Brief Overview of State MMR or PAMR

Our mission is to identify and review maternal deaths caused by pregnancy complications and other factors, to identify remediable problems contributing to maternal deaths, and to develop interventions to reduce these deaths. Our vision is to advance the safety and well-being of pregnant women in New Mexico by reducing deaths from preventable causes. Our goals are: 1.Conduct a thorough record abstraction, in order to obtain details of events and issues leading up to the terminal event. 2.Perform a multidisciplinary review of cases to gain a holistic understanding of the issues. 3.Determine the annual number of maternal deaths related to pregnancy (pregnancy-related and pregnancy-associated mortality). 4.Identify trends and risk factors among pregnancy-related deaths in New Mexico. 5.Recommend improvements to care at the individual, provider, and system levels with the potential for reducing or preventing future events. 6.Prioritize findings and establish recommendations for reducing maternal deaths. 7.Partner with the New Mexico Perinatal Collaborative as the “action arm” of the committee, to assist in developing and implementing statewide strategies to reduce maternal mortality. a.Develop actionable strategies for prevention and intervention. b.Disseminate the findings and recommendations to a broad array of individuals and organizations. c.Promote the translation of findings and recommendations into quality improvement actions at all levels.

Catherine (Katie) Avery
Maternal Health Program Manager
NM Dept of Health
This individual fills the role of: 
MMR/PAMR Administrative Coordinator
Katrina Nardini
Lead Chart Abstractor
This individual fills the role of: 
MMR/PAMR Record Abstractor
Scope of Cases Reviewed
  • All pregnancy-associated deaths (All deaths of women while pregnant or within one year of the end of pregnancy, due to any cause)
  • All deaths during pregnancy or within one year of the end of pregnancy from a pregnancy complication, a chain of events initiated by pregnancy, or the aggravation of an unrelated condition by the physiologic effects of pregnancy, and not intentional or unintentional injury
Location of Deaths Reviewed by Committee
  • State Residents (or City/County Residents if local review)
Individuals, Disciplines, and Organizations Represented on Review
  • Perinatal Quality Collaborative
  • Perinatal Nursing
  • Psychiatry/Mental Health Provider
  • Quality/Risk Management
  • Public Health Nursing
  • Midwifery
  • mental health providers
  • Nursing
  • Obstetrics and Gynecology
  • Vital Records
  • State Health Professional Chapters
  • Some members fill multiple categories
  • State Title V Program
  • Critical Care Medicine
  • Chief Medical Examiner or designee
  • Also ability to call in any expertise necessary for each case.
  • Academic Institutions
  • Anesthesiology
  • Blood Banks
  • Behavioral Health Agency
  • Hospitals/Hospital Association
  • Maternal Fetal Medicine
  • Family Medicine
  • Epidemiology
  • Federally Qualified Health Centers


Maternal Mortality in New Mexico 2010-2015

Year of publication or last update: 
Poster created with NM Department of Health Bureau of Vital Records and Health Statistics birth and death certificated from 2010-2015 for overview of maternal mortality in New Mexico. Note that only 2015 cases were reviewed by the MMRC.

Fact Sheet: New Mexico’s State Maternal Mortality Review Committee

Year of publication or last update: 
Fact sheet prepared for NM Legislative Session 2019; MMRC bill introduced in that session (passed successfully and signed into law)

New Mexico Request for Records Fax Cover Sheet

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We will be updating our fax cover sheet to be more specific to records requested, specifically individualizing cover sheets for hospitals, clinics, and law enforcement.

New Mexico Letter to Hospital or Clinic System Chief Executive Officer introducing MMRC

Year of publication or last update: 
The New Mexico Department of Health sent this letter to all New Mexico Hospital or Clinic System Chief Executive Officers prior to the request of medical records/information to inform them of the MMRC abstraction and data collection process, statutory authority, and confidentiality/de-identification of information.

New Mexico MMRC Member Application

Year of publication or last update: 
Potential MMRC members must fill out an application form.

New Mexico Legislation for Maternal Mortality Review

Year of publication or last update: 
Senate Bill 215 was introduced and passed in the 2019 New Mexico Legislative session; the governor has signed the bill into law.

New Mexico Regulations - NMAC 7.4.5 - Maternal, Fetal, Infant and Child Death Review

Year of publication or last update: 
The current regulations (NMAC) will be opened and revised due to the passage of legislation in 2019 regarding the New Mexico MMRC.

New Mexico Policy and Procedures Manual

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The New Mexico MMRC Policy and Procedures Manual outlines an overview of the MMRC, committee membership and meeting structure, statutory authority, executive oversight board, committee structure, team member roles, data collection and abstraction, confidentiality, conflict of interest, agency conflict resolution, reporting providers not acting in "good faith", and report of findings.