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Report from Nine MMRCs

Year of publication or last update: 
2018

What is this report?
A report of data from nine states using a standard data-collection system provides an in-depth analysis of causes of death, preventability and specific recommendations for action.
For example:
• It confirms that most pregnancy-related deaths are preventable and highlights key opportunities for prevention.
• Nearly half of all pregnancy-related deaths were caused by hemorrhage, cardiovascular and coronary conditions, cardiomyopathy or infection.
• Causes of death differ by race, which highlights unique opportunities for prevention.

MMRC Logic Model

Year of publication or last update: 
2020

Although MMRCs differ from state to state, the logic model is designed to represent the general inputs, activities, and outcomes of an ideal, fully functional MMRC. The logic model can serve as a starting point, and is adaptable to the context of individual state or city-based MMRCs.

In this logic model, the Outputs and Short-term Outcomes columns are joined by the condition: “MMRC recommendations are part of a cycle of continuous quality improvement for health systems.” This is a necessary condition for MMRCs to span the gap between Process and Outcomes.

Abstraction and Case Review Time Cost Estimator

Year of publication or last update: 
2017

Refer to the abstractor time estimates spreadsheet for assistance in calculating the number of hours of abstraction required for your committee each year.

Note: in addition to abstractors, MMRCs often require the equivalent of one full-time position divided between three people: a half-time coordinator, a quarter-time data analyst, and a quarter-time clerk. This will vary, however, by the number of cases that the committee reviews.

Report from MMRCs: A View into Their Critical Role

Year of publication or last update: 
2017

What is this report?

A preliminary report of data from four states using an innovative data-collection system provides the first in-depth look at key factors contributing to maternal death and showcases opportunities for prevention.

For example:

  • It offers concrete evidence that a maternal death is the tragic result of an intersection of a number of factors. It is the sum of a range of circumstances related to communities, healthcare facilities, providers, and patients. On average, three to four critical factors were identified for each pregnancy-related death.
  • This report highlights that causes of pregnancy-related death differ by age and depending on whether a woman was pregnant, was in delivery or had recently delivered.
  • These data also show that mental health conditions were a leading cause of pregnancy-related death in these four states. More specifically, among postpartum women, suicide most commonly occurs in the late-postpartum period.
  • As more states participate, we can use these data to identify causes and contributing factors to pregnancy-related death and the prevention opportunities with the greatest potential impacts.

Key Components of MMRC Authorities and Protections

Year of publication or last update: 
2019

Efforts to establish or strengthen a maternal mortality review committee (MMRC) should include a review of what protections and authorities are already in place. This document shows key components to consider and sample language for each component.

Maternal Mortality Review Committee Abstractor Manual

Year of publication or last update: 
2020

The Maternal Mortality Review Committee Abstractor Manual provides guidance on comprehensively and efficiently gathering information to accurately document the events of a woman’s life leading up to and including her death. Abstraction templates by common causes of maternal death and case narrative templates are provided.

Pregnancy-Associated Deaths Brief Case Review

Year of publication or last update: 
2020

Many committee members find it beneficial to hear a brief overview of the process for identifying and selecting cases for abstraction and review. Such an overview fosters engagement of committee members in the entire maternal mortality review process and offers a system of checks and balances to the case identification and selection process.

Items to consider for this discussion may include the process used for identification, a summary of cases identified and the process for sending cases for abstraction.

Considerations for Hiring Abstractors

Year of publication or last update: 
2017

Abstractors play a key role in Maternal Mortality Review Committees. Their expertise and skills are closely tied to the quality of information that is presented to the committee and ultimately to the accuracy of identified issues and recommendations for improvement. It is important for abstractors to have a basic understanding of the significance of changes in vital signs, reported symptoms, and cascading events, as well as documentation of the escalation of care measures to develop a comprehensive case narrative. In addition to the technical skills and knowledge required for the task of abstraction, abstractors must have strong interpersonal skills to acquire records from the field.

Model Purpose, Mission, Goals, Vision, and Scope for MMRCs

Year of publication or last update: 
2017

When disseminating case information and at the start of each committee meeting, it is helpful to review the purpose, mission, vision, goals and scope established by your committee.

Committee Facilitation Guide

Year of publication or last update: 
2019

The Maternal Mortality Review Committee Facilitation Guide documents best practices that help MMRCs establish case review processes. The Guide provides a strong foundation for committee facilitation, for developing and enhancing MMRC skills and experience.