Fetal, Infant, Child & Maternal Mortality Review (FICMMR)
and Injury Prevention
County FICMMR Deliverables Due Date Calendar
October 15, 2021
- FICMMR County Operational Plan, or Memorandum of Understanding (MOU) from counties sharing a review team
November 1, 2021
- All 2020 Fetal, Infant, and Child Reviews must be completed and entered into the CDR database system
- NOTE: The Maternal Mortality Review process is being re-structured beginning with 2020 deaths. New information will be released as it is available.
2021 FICMMR Conference Training Calls (Required)
All training calls will be held via Zoom technology - with no travel required.
- February 24, 9 - 10:15 am
- June 9, 9 - 10:15 am
- August 25, 9 - 10:15 am
- December 8, 9 - 10:15 am
For More Information Contact:
Kari Tutwiler, State FICMMR Coordinator
Family and Community Health Bureau
PO Box 4210, Helena, MT 59620
Phone: (406) 461-9700, Fax: (406) 444-2750
Montana FICMMR Report
FICMMR is a statewide effort to reduce preventable fetal, infant, child and maternal deaths. While the program is statewide, it is powered locally by multi-disciplinary county teams.
Review team members are comprised of health and social service professionals, law enforcement, coroners, tribal representatives, and experts from other fields as indicated in the Fetal, Infant Child and Maternal Mortality Prevention (FICMMP) Act. FICMMR is the implementation of this legislation.
The FICMMP pre-curser legislation was first authorized in state statute in 1997, it is now delineated in MCA 50-19-401 through 50-19-406. The FICMMP Act provides strict confidentiality requirements and death reviews are conducted in closed meetings. See the ‘Fetal, Infant, Child and Maternal Mortality Prevention Act’ link on this website.
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.
FICMMR review teams share and discuss comprehensive information on the circumstances leading to a death, if it was preventable, and the response to the death. The process identifies critical community strengths and needs - in order to effectively address the unique social, health, and economic issues associated with negative health outcomes which may have caused or contributed to the preventable death.
The goal of the FICMMR program is to reduce risk factors, and decrease the number of preventable deaths through educational outreach and evidence-based and best-practice prevention initiatives.
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 FICMMP 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
§ 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.)
Through a data agreement with the National Center for Fatality Review and Prevention, fetal, infant, and child death data is entered into a secure, database case reporting system, Version 5.1. (does not include maternal death data).
Approved users may access Version 5.1, via the link below:
Evidence-Based Resources: Maternal & Infant Health, Teens & Motor Vehicle Safety, Suicide Prevention
Website Links to Evidence-Based and Informed, and Emerging/Promising/Best-Practice Resources Explore to find resources and articles about proven and scientifically-based activities, with toolkits, examples from other states, and more.
Infant Safe Sleep Videos, Testimony
More Safe Sleep Resources
Multiple Injury-Prevention Topic Websites
- CDC - Injury Prevention and Control
- Children's Hospital of Philadelphia - Injury Prevention Program
- Resource Library - Center for Injury Research and Policy - Centers and Institutes - Research - Johns Hopkins Bloomberg School of Public Health (jhsph.edu)