIC HEALTH, CALIFORNIA DEPARTMENT OF	1615 CAPITOL AVE	SACRAMENTO	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	01	3	7/23/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	Public Health, California Department Of	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	03	2	9/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	Public Health, California Department Of	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	02	2	3/19/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2020	Public Health, California Department Of	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	01	2	10/28/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $450,000

Issue Date FY: 2020 ( Subtotal = $450,000 )
2020	2020	Public Health, California Department Of	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	00	2	6/30/2020	NON-COMPETING CONTINUATION	$450,000
2020	2019	Public Health, California Department Of	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	01	1	11/13/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $450,000

Issue Date FY: 2019 ( Subtotal = $450,000 )
2019	2019	Public Health, California Department of	1615 Capitol Ave	Sacramento	CA	95814	SACRAMENTO	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	00	1	7/30/2019	NEW	$450,000
														Subtotal = $450,000

Grand Total All Awards = $2,420,000

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California Pregnancy Associated Mortality Review: A Deeper Look at Maternal Deaths

Award Number: NU58DP006700

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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