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Strengthening Maryland Maternal Mortality Surveillance

Award Number: NU58DP006934
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/30/2021
PERIOD OF PERFORMANCE END DATE: 09/29/2024

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Strengthening Maryland Maternal Mortality Surveillance - Each year, approximately 1,800 women die in the U.S. during or within a year of pregnancy. Of these pregnancy-associated deaths almost 700 are pregnancy-related, from a cause related to or aggravated by the pregnancy or its management. A racial disparity persists among pregnancy- related deaths with a pregnancy-related mortality rate or ratio of 40.0 deaths per 100,000 live births among non-Hispanic Black women compared to a rate of 12.4 among non-Hispanic white women. Maryland has reviewed pregnancy-associated and pregnancy-related deaths among State residents since 2000 when the Maryland Maternal Mortality Review Program was established in statute. Maryland has an average of 38 pregnancy-associated deaths per year. Since 2010, pregnancy-related deaths have decreased substantially in the State but racial disparities persist with non-Hispanic Black women 2.7 times more likely to die than non-Hispanic white women. The purpose of the proposed project is to improve the identification and characterization of these deaths to better understand the factors underlying racial disparities and to inform prevention efforts. This improved surveillance will involve the identification of pregnancy-associated and pregnancy-related deaths; abstraction of clinical and non-clinical data into a standard data system; conducting multidisciplinary reviews; and entering committee decisions into the standard data system. Quality assurance processes developed under this initiative will improve data quality and timeliness, in partnership with the CDC (Centers for Disease Control and Prevention). Analysis of the enhanced surveillance data will enable dissemination of findings to inform prevention strategies that reduce maternal deaths. Specific activities will include maintaining a multidisciplinary review committee that includes both clinical and non-clinical disciplines and organizations; identifying pregnancy-associated deaths on a routine basis no later than 1 year from the date of death; and abstracting and entering information about all deaths in the Maternal Mortality Review Information Application (MMRIA) in preparation for committee review no later than 2 years from the date of death. Maryland’s efforts will also ensure that all deaths potentially related to pregnancy are reviewed within 2 years of the date of death; committee decisions including recommendations are documented in MMRIA within 30 days of completing the review of the death. Data quality assurance checks will be performed for completeness within 90 days of completing review and MMRIA data will be analyzed to provide information on burden, causes and distribution of deaths, and opportunities for prevention. Other activities will include providing obstetric emergency simulation training and unconscious bias training for health care practitioners, the implementation of family interviews, an annual Maternal Mortality Summit, and the development and dissemination of topic briefs, provider alerts and an annual report based on findings from the improved surveillance efforts. The anticipated results of these efforts will include more timely, accurate and standardized information about pregnancy-associated deaths; increased awareness of maternal mortality in Maryland and the recommendations of Maryland’s Maternal Mortality Review Committee, and the implementation of data driven recommendations. Proposed long-term outcomes include the elimination of preventable maternal deaths, reduction in maternal complications of pregnancy, reductions in disparities in maternal deaths and complications of pregnancy, and improvement in the health of reproductive age women.


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: 2024 ( Subtotal = $0 )
2024	2023	MARYLAND DEPARTMENT OF HEALTH	201 W. PRESTON STREET	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	01	3	12/13/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	MARYLAND DEPARTMENT OF HEALTH	201 W. PRESTON STREET	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	02	3	7/22/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2023 ( Subtotal = $493,413 )
2023	2023	MARYLAND DEPARTMENT OF HEALTH	201 W. PRESTON STREET	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	00	3	9/12/2023	NON-COMPETING CONTINUATION	$493,413
2023	2022	MARYLAND DEPARTMENT OF HEALTH	201 W PRESTON ST	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	01	2	12/9/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2022	MARYLAND DEPARTMENT OF HEALTH	201 W PRESTON ST	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	02	2	12/21/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$373,413
2023	2022	MARYLAND DEPARTMENT OF HEALTH	201 W PRESTON ST	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	03	2	2/17/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$373,413
2023	2021	MARYLAND DEPARTMENT OF HEALTH	201 W PRESTON ST	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	03	2	2/17/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$373,413
2023	2021	MARYLAND DEPARTMENT OF HEALTH	201 W PRESTON ST	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	02	2	12/21/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$373,413
														Subtotal = $493,413

Issue Date FY: 2022 ( Subtotal = $373,413 )
2022	2022	MARYLAND DEPARTMENT OF HEALTH	201 W PRESTON ST	BALTIMORE	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	00	2	7/15/2022	NON-COMPETING CONTINUATION	$373,413
2022	2021	HEALTH, MARYLAND DEPARTMENT OF	201 W Preston St, 3rd Flr	Baltimore	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	02	1	11/16/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $373,413

Issue Date FY: 2021 ( Subtotal = $373,413 )
2021	2021	HEALTH, MARYLAND DEPARTMENT OF	201 W Preston St, 3rd Flr	Baltimore	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	01	1	9/17/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	HEALTH, MARYLAND DEPARTMENT OF	201 W Preston St, 3rd Flr	Baltimore	MD	21201	BALTIMORE CITY	USA	Preventing Maternal Deaths: Supporting Maternal Mortality Review Committees	00	1	7/2/2021	NEW	$373,413
														Subtotal = $373,413

Grand Total All Awards = $1,240,239

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Strengthening Maryland Maternal Mortality Surveillance

Award Number: NU58DP006934

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 09/30/2021

PERIOD OF PERFORMANCE END DATE: 09/29/2024

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