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KANSAS INFANT MORTALITY

KANSAS INFANT MORTALITY. Dennis Cooley MD, FAAP September 2, 2010. Infant Mortality Quiz #1. Who has the worst Infant Mortality rate? (2005) Cuba Singapore Kansas Poland. Infant Mortality Quiz #1. KANSAS. Infant Mortality Rates (2005). Singapore- 2.1 Cuba- 6.2 Poland- 6.4

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KANSAS INFANT MORTALITY

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  1. KANSAS INFANT MORTALITY Dennis Cooley MD, FAAP September 2, 2010

  2. Infant Mortality Quiz #1 • Who has the worst Infant Mortality rate? (2005) • Cuba • Singapore • Kansas • Poland

  3. Infant Mortality Quiz #1 KANSAS

  4. Infant Mortality Rates(2005) • Singapore- 2.1 • Cuba- 6.2 • Poland- 6.4 • Kansas-7.4

  5. Cuba, Faroe Islands, Isle of Man, Italy, New Zealand, Taiwan, San Marino, Greece, Monaco, Ireland, Jersey, United Kingdom, Gibraltar, Portugal, Netherlands, European Union, Luxembourg, Canada, Guernsey, Liechtenstein, Australia, Belgium, Austria, Denmark, Slovenia, Macau, Spain, Switzerland, Germany, Andorra, Czech Republic, Malta, Norway, Finland, France, Iceland, Hong Kong, Japan, Sweden, Singapore, Estonia, Cayman Islands, Slovakia, Poland, Serbia, Cyprus, Lithuania, Croatia …… Countries that have betterIMRs than KS Central Intelligence Agency, The World Factbook, 2009

  6. Infant Mortality Quiz #2 • List the states in order of highest African American Infant mortality rates • Michigan • Kansas • Mississippi • District of Columbia

  7. Infant Mortality Quiz #2 • Michigan-18.3 • Kansas-17.6 • Mississippi-17.2 • DC-17

  8. Kansas Ranks 47th among States for Black Infant Mortality Rate Source: National Center for VS, CDC, 2006

  9. IMR trendsKS and U.S.A, 1992-2006

  10. African American and White Infant Mortality Rates & Ratio, KS Births: 1998-2007

  11. Infant deaths by cause of deathKS, 2007

  12. Births and Deaths by Gestational Age, KS 20005-2008 AverageAll Races Pre-term = 9% Pre-term=62% Premature babies: <10% of births, BUT >60% of deaths! Source: KDHE

  13. Neonatal deaths (= <28 days old) are more common than post-neonatal deaths in all races and ethnicities This distinction is less important today LBW and prematurity more important than the age of the baby How old are babies when they die?

  14. KS IMR is higher than in most other states Rates are higher in KS than U.S. for all race and ethnic groups Wide disparities by race and ethnicity Causes of infant deaths mimic those in other states: Prematurity and LBW are key factor Summary

  15. Kansas Infant Mortality Panel • Spring 2009 KDHE approached the GCHAC • GCHAC agreed to take the charge • Set up a wide group of experts to look at the problem • June 3, 2009 first meeting

  16. Goal of Panel • Develop recommendations to improve IMR in the state • Meet over the next year • Preliminary recommendations by December 2009

  17. First 6 months • Gather Information • Recommendations • Prioritize

  18. Recommendations • Completed by end of December • 18 separate recommendations divided 4 groups • Sent to the Secretary of KDHE

  19. Now What?

  20. Successes • Legislative success on data collection • Met with CDRB • Continued to obtain info on successful programs • Public media event • Met with Kansas SIDS Network • Medicaid 1115 waiver

  21. Successes • Supported the state in its development of a Genetics Plan • Successful passage of tobacco legislation • Developing a statewide collaborative for quality improvement at perinatal institutions • Exploring expanding our current Health Start and FIMR community programs in KC and Wichita

  22. What Next?

  23. Another year • Support of KDHE the Panel will continue for at least another year • Goal to implement as many of our recommendations as possible • Continue to gather information on best practices

  24. Challenges • Lack of funding • Public awareness • Best practices- what works and will it work here • Keeping up interest among the Panel

  25. Final Thoughts

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