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y <br />j Federa~Priorities 2001 Education ~Pub~ic Hea~t~i <br />I <br />i <br />County. The overall intent of PPOR into provide a guide to mobilizing and prioritizing evidence- <br />based prevention efforts. PPOR provides a standardized process for the community to identify <br />gaps in the system and to make recommendations for action. As the population-based PPOR 1 <br />approach was applied to Lane County's excess mortality, it became evident that all soci- ~ <br />economic, age, and education-level groups had unacceptably high rates of fetal-infant mortality. <br />Because high fetal-infant mortality exists :across all groups in .this community,: an individual <br />case-finding approach must also be added to the investigation of fetal-infant mortality in order o <br />clarify causes and address the: challenges. Fetal and Infant Mortality Review (FIMR) is such an <br />approach. `~ <br />PPOR and Fetal-Infant Mortality Review. The proposed complementary project (FIMR) would <br />strengthen the community's efforts to address high fetal infant mortality by providing staff to ~ <br />research and compile individual fetal-infant mortality case findings, organize and facilitate <br />:I multidisciplinary case- reviews, and assist in community analysis of case findings. Additionally, ~~ <br />funded staff would coordinate the efforts of the three community-driven task-force groups who ~ ~ <br />are charged with a comprehensive review of fetal-infant mortality in Lane County. <br />The Center for Disease Control and Prevention explains the process: <br />~, <br />"Fetal and Infant Mortality Review (FIMR) is a process by which a multi- <br />disciplinary community team is brought together to examine individual cases of <br />~~ _ infant and fetal. deaths in an effort to identify critical community. strengths and <br />weaknesses as well as unique- health/social issues associated with poor <br />outcomes. The FIMR case review team makes recommendations for new <br />policies, practices, and/or programs to improve community systems, when <br />appropriate. Community leaders representing government, consumers, key <br />institutions, and health 'and human services organizations serve on the <br />community action team, which reviews recommendations, prioritizes identified <br />issues and desi ns and im lements interventions. The oal of the FIMR rocess <br />p <br />9 P 9 <br />is to use the findings from. the review process to improve community resources ~ _' <br />and health service: delivery systems for women, infants, and families." U.S. <br />Centers for Disease Control and Prevention, Sudden, Unexplained Infant Death ~ <br />~, <br />Initiative (SU/DI]: Fetal and :Infant IVlortality .Information, <http://www.cdc.gov/ <br />SIDS/mortality.htm>, 13 December 2006. ('; <br />(,. <br />Summary ~ , <br />This $150;000 request will provide funding to add aFetal-Infant Mortality Review process and <br />will support continuation of a collaborative, community-based task-force as they investigate the <br />unacceptable rate of fetal-infant mortality in Lane County,- Oregon; identify factors common in ; <br />the excess deaths; and .prioritize and recommend. best practice ..approaches to address and <br />reduce Lane .County's .unacceptable rate of fetal-infant mortality... '~ <br />'~, , ~~~. <br />.~. <br />- ~ <br />24 ~ <br />~, <br />