title: Implementation of Fetal and Infant Mortality Review (FIMR): experience from the national Healthy Start program.
abstract: OBJECTIVE
  The implementation of the Fetal and Infant Mortality Review (FIMR) process was examined as part of the evaluation of the national Healthy Start program, a federal program designed to reduce infant mortality in several communities. The implementation of the FIMR process over the 5-year funding period is described in terms of productivity, barriers and facilitators to implementation, and project expenditures.
  
  
  METHODS
  Data were derived from grant continuation applications and personal interviews with program staff to produce a qualitative description.
  
  
  RESULTS
  As of the summer of 1996, 14 of the 15 Healthy Start sites in the national evaluation had successfully implemented the FIMR process. Most sites had developed a two-tiered review process for examination of case data in which a review by health and social services professionals was followed by community review. In the period 1993 to 1995, the percentage of fetal and infant deaths reviewed had a median of 34% with a range of 4-79% across the sites at a cost of $600 to $3400 per death reviewed. Recommendations were variably implemented.
  
  
  CONCLUSIONS
  The FIMR process provides an important opportunity to contribute to the knowledge base regarding infant mortality in these communities. The process, however, has important logistical requirements and may require substantial financial resources that may affect implementation of confidential inquiries into infant mortality and other health problems.
authors.affiliation: Department of Maternal and Child Health, Harvard School of Public Health, Boston, Massachusetts 02115, USA.
authors.forename: M
authors.initials: M
authors.lastname: Baltay
authors.forename: M C
authors.initials: MC
authors.lastname: McCormick
authors.forename: P H
authors.initials: PH
authors.lastname: Wise
mesh_terms: D003625:Data Collection; D005313:Fetal Death; D006293:Health Promotion / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007226:Infant Mortality; D007231:Infant, Newborn; D008427:Maternal Health Services / Q000191:economics / Q000592:standards* / Q000706:statistics & numerical data; D015397:Program Evaluation