Thursday, April 3, 2025
4/3/2025
Supporting Maine's Maternal Mortality Review Committees - Project Abstract The purpose of this proposal is to enhance the capacity of the existing Maine Maternal, Fetal, and Infant Mortality Review (MFIMR) Panel to identify, review, provide, and implement recommendations for prevention of maternal deaths. This proposal continues responsibility for Maine’s maternal mortality reviews to the Maine Medical Education Trust, Maine Medical Association – Center for Quality Improvement (MMA-CQI), while maintaining a strong working collaboration with the existing Panel and the Maine Center for Disease Prevention and Control (Maine CDC), the state public health agency. Three strategies and related activities are proposed: Strategy 1: Actions that improve the availability, quality, and timeliness of MMRC data. • Fully operationalize the MMRIA system to support core functions. • Comprehensively identify pregnancy-associated deaths. • Implement approaches for improving quality of death records and for timely death record quality assurance. • Apply a consistent process and standardized criteria for selecting deaths that will be fully abstracted for committee review. • Implement Informant Interview approaches. • Abstract and enter information from medical records, social service records, informant interviews, and other relevant sources about all deaths potentially related to pregnancy into MMRIA within 18 months of the death. • Document committee decisions on the MMRIA Committee Decisions Form in MMRIA. • Perform data quality assurance checks on all relevant MMRIA forms. Strategy 2: Actions that improve multi-disciplinary, population-level review of pregnancy-related deaths and documentation of recommendations for prevention. • Maintain a multidisciplinary review committee. • Maintain a diverse review committee. Strategy 3: Actions that improve dissemination, access to, and employment of quality MMRIA data to drive opportunities for prevention. • Establish an analytic plan for pregnancy related MMRIA data. • Establish a dissemination plan for information on pregnancy-related analyses. • Implement dissemination strategies for data products and related information from pregnancy-related analyses. • Develop and sustain bidirectional partnerships with communities that increase the utilization of MMRC data to increase the transparency of MMRC processes and data. • Leverage collaborative partnerships to support action on MMRC information and inform practice, program, and policy changes. Activities will be accomplished in partnership with the Maine CDC, the MFIMR Panel Coordinator, and in collaboration with professional associations and community organizations. Anticipated short and intermediate outcomes include: - Increased timeliness, accuracy, and standardization of information available about pregnancy-related deaths, including documented opportunities for prevention. - Increased engagement and cooperation between MMRCs, partners, and communities to communicate information from data on pregnancy-related deaths. - Increased availability of recommendations of the MMRCs among communities, clinicians, public health practitioners, and decisionmakers - Increased adoption of clinical and non-clinical policies and programs that reflect the highest standards of care. - Increased implementation of recommendations that reach or consider the needs of populations disproportionately affected by pregnancy-related mortality. Evaluation will focus on the extent to which short and intermediate outcome measures outlined in the Performance Measurement Plan are met over the five-year funding period.
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