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

Fetal, Infant, Child & Maternal Mortality Review (FICMMR)
and Injury Prevention
broken leg

FICMMR Coordinator Resources

FICMMR Meetings: Minutes & WebEx Recordings

March 22 & 29, 2017 Annual Training Presentation Slides - *Note: Both trainings covered safe sleep and motor vehicle safety, differences are explained with links:

  • March 22, covered Substance Abuse in slides #51-62
  • March 29, covered Natural Deaths and Infants Under One in slides #50-73

2017 Minutes:

2016 Meeting Minutes (listed first) & Recordings:

WebEx Recordings - NOTE: When you click on the link, you may receive an error message saying that set-up was unsuccessful.  If so, please ignore it and the recording will open.  Also, please be patient as the WebEx recording page may be slow to load.


Key FICMMR Team Prevention Initiatives
Home Safety
  • Fires and Smoke Inhalation
  • Home Safety Checklist
  • Poison and Lead
Preterm Births
Recreation Safety
  • Playgrounds
  • Sports
Rural and Farm Safety
  • ATVs/ORVs
  • Heavy Equipment and Machinery
Infant Safe Sleep
Transportation Safety
Violence and Abuse
  • Shaken Baby Syndrome
  • Gun Safety
  • Intimate Partner Violence
Water Safety
  • Inside
  • Outside
Youth Suicide

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.)

View the complete FICMMR Act #50-19-401-406.

FICMMR Newsletters

Child Death Review System (CDR)

The National Center for Fatality Review & Prevention released Version 4.1 of the Child Death Review Case Reporting System (CDR-CRS) in June 2016.  The document, “What’s New in Version 4.1?” summarizes the changes from CDR Version 4.0.

The major change to Version 4.1 is the simplification of the Autopsy Section E. (Investigation Information).  See links below for more details, access to the new 4.1 form, and Log-In access to the CDR Case Reporting System.

County FICMMR Deliverables Due Date Calendar

October 15, 2017

~ FICMMR County Operational Plan, or Memorandum of Agreement from counties sharing a review team 

November 1, 2017

~ All 2016 Fetal, Infant, and Child Reviews must be completed and entered into the CDR

~ All 2016 Maternal Mortality Reviews should be completed electronically on the Montana Maternal Mortality Case Review Reporting Form.  Be sure to send the completed MMR form to the department using the Secure File Transfer System through e-Pass. 

2017 FICMMR  WebEx Conference Call Schedule, (9:00 a.m. - 10:00 a.m.)

  • February 1
  • June 7
  • December 6


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