1 / 16

Virginia Maternal Mortality Data Quality & Data Collection

Virginia Maternal Mortality Data Quality & Data Collection. Melanie J. Rouse, Ph.D., Coordinator Maternal Mortality Projects Meagan Robinson, MCH Epidemiologist & Evaluation Supervisor. Case Identification. ICD 10 Code: Pregnancy-related death.

charlespsmith
Download Presentation

Virginia Maternal Mortality Data Quality & Data Collection

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Virginia Maternal Mortality Data Quality & Data Collection Melanie J. Rouse, Ph.D., CoordinatorMaternal Mortality Projects Meagan Robinson, MCH Epidemiologist & Evaluation Supervisor

  2. Case Identification • ICD 10 Code: Pregnancy-related death. • Vital records match: Fetal death certificate or birth certificate with maternal death certificate. • Virginia Violent Death Reporting System • Death certificate check box: In Virginia, woman was pregnant within three months of her death.

  3. Preparation for Case Review • Office of Health Statistics provides death certificates and birth/fetal death certificates to Women’s and Infants’ Health who then provides them to the Team Coordinator. 2. Record collection begins with information on those certificates: Hospital where death occurred Hospital where birth occurred Birth attendant

  4. Typical Records Reviewed • Child Protective Services • Hospital and Emergency Room • Labor and Delivery • Law Enforcement • Medical Examiner (autopsy, toxicology, scene investigation, circumstances) • Medical Specialists • Mental Health • Prenatal Care • Primary Health Care • Social Services • Substance Abuse Treatment

  5. Potential Sources of Data Inaccuracies • Inability to obtain pertinent records • Missing information in the medical record • Illegible information written in the records • Conflicting information within and between records.

  6. Case Summary The Team Coordinator prepares a de-identified, narrative case summary which includes medical, surgical, and psychiatric history; family history; social history; obstetrical history; prenatal care; delivery; events of death, pathological/toxicological findings and law enforcement involvement.

  7. Case Review - three primary questions • Was this death-pregnancy related? • Was this death preventable? • What factors contributed to the death and what reasonable changes could have been made to alter the outcome?

  8. Pregnancy-Related1 Maternal Mortality Pregnancy-Related: pregnancy-associated death resulting from one or more of the following: • complications of the pregnancy itself (direct); • the chain of events initiated by the pregnancy that led to death (indirect); • aggravation of an unrelated condition by physiological effects of the pregnancy that subsequently caused death (indirect). 1Berg C, Danel I, Atrash H, Zane S, Bartlett L (Editors). Strategies to reduce pregnancy-related deaths from identification and review to action. Atlanta: Centers for Disease Control and Prevention: 2001.

  9. Preventable? Preventable death is broadly defined as a death that may have been averted by one or more changes in: • clinical care • facility infrastructure • community • systems response to patient factors These determinations were made with the benefit of retrospective review and current clinical practice guidelines.

  10. The Purple Sheet As each case was reviewed, the Team identified factors within those four categories that contributed to death in that case.

  11. Databases • Pregnancy-Associated Mortality Surveillance System • Virginia Maternal Mortality Database • Maternal Mortality Review Information App

  12. Virginia Vital Stats VA population, births, deaths, induced terminations (ITOPS), fetal deaths

  13. Vital Stats Overview Division of Health Statistics collects and disseminates population-based health data National Center for Health Statistics Live births, fetal deaths, ITOPS, population data Over 300 columns/variables within the birth file Can stratify indicators by race, age, locality… (no income variable)

  14. Examples of MCH indicators • Infant mortality, fetal death rate, teen pregnancy, preterm births, low birth weight births, non-marital births, and ITOPS • Data Tables: http://166.67.66.226/HealthStats/stats.htm

  15. Data portal http://www.vdh.virginia.gov/data/maternal-child-health/

  16. Program Contact Melanie J. Rouse, PhDMaternal Mortality Projects CoordinatorOffice of the Chief Medical Examiner400 East Jackson StreetRichmond, VA 23219(804) 205-3853Melanie.rouse@vdh.virginia.govhttp://vdhweb/medexam/index.asp

More Related