linking state title v and child death review sally fogerty, b.s.n, m.ed. associate commissioner...

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Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of Public Health

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Why Should Title V Link to CDR? Title V: Has valuable epidemiology information and can help interpret mortality statistics Can bring a knowledge base, especially on infant mortality prevention, child injury prevention, and adolescent health Can link CDR teams to resources in communities Can be a team player in helping CDR meet its legislative mandates and reporting requirements Implement strategies to reduce future deaths

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Page 1: Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of

Linking State Title V and Child Death Review

Sally Fogerty, B.S.N, M.Ed.Associate Commissioner

Center for Community HealthMassachusetts Department of Public Health

Page 2: Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of

Primary Purposes of CDR as Identified by Title V Program Directors

• Identify the circumstances causing a death (36 of 41)

• Improve service delivery systems (37 of 41)

• Develop policy (33 of 41)• Improve community resources

(26 of 41)

Page 3: Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of

Why Should Title V Link to CDR?

Title V:• Has valuable epidemiology information and can

help interpret mortality statistics• Can bring a knowledge base, especially on

infant mortality prevention, child injury prevention, and adolescent health

• Can link CDR teams to resources in communities

• Can be a team player in helping CDR meet its legislative mandates and reporting requirements

• Implement strategies to reduce future deaths

Page 4: Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of

Funding Child Death Review Where’s the Money?

• CDR has never been heavily funded and relies on volunteer efforts, especially locally

• Funding ranges from $800,000 to nothing

• Median State funding is $50,000

• Federal funds used by States include OCAN, CAPTA and CJA, CDC Core injury and NVDRS, MCH Title V and EMSC grants

• Only six States fund local teams

Page 5: Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of

CDR can Inform Title V

• Assessment and the Title V performance measures

• Assurance• Policy development

www.mchdata.net https://performance.hrsa.gov/mchb/mchreports

Page 6: Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of

National Outcome Measures1. The infant mortality rate per 1,000 live births 2. The ratio of the Black infant mortality rate to

the White infant mortality rate3. The neonatal mortality rate per 1,000 live

births4. The postneonatal mortality rate per 1,000 live

births5. The perinatal mortality rate per 1,000 live

births plus fetal deaths6. The child death rate per 100,000 children

aged 1 through 14

Page 7: Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of

Performance Measures

• Performance measure 08 The rate of deaths to children aged 14 years and younger caused by motor vehicle crashes per 100,000 children

• Performance measure 16 The rate (per 100,000) of suicide deaths among youths aged 1519

Page 8: Linking State Title V and Child Death Review Sally Fogerty, B.S.N, M.Ed. Associate Commissioner Center for Community Health Massachusetts Department of

Summary• Child Death Review can help inform

Title V programs

• Contact your State and/or local CDR Program Coordinator to get involved!