Alabama Administrative Code › Title 420 - ALABAMA STATE BOARD OF HEALTH › Chapter 420-7-5 - FETAL INFANT MORTALITY REVIEW › Section 420-7-5-.02 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
(1)
ALABAMA
			 PERINATAL QUALITY COLLABORATIVE (APQC)
. A collaborative network of teams
			 working to improve the quality of care for mothers and_babies by identifying
			 health care processes that need to be improved by using evidence-based, best
			 practice methods to improve services and systems.
(2)
CASE REVIEW TEAM (CRT)
. A
			 multi-disciplinary and multi-agency committee that reviews Fetal and Infant
			 Mortality Review (FIMR) cases and analyzes information collected from medical
			 data abstractions and maternal or family interviews, or both, in such a way as
			 to summarize findings, to create recommendations, to improve community
			 resources, and service delivery systems. CRTs and Regional Perinatal Advisory
			 Committees (RPACs) are frequently composed of many of the same
			 members.
(3)
COMMUNITY ACTION
			 TEAM (CAT)
. CATs are composed of RPAC members and others, as
			 appropriate.
(4)
FIMR
			 ABSTRACTOR.
An ADPH nurse who reviews and abstracts relevant information
			 from records on related fetal and infant deaths.
(5)
FIMR COORDINATOR.
An ADPH
			 nurse who collects, reviews, and abstracts relevant information, and records
			 related to fetal and infant deaths, coordinates CRT and CAT meetings, and
			 schedules and conducts maternal and family interviews, or both.
(6)
FIMR PROGRAM.
A
			 community-based case review program that focuses on fetal and infant
			 mortality.
(7)
FETAL
			 DEATH.
Death prior to the complete expulsion or extraction from the
			 mother of a product of human conception, irrespective of the duration of
			 pregnancy and which is not an induced termination of pregnancy. The death is
			 indicated by the fact that, after the expulsion or extraction, the fetus does
			 not breathe or show any other evidence of life, such as beating of the heart,
			 pulsation of the umbilical cord, or definite movement of voluntary muscles.
			 Heartbeats are to be distinguished from transient cardiac contractions;
			 respirations are to be distinguished from fleeting respiratory efforts or
			 gasps.
(8)
INFANT
			 DEATH.
A death at any time from birth up to, but not including, 1 year
			 of age (364 days, 23 hours, and 59 minutes from the moment of birth).
(9)
LIVE BIRTH.
The complete
			 expulsion or extraction from the mother of a product of human conception,
			 irrespective of the duration of pregnancy, which, after such expulsion or
			 extraction, breathes, or shows any other evidence of life such as beating of
			 the heart, pulsation of the umbilical cord, or definite movement of voluntary
			 muscles, whether or not the umbilical cord has been cut or the placenta is
			 attached. Heartbeats are to be distinguished from transient cardiac
			 contractions; respirations are to be distinguished from fleeting respiratory
			 efforts or gasps.
(10)
MATERNAL DEATH.
The death of any woman during pregnancy,
			 childbirth, post-partum period, and up to 365 days from the end of
			 pregnancy.
(11)
MATERNAL
			 MORTALITY FAMILY INTERVIEW.
A voluntary interview conducted by the
			 Maternal Mortality Review (MMR) Coordinator with the deceased mother's
			 family.
(12)
MATERNAL
			 MORTALITY REVIEW COMMITTEE (MMRC)
. A multi-disciplinary and multi-agency
			 committee appointed by the State Health Officer to provide advice and
			 information to ADPH and the State Health Officer on reducing maternal morbidity
			 and mortality. Additionally, the MMRC will serve as a forum in which providers
			 and consumers of maternal care will meet and address issues of maternal
			 morbidity and mortality, leading to a more effective and efficient statewide
			 maternal care system.
(13)
MMR COORDINATOR.
An ADPH nurse who reviews and records relevant
			 information related to maternal deaths, and coordinates the MMRC.
(14)
MMR PROGRAM.
A state-based
			 case review program that focuses on maternal mortality.
(15)
MATERNAL OR FAMILY
			 INTERVIEW.
A voluntary interview of the mother or family or both, of a
			 deceased fetus or infant conducted by the FIMR Coordinator.
(16)
RECORDS.
Information from
			 vital records, records obtained from hospitals, healthcare facilities,
			 physician's offices, funeral directors, hospital bereavement staff or
			 counselors, medical examiners or coroners, the state forensics lab, law
			 enforcement, emergency medical transport services teams, social service
			 providers, and community health workers, and other medical records deemed
			 necessary for these reviews.
(17)
RPAC.
A multi-disciplinary and multi-agency committee appointed by
			 the State Health Officer to provide advice and information to the State
			 Perinatal Advisory Committee (SPAC) and the State Health Officer on regional
			 perinatal concerns. Additionally, the RPAC will serve as a forum in which
			 providers and consumers of perinatal care will meet and address issues of
			 concern, leading to a more effective and efficient regional perinatal care
			 system.
(18)
SPAC.
A
			 multi-disciplinary and multi-agency committee appointed by the State Health
			 Officer to advise ADPH in the planning, organization, and evaluation of the
			 State Perinatal Program.
Authors:
Thomas Miller, M.D.; Grace H.A. Thomas,
				  M.D., F.A.C.O.G.
Statutory Authority:
Code of Ala.
				  1975
, §§
										22-9A-21,
				  22-2-2(6).