We are Evaluators

We synthesize, analyze, and share data to help give the region a clear picture of how systems are affecting the health of Black women, birthing people, and infants.

Fetal Infant Mortality Review (FIMR)

FIMR is an action-oriented community process that continually assesses, monitors, and works to improve service systems and community resources for the health and well-being of women, birthing people, babies, and families. Stillbirths and infant deaths are reviewed to gain a greater understanding of the risk factors and environmental context surrounding each death.

How FIMR Works

Case summaries of fetal and infant deaths are compiled from information gathered from medical records, autopsy reports and death certificates, as well as family interviews when they agree. All cases are de-identified (all names, dates, locations, and other identifying pieces of information are removed) and then presented to the Case Review Team consisting of physicians, nurses, counselors, social workers, chaplains, and first responders. It is at this level that gaps in the health care system are identified – such as gaps in birth outcomes, access to care, system collaboration, or service availability.

Resources & Reports

Pregnancy-Associated Mortality Review (PAMR)

Missouri’s Pregnancy-Associated Mortality Review (PAMR) is led by the Department of Health and Senior Services (DHSS) Division of Community and Public Health. The PAMR Board analyzes all maternal deaths that occur while a woman or birthing person is pregnant, or within one year of the end of a pregnancy. The PAMR Board consists of approximately 18 members throughout the state, including Generate Health’s Epidemiologist.

Resources & Reports

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