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Fetal, Infant, Child & Maternal Mortality Review (FICMMR)

Fetal, Infant, Child & Maternal Mortality Review (FICMMR)
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Fetal, Infant, Child and Maternal Mortality Review (FICMMR)

FICMMR is a statewide effort to reduce preventable fetal, infant, child and maternal deaths. The community level review team is composed of health and social service professionals, law enforcement, coroners, and other experts which review de-identified death information. The purpose of the review team is to determine if a death was preventable. If a death is unanimously decided preventable, the team enacts recommendations, policies and activities to their community.

This process was authorized in statute (MCA 50-19-401 through 50-19-406) in 1997. Currently, Montana does not have a State FICMMR team. In previous years, the State FICMMR team assisted the local community teams by making recommendations for needed policy or legislative changes, examining statewide trends and issues, and broadly supporting prevention activities at the state and local level. The members of the State team mirrored those of the local team.

The prevention of fetal, infant, child and maternal deaths is both the policy of the state of Montana and a community responsibility. These deaths can be viewed as a sentinel event - which is a measure of a community's overall social and economic well-being and health. The FICMMR process identifies critical community strengths and needs to understand the unique social, health and economic issues associated with negative health outcomes. The goal of the FICMMR program is to reduce the factors impacting the number of deaths, through local community and state collaboration.

Confidentiality is Critical!

Confidentiality of all information is strictly maintained and is addressed in statute. A review team member who knowingly uses information obtained in the review process for a purpose not authorized, or who discloses information in violation of the FICMMR statute, upon conviction is guilty of a misdemeanor which is punishable as provided in the law.


The Fetal, Infant and Child Mortality Prevention Act was passed during the 1997 Legislative Session through the approval of House Bill 333. The first six provisions of HB 333 have been codified as §§ 50-19-401 to -406, MCA. HB 333 amended existing law to facilitate the Act.

The provisions of the FICMR Act are as follows:

(1) allow teams to access health care information without the need for a signed consent;
(2) allow teams to access criminal justice information through the county attorney or a person designated by the county attorney;
(3) set out the permissible functions of mortality review teams;
(4) set out minimum requirements on membership and management of mortality review teams;
(5) provide penalties for the unlawful release of confidential information by members of mortality review teams; and
(6) mandate that the Montana Initiative for the Abatement of Mortality in Infants (MIAMI) be coordinated with mortality review teams

Additional References:

§ 41-3-205, MCA (Teams may receive child protection records.)
§ 44-5-303, MCA (Teams may receive criminal justice information.)
§ 50-16-525, MCA (Teams may receive health care information.)
§ 50-19-323, MCA (Coordination of programs with MIAMI.)
§ 50-15-122 (7), MCA (Disclosure of information from vital records or vital reports – rules.)

FICMMR Newsletters

Child Death Review System (CDR)

The National Center for the Review & Prevention of Child Deaths will release Version 4.0 of the Child Death Review Case Reporting System (CDR-CRS) on June 1st, 2015.   The document “What’s New in Version 4.0?” summarizes the changes to the CDR Version 4.0.

The major change to Version 4.0 includes the addition of the Sudden Death in the Young questions (Section M).  Section M is OPTIONAL for FICMMR Teams to complete since MT is not a funded CDC participant.  Sudden Unexpected Infant Death (SUID) and Sudden Death in the Young (SDY) trainings are available at no cost from The National Center for the Review & Prevention of Child Deaths.

FICMMR Deliverables Due Date Calendar

October 15, 2015
~ FICMMR County Operational Plan, or Memorandum of Agreement from counties sharing a review team
December 31, 2015
~ All 2014 Fetal, Infant, and Child Reviews should be completed and entered into the CDR
~ All 2014 Maternal Mortality Reviews should be completed on the Montana Maternal Mortality Case Review Reporting Form and submitted to the department
For More Information Contact:
Kari Tutwiler, State FICMMR Coordinator
Family and Community Health Bureau
1400 East Broadway, Rm. A-116
PO Box 202951, Helena, MT 59620-2951
Phone: (406) 444-3394, Fax: (406) 444-2750