Alabama Administrative Code
Title 420 - ALABAMA STATE BOARD OF HEALTH
Chapter 420-7-5 - FETAL INFANT MORTALITY REVIEW
Section 420-7-5-.03 - Review Of Fetal And Infant Records/Case Reviews

Universal Citation: AL Admin Code R 420-7-5-.03

Current through Register Vol. 42, No. 11, August 30, 2024

(1) All fetal deaths of 20 weeks gestation or greater and all infant deaths, except those which fall within the purview of the Child Death Review Teams, shall be reviewed by the FIMR Program. (Code of Ala. 1975, § 26-16-90)

(2) The FIMR Program shall be based upon the guidelines of the American Congress of Obstetricians and Gynecologists National FIMR Program.

(3) The FIMR Abstractor(s) or FIMR Coordinator(s) shall extract information from medical and related records onto standardized forms. Case summaries are then prepared on a standardized form with no identifying information. The FIMR Abstractor(s) or FIMR Coordinator(s) will not copy or remove from the facility any records made available to them for review.

(4) The FIMR Abstractor(s) or FIMR Coordinator(s) shall extract pertinent information of significant social, economic, cultural, safety, and health factors associated with fetal or infant deaths on standardized forms, remove identifying information, and prepare case summaries to present to the FIMR CRTs for discussion.

(5) The FIMR CRT reviews case summaries prepared by the FIMR Coordinators and these reports are provided to the SPAC regarding its findings and makes recommendations based on those findings.

(6) The CRT's findings and recommendations shall be reported to the SPAC for approval and possible statewide implementation. Based upon the CRT's direction, the CATs shall participate in the implementation of community-based interventions and policies, as practical, in order to improve existing services and systems.

(7) The CRTs shall review the case summary information and make recommendations based on the findings. All members attending the FIMR CRT meetings shall sign a formal pledge of confidentiality before the review process begins. At the conclusion of the meetings, all copies of FIMR case summaries shall be collected by the FIMR Coordinators and destroyed.

Authors: Thomas Miller, M.D.; Grace H.A. Thomas, M.D., F.A.C.O.G.

Statutory Authority: Code of Ala. 1975, §§ 22-9A-21, 22-2-2(6).

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