Fetal and Infant Mortality Review

“Infant mortality is not a health problem.

Infant mortality is a social problem with health consequences.”

~Marsden Wagner JPHP~ 


The Healthy Start Coalition of Hardee, Highlands and Polk Counties facilitate the Fetal and Infant Mortality Review (FIMR) Project.  The FIMR Project is a process that examines significant social, economic, cultural, safety, and health systems associated with fetal and infant mortality and morbidity.  FIMR, an initiative of the American College of Obstetricians-Gynecologists, is designed to develop strategies that improve perinatal systems of care both locally and statewide.  It is anticipated that this knowledge will empower communities to enhance service, influence policy, and direct planning efforts that will ultimately lower mortality rates.

FIMR is:

  • a strategy to close the gap in health disparities at the community level;
  • a timely and valuable source of information about changing health care systems and how they affect real families trying to access them;
  • a project that can represent all ethnic and cultural views in the community;
  • a strategy that improves communication among health and human service providers;
  • a form of continuous quality improvement that allows communities to assess the performance of systems and the impact of changes in those systems;
  • a voice for local families who have lost their baby;
  • a tool that helps local health officials implement policies to safeguard families; and,
  • a program endorsed by the American College of Obstetricians and Gynecologists, the March of Dimes Birth Defects Foundation and the federal Maternal and Child Health Bureau.

FIMR is composed of two groups, the Case Review Team (CRT) and the Community Action Group (CAG).
CRT is a multi-disciplinary team of professionals that uses unidentified/patient blinded abstracted information to review the death of an infant or fetal in the tri-county area.  CAG is a diverse group of community leaders who review recommendations from the CRT, assess their importance, and design, develop, and implement strategies for change to assure that mothers and infants receive high-quality health care.

For more information or to get involved with FIMR contact Tonya Akwetey at takwetey@healthystarthhp.org.

FIMR CRT Schedule (FY 17-18)

The National Center for Fatality Review and Prevention has announced the launch of their new Facebook and Twitter accounts. “Like” and follow their pages. Postings of new research, updates about state and local CDR/FIMR programs, conference information and much more will be available.

We encourage you to join Nat’l CFRP in making their social media pages a vibrant community where we can share information and celebrate successes.