MMRIA ABSTRACTOR OFFICE HOURS ENHANCING REVIEWS AND SURVEILLANCE TO - PowerPoint PPT Presentation

MMRIA ABSTRACTOR OFFICE HOURS ENHANCING REVIEWS AND SURVEILLANCE TO ELIMINATE MATERNAL MORTALITY (ERASE MM) SEPTEMBER 19, 2019 Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Reproductive Health

WELCOME AND AGENDA • Introduction to CDC’s Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) Initiative • Update on Maternal Mortality Review Information Application (MMRIA) • Purpose and process for monthly abstractor office hours calls • Open Q&A

INTRODUCTION TO ERASE MM Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) supports agencies that coordinate and manage maternal mortality review committees to understand why maternal mortality in the United States is increasing, and identify interventions to prevent maternal deaths. The initiative supports a national approach to collecting data and foster collaboration that can lead to effective interventions .

CONTINUED TECHNICAL ASSISTANCE UNDER NEW CDC INITIATIVE www.cdc.gov/ERASEMM

MMRIA TODAY • Of 43 existing MMRCs: • 26 have deployed the MMRIA system on their servers • 17 have completed MOUs for central hosting of MMRIA on CDC servers • 11 currently using MMRIA hosted at CDC

MMRIA USER INTERFACE

MMRIA IN THE FUTURE • More, accurate click-button reports • Automatic import of vital records data • Ongoing improvements to the user interface

ABSTRACTOR OFFICE HOURS Deborah Burch, DNP, RN has worked as a nurse in a variety of clinical settings including labor and delivery, postpartum, newborn nursery, and prenatal clinic for 32 years. For 10 years, she worked for the Florida Department of Health where she served as a maternal/child health nurse consultant and the Coordinator of the Florida Pregnancy Associated Mortality Review. Currently, she is a professor of nursing at Thomas University in Thomasville, GA. In addition to teaching full-time Deb is a medical record abstractor and member of the Florida Pregnancy Associated Mortality Review. Dr. Burch is a consultant on the ERASE MM initiative.

PURPOSE AND PROCESS FOR MONTHLY ABSTRACTOR OFFICE HOURS CALLS Purpose: To promote optimal retrieval and documentation of maternal death case information that supports efficient and effective case review. Process: Hold semi-structured monthly calls to informally discuss: ➢ Access to records/challenges or barriers ➢ Authorities/confidentiality ➢ Data entry into MMRIA ➢ Abstractor procedural guidelines ➢ Developing case narratives ➢ Facilitation of case review ➢ Abstractor Self-Care

Q & A PROCESS ➢ Send in questions prior to the webinar at MMRIAsupport@cdc.gov ➢ Voice your questions during the webinar ➢ Type in questions into the chat box Summary of questions and answers will be circulated

Q & A What are the recommendations for finding and obtaining records on substance overdose 1. cases when there are no obvious links to medical records? Situation: Patient pregnant at time of death (cause of death – overdose). Only records available are the autopsy, investigative report, and toxicology. No mention of any medical provider or facility. ➢ ME/Investigative reports ➢ Informant Interview ➢ Access to Prescription Drug Monitoring Program (PDMP)-with proper authority ➢ Hospital Discharge Database ➢ Consider exploring social media ➢ Other sources?

DATA ENTRY Q & A Where to enter ED visits/hospitalizations during prenatal period? 1. ➢ Mention on Prenatal Form then also include details on the ED/hospitalization form. MFM visits in antenatal period document in prenatal form or other medical office visit? 2. ➢ Mention on Prenatal Form if have details of the visit then also record on Other Office Visit. Entering a triage visit that does not end with an admission? Prenatal record or separate 3. hospitalization/ED record? ➢ Note place on ED/Hospitalization form that states ED visit only. Data dictionary for terms such as “Exam/Evaluation” on the ED Hospitalization form? 4. ➢ Use this for the initial exam/evaluation upon entry to facility or any other significant event.

ANY ADDITIONAL QUESTIONS?