Keeping Kids Alive - Definitions
The Keeping Kids Alive Initiative focuses on Child Death Review (CDR) and
Fetal Infant Mortality Review (FIMR) to be implemented by local or regional
teams in a systematic manner. Case review findings will lead to
recommendations for prevention strategies. Community/Regional Action
Prevention Teams or other community coalitions will implement the
recommendations for prevention through evidence-based interventions to
improve infant and child health outcomes.
Child Death Review (CDR)
seek to understand the risk factors and circumstances surrounding the death
of the child. Through multidisciplinary team membership, a comprehensive
understanding of the incident is gained. Common team members include
coroner/medical examiner, human services, health department, law
enforcement, health care professionals and other agencies. CDR teams review
all child deaths from birth through age 18. However, local CDR teams can
adjust the age range to best meet the needs of their community. The death of
a child is a community tragedy. CDR teams seek to learn from the tragedy in
order to prevent it from happening again. Reviewing all child deaths allows
local communities to track trends and catalyze local prevention.
Fetal Infant Mortality
are action-oriented groups that seek to identify risk factors and
circumstances surrounding a fetal or infant death. FIMR teams are
multidisciplinary groups who represent the communities they serve. FIMR
teams review all fetal and infant deaths from 20 weeks or 350 grams through
the first birthday. A maternal interview and thorough case review are key
FIMR Sample Outcomes:
Initiate a new CDR Team in their
community where one previously did not exist (taking into consideration
fetal deaths along with infant and child deaths).
Assess the fidelity of an existing CDR
Team to the Keeping Kids Alive in Wisconsin Model.
Assess the ability of the community, with
an existing CDR Team, to review fetal deaths.
Implement and evaluate a plan to address
issues brought forth from one of the above assessments.
February 18, 2014