DEPARTMENT: Health
DEPARTMENT HEAD: Jennifer Herriott, MPH
COUNCIL DISTRICTS IMPACTED: Citywide
SUBJECT:
Ratifying an agreement with Judith Grant to provide Fetal Infant Mortality Review and Maternal Mortality and Morbidity Review (FIMR/MMMR) data abstraction services for the San Antonio Metropolitan Health District in an amount up to $24,999.00 per term.
SUMMARY:
An ordinance ratifying an agreement with Judith Grant to provide case abstraction and family interviewing services for FIMR/MMMR for the San Antonio Metropolitan Health District for a period beginning September 1, 2019 and ending March 31, 2020 which may be renewed for four, one year terms.
BACKGROUND INFORMATION:
Metro Health's Healthy Start program is responsible for operating a Fetal Infant Mortality Review (FIMR) and/or a Maternal Mortality and Morbidity Review (MMMR). FIMR is a national collaborative effort between the American College of Obstetrics and Gynecology and the Maternal Child Health Bureau dating back to 1990. FIMR is based on a community-wide action-oriented process that examines fetal and infant deaths through clinical abstraction and maternal interviews, determines preventability, and engages communities to take action. FIMR had previously existed in San Antonio from 2008-2011 and was reinstated in May 2015 by Metro Health's Healthy Start program. Beginning in 2017, Healthy Start also instituted the Bexar County Maternal Morbidity and Mortality Task Force (MMMR). Currently, the Bexar County MMMR operates as a task force that focuses on maternal death and disease at a more local level, and with a specific focus on the first year postpartum, compared to the state task force's focus on the first 42 days postpartum. It is hoped that the task force will evolve over the next five years of the Healthy Start grant to incorporate reviews of individual cases of maternal mortality and severe morbidity.
Metro Health's Healthy Start program is funded through the U.S. Depart...
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