The Florida Pregnancy-Associated Mortality Review (PAMR) was established in 1996 under leadership of the Florida Department of Health (Department), and has provided a formal surveillance and analysis of maternal deaths in the state. The Department is submitting an application to the Centers for Disease Control and Prevention for funding for a five-year cooperative agreement to support agencies that coordinate and manage a Maternal Mortality Review Committee.
The overarching goal of the PAMR project under this funding opportunity, is to reduce the incidences of preventable maternal deaths in Florida. To reach this goal, the PAMR project will focus on enhancing the current comprehensive case identification and review of pregnancy-related deaths and expanding the PAMR’s ability to thoroughly review selected pregnancy-associated deaths, such as substance abuse or suicide cases. Throughout the project, the PAMR will work with state and local partners to explore ways to address racial disparities in maternal deaths, create effective and actionable recommendations for care improvement, and convert those recommendations into tangible actions.
Florida PAMR will conduct several activities to achieve the outcome of reducing preventable maternal deaths. To improve the identification of pregnancy-associated deaths, a PAMR subcommittee will create training modules on accurately completing the pregnancy check-box as well as the cause of death coding on death certificates for medical examiners. The PAMR coordinator and lead abstractor will develop and implement a plan to improve the PAMR abstractor access to medical records. A PAMR subcommittee will develop and implement a systematic process to abstract and review pregnancy-associated cases, such as suicide and substance abuse deaths. The PAMR will continue to utilize the Maternal Mortality Review Information Application (MMRIA) data system to standardize collection of quality data on maternal deaths. The MMRIA system will allow the PAMR team to analyze data on maternal mortality causes as well as the distribution of deaths by age, race, and ethnicity. Care improvement messages will be created and disseminated to health care providers and organizations throughout the state, based upon the PAMR case review team recommendations. A communications campaign will be utilized to disseminate messages to high-risk women and disparate communities, via social media, radio, print ads, etc. The PAMR, under leadership of the Department, will also collaborate with the Florida Perinatal Quality Collaborative on new maternal health quality improvement initiatives that address the leading causes of maternal mortality. The PAMR project will look to serve women of childbearing age, including pregnant and postpartum women, in the state.