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Child Death Review Reporting. From Case Review to Data to Prevention. Teri Covington, M.P.H Director National Center for Child Death Review. CDR Reporting in States. 44 States have a CDR case report tool 18 States have legislation that requires an annual State report on CDR findings

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Child death review reporting

ChildDeath Review Reporting

From Case Review to Data to Prevention

Teri Covington, M.P.H


National Center for Child Death Review

Cdr reporting in states
CDR Reporting in States

  • 44 States have a CDR case report tool

  • 18 States have legislation that requires an annual State report on CDR findings

  • 39 States publish an annual report with findings and recommendations

  • However, there is no consistency among any State case report tool or State reports

Purpose of cdr case reporting
Purpose of CDR Case Reporting

To systematically collect, analyze, and

report on:

  • Child, family, supervisor, and perpetrator information

  • Investigation actions

  • Services needed, provided, or referred

  • Risk factors by cause of death

  • Recommendations and actions taken to prevent deaths

  • Factors affecting the quality of the case review

How do teams use their cdr data
How Do Teams Use Their CDR Data?

  • Local teams present annual findings to community groups to push for local interventions

  • Teams use data as a quality assurance tool for their reviews

  • State teams review local findings to identify trends, major risk factors and to develop recommendations

  • State teams use findings to develop action plans based on their recommendations

  • Local teams and States use their reports to keep or increase CDR funding

  • National groups use State and local CDR findings to advocate for national policy and practice changes

Child death review reporting

The Child Death Review Case

Reporting System

From Case Review to Data to Action

Step 1: Complete case review of child death

Step 2: Complete CDR Case Report online at

Step 3: Send Report through Web, to servers at MPHI

Step 4: Servers sort and store data and permit access according to State requirements

Step 5: State and local teams and national CDR download standardized reports and/or download data to create custom reports

Step 6: Reports and data are used to advocate for actions to prevent child deaths and to keep children healthy, safe, and protected

Standardized reports state and local level
Standardized Reports – State and Local Level

  • Demographics (Ethnicity/Race and Age Group by Sex)

  • Infant Death Information

  • Manner and Cause of Death by Age Group

  • Investigation Information

  • Motor Vehicle and Other Transport Death Demographics

  • Vehicle Type Involved in Incident and Position of Child

  • Risk Factors of Young Drivers (Ages 1421) Involved in the Crash

  • Motor Vehicle Protective Measures

  • Fire Death Demographics

  • Factors Involved in Fire Deaths

  • Drowning Death Demographics

  • Factors Involved in Drowning Deaths

  • Suffocation or Strangulation Death Demographics

  • Weapon Death Demographics

  • Safety Features and Storage of Firearms Used in Incident

  • Owner and Use of Weapon at Time of Incident

  • Poisoning Death Demographics

  • Factors Involved in Poisoning Deaths

  • Sleep-Related Death Demographics

  • Sleep-Related Deaths by Cause

  • Circumstances Involved in Sleep-Related Deaths

  • Factors Involved in Sleep-Related Deaths

  • Sleep-Related Deaths by Acts that Caused or Contributed to Death

  • Acts of Omission/Commission Demographics

  • Acts of Omission/Commission Child Abuse Information

  • Acts of Omission/Commission Child Neglect Information

  • Acts of Omission/Commission Assault Information (Not Child Abuse)

  • Acts of Omission/Commission Suicide Information

  • Deaths by Manner and Cause by Preventability

  • Team Prevention Recommendations

  • Review Team Process

Using the national mch center system
Using the National MCH Center System



In Process

Future plans
Future Plans

  • Beta Test

  • Assessment completed September 2006

  • Beta test completed December 2006

  • New version ready January 2007

  • Release Of Data

  • Data sharing protocols under development

  • Aggregate data available in 2007