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Fetal Infant Mortality Review Program (FIMR)
Overview
The purpose of the FIMR program is to understand how a wide array of social, economic, health, educational, environmental and safety issues relate to infant loss on a local level and in turn utilize that information to improve community resources and systems of care to reduce fetal and infant mortality.

FIMR has been operating in Shawnee County since 2013. Funding is provided by the Kansas Health Foundation and the United Methodist Health Ministry Fund, and administered by Kansas Action for Children.


How FIMR Works
The FIMR process consists of five components; grief and bereavement support, maternal interview, records review, case review and community action. The process begins when the program is notified by the Office of Vital Statistics that a fetal or infant death has occurred. 

About the five components:

Family Support
FIMR staff contact parents through phone calls and home visits after the pregnancy loss or infant death. Staff provides emotional support, information, and referrals to other services that assist parents and families.

Maternal Interview
After family support has been initiated, the mother may participate in an interview. The maternal interview is the heart of the FIMR Program and makes FIMR unique among the other case review processes. The interview allows the mother's voice to be heard and provides her with the opportunity to share her experiences before, during and after pregnancy.

Records Review
The FIMR Program reviews information from a variety of sources, including medical records, birth and death certificates, coroner's reports, and records from health and social service agencies.

Case Review Team (CRT)
A case summary is prepared using information from the maternal interview and records review. The summary is de-identified to assure the confidentiality of families, providers and health care facilities. The case summary is then presented to the CRT for review. This team represents a range of professional organizations and public and private agencies that provide services and resources for women, infants and families. The CRT reviews the summaries, examines the circumstances related to each case and identifies social, economic, health, educational, environmental, and safety factors associated with those deaths. The CRT then identifies potential gaps in community services that require change and makes recommendations for how to improve policies and services that affect families.

Community Action Team (CAT)
The next step in the FIMR process is to turn CRT recommendations into action. The CAT is assembled to implement interventions designed to address the problems identified by the CRT. Members include those who are in a position to direct change at the community level, along with community members.

For more information of the FIMR process, visit the National Fetal Infant Mortality Review Website