From Information to Action

1
From Information to Action

• Improving Systems of Care and Community Resources
• Contra Costa FIMR Program, 1998 2004
• Yolanda Thompson, 2004 NFIMR Conference

2
Case Review History

• 166 cases reviewed since 1998
• Major Issues Identified and Recommendations

• Grief and Bereavement
• SIDS Risk Reduction
• Case Closure/Post-loss Follow-up
• Care Coordination
• Language-Appropriate Services

• Asthma
• Nutritional Issues
• Patient Education
• Medical Records
• Presumptive Eligibility
• Substance Abuse

3
Enhanced FIMR Support

• Expanded FIMR model uses a public health approach
  to include grief support and health education
• FIMR interview considered part of the spectrum of
  services
• Health education is an individualized
  intervention to improve subsequent pregnancy
  outcomes and to promote healthy families

4
FIMR Case Referral Process

• Healthy Start
• Planned Parenthood
• Brookside Community Health Center
• La Clinica de la Raza
• Private doctors
• CCHP
• Prenatal Care Guidance

• CCRMC
• Childrens Hospital Oakland
• Sutter Delta Medical Ctr.
• John Muir Hospital
• Kaiser
• Alta Bates
• Vital Registry

5

• FIMR-Sponsored Projects and Interventions
• 1998 - 2004

6
Prenatal Health Card

• Prenatal Health Card Task Force convened in 1998
• Currently used by providers at CCRMC and Planned
  Parenthood
• Adapted for use by at least 4 other California
  counties
• Included on MOD Prematurity CD

7
Grief and Bereavement

• Grief and Bereavement Task Force established in
  1999
• Grief and Bereavement Guidelines published in
  2000
• Annual teleconference on grief awareness since
  1999
• Support Share

8
Service of Remembrance

• Yearly memorial service during December since
  1999
• Established in response to the needs of bereaved
  families
• Provides opportunity for families to honor and
  remember their lost babies and receive support
  from and connect with other bereaved families

9
Support Groups

• Facilitated by Yolanda Thompson
• Developed in 1992 in response to requests from
  families
• Eight 6-week support groups in English and
  Spanish to date
• Provide support after a pregnancy or infant loss
  and prior to subsequent pregnancies
• Trained four community members to provide peer
  support one-on-one

10
SIDS Risk Reduction

• Co-sponsored SIDS strategic planning event for 21
  agencies in 1999
• Purpose to institutionalize comprehensive SIDS
  education
• Safe Place to Sleep project with Prenatal Care
  Guidance
• Mercury Thermometer Exchange

11
Folic Acid Community Campaign

• Folic Acid Advisory Group established in 2003
• Purpose raise awareness of the importance of
  folic acid and its role in preventing birth
  defects
• Launched Folic Acid Community Campaign in English
  and Spanish in 2003 with March of Dimes funding
• Continued activities in 2004 with USDA funding

12
Prematurity/Danger Signs of Pregnancy

• Prematurity Task Force established in 2004
• Funded by March of Dimes
• Purpose Raise provider awareness and support
  their client education efforts
• Key components
• Client education video
• Provider Resource Kit
• Grand Rounds provider site visits

13
FIMR Program Report

• Program report for 1998 2003
• Overview of fetal/infant death in Contra Costa
• Description of FIMR cases and review findings
• Discussion of FIMR-sponsored activities and
  interventions
• To be published in Spring 2004

14

• The FIMR Program wishes to acknowledge and thank
  each of you for your continued support and
  dedication to improving the health of mothers,
  babies and families in Contra Costa County.
• Dawn, Kristina, Michelle, and Yolanda