Michigan Maternal Mortality Surveillance (MMMS) Program - Michigan’s maternal death review was first organized in 1950. Today, Michigan’s review is a state-level structured process by which a multidisciplinary committee containing experts in a wide array of fields takes a holistic approach to identifying and reviewing cases of maternal death that occur during pregnancy, at delivery, or within one year of pregnancy. This committee makes recommendations for interventions to prevent future deaths. This funding opportunity would support existing and newly proposed maternal mortality surveillance activities that will ultimately decrease maternal morbidity and mortality in Michigan including the following: access to additional data sources, including a focus on key informant interviews; high quality data sharing with the CDC through the Maternal Mortality Review Information Application (MMRIA); recommendation implementation at the state and local level through collaboration with Michigan Alliance for Innovation in Maternal Health, Michigan Regional Perinatal Quality Collaboratives and Community-based Organizations; and legislative advocacy to ensure appropriate funding for maternal mortality efforts. Our review, recommendations, and data products will pay particular attention to populations disproportionately impacted by maternal mortality with the goal of tailoring interventions and reducing disparity. We will continue to focus on timely records acquisition and abstraction and will utilize MMRIA to track case completion, perform data quality checks, and document the committee decisions regarding cause of death, preventability, contributing factors and recommendations. We anticipate annual reporting of statewide maternal mortality data, including recommendations, as well as topic-specific handouts on a regular basis. The Michigan Department of Health and Human Services is already functioning to perform maternal mortality reviews, with an established committee reviewing all maternal deaths in the state and strong relationships with important collaborators. With additional funding to support enhanced data collection, collaboration, and recommendation implementation, we will be able to strengthen our maternal mortality review process and improve outcomes for women in Michigan.