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MMRIA MMRC Abstractor Manual

Year of publication or last update: 
2017

This manual is an in-depth guide to case abstraction, intended for abstractors both seasoned and new to their positions.

Committee Facilitation Guide

Year of publication or last update: 
2017

The Maternal Mortality Review Committee Facilitation Guide documents best practices that help MMRCs establish case review processes. The Guide provides a strong foundation for committee facilitation, for developing and enhancing MMRC skills and experience.

Model Purpose, Mission, Goals, and Vision for MMRCs

Year of publication or last update: 
2017

When disseminating case information and at the start of each committee meeting, it is helpful to review the purpose, mission, vision, and goals established by your committee.

MMRC Authorities and Protections Checklist

Year of publication or last update: 
2017

Efforts to establish or strengthen a maternal mortality review committee (MMRC) should include a review of what protections and authorities are already in place. This document shows key components to consider and sample legislative language for each component.

Report from MMRCs: A View into Their Critical Role

Year of publication or last update: 
2017
What is this report?

A preliminary report of data from four states using an innovative data-collection system provides the first in-depth look at key factors contributing to maternal death and showcases opportunities for prevention.

For example:
  • It offers concrete evidence that a maternal death is the tragic result of an intersection of a number of factors. It is the sum of a range of circumstances related to communities, healthcare facilities, providers, and patients. On average, three to four critical factors were identified for each pregnancy-related death.
  • This report highlights that causes of pregnancy-related death differ by age and depending on whether a woman was pregnant, was in delivery or had recently delivered.
  • These data also show that mental health conditions were a leading cause of pregnancy-related death in these four states. More specifically, among postpartum women, suicide most commonly occurs in the late-postpartum period.
  • As more states participate, we can use these data to identify causes and contributing factors to pregnancy-related death and the prevention opportunities with the greatest potential impacts.

Abstraction and Case Review Time Cost Estimator

Year of publication or last update: 
2017

Refer to the abstractor time estimates spreadsheet for assistance in calculating the number of hours of abstraction required for your committee each year.

Note: in addition to abstractors, MMRCs often require the equivalent of one full-time position divided between three people: a half-time coordinator, a quarter-time data analyst, and a quarter-time clerk. This will vary, however, by the number of cases that the committee reviews.

MMRC Logic Model

Year of publication or last update: 
2017

Although MMRCs differ from state to state, the logic model is designed to represent the general inputs, activities, and outcomes of an ideal, fully functional MMRC. The logic model can serve as a starting point, and is adaptable to the context of individual state or city-based MMRCs.

In this logic model, the Outputs and Short-term Outcomes columns are joined by the condition: “MMRC recommendations are part of a cycle of continuous quality improvement for health systems.” This is a necessary condition for MMRCs to span the gap between Process and Outcomes.

Assessment of Maternal Mortality Review Processes in the United States

Source: 
Centers for Disease Control and Prevention; Association of Maternal and Child Health programs
Year of publication or last update: 
2012

This publication highlights results from a capacity assessment of 20 state and two local maternal death reviews in the United States. The 33-item, online assessment covered staffing and funding; legislation; case identification, abstraction and review; challenges; and translation activities.

State Maternal mortality Review: Accomplishments of Nine States

Source: 
Centers for Disease Control and Prevention
Year of publication or last update: 
2006

This publication provides background on reviews in Florida, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Utah and Virginia. It also includes guidelines for starting an MMR and appendices of supporting and sample documents.