Montana’s maternal mortality review is part of the FICMMR (Fetal, Infant, Child & Maternal Mortality Review) program. FICMMR is a statewide effort to reduce preventable fetal, infant, child and maternal deaths.  While the program is statewide, it is powered locally by multi-disciplinary county teams. Review teams include health and social service professionals, law enforcement, coroners, tribal representatives, and experts from other fields as indicated in the Fetal, Infant Child and Maternal Mortality Prevention (FICMMP) Act. Copy this link into browser to see the full Act: https://leg.mt.gov/bills/mca/title_0500/chapter_0190/part_0040/sections_index.html. 
FICMMR review teams share and discuss comprehensive information on the circumstances leading to a death, if it was preventable, and the response to the death. The process identifies critical community strengths and needs - in order to effectively address the unique social, health, and economic issues associated with negative health outcomes which may have caused or contributed to the preventable death. When a maternal death is on the agenda, the FICMMR law requires either an Obstetrician, or a Family Practice Physician, or a Physician's Assistant who has direct OB responsibilities to participate in the review. All pregnancy–associated and pregnancy-related deaths are reviewed. 

Montana is preparing to transition maternal mortality review to the MMRIA (Maternal Mortality Information Application.) Montana Department of Public Health and Human Services (MT DPHHS) epidemiologists have built and are now testing a database to house historical maternal death reviews up until entering them into MMRIA. The Department is working with the CDC and planning MMRIA training for state staff and the local teams. After launching MMRIA, MT DPHHS will convene and facilitate a Montana Maternal Mortality Review Council (MMRC), which will be a state-level, multidisciplinary council with local county representation. The MMRC will meet regularly to review and analyze case data to capture contributing factors and map each death to a prevention recommendation that can be implemented statewide.