# COMAR Title 10 — Maryland Department of Health

## Subtitle 11 — Maternal and Child Health

### Chapter 06 — Morbidity, Mortality, and Quality Review Committee — Pregnancy and Childhood

#### Regulation .07 Local Teams — Establishment and Purpose.

*COMAR 10.11.06.07*

A. A jurisdiction shall have a multidisciplinary and multiagency FIMR team or other MMQR team.

B. The purpose of a FIMR team is to facilitate the reduction of fetal and infant deaths by:

  (1) Conducting confidential case reviews of fetal and infant deaths including the examination of available medical and healthcare information involving fetal and infant mortality; and

  (2) Based on the findings of the case reviews conducted under §B(1) of this regulation:

    (a) Determining factors contributing to fetal and infant deaths;

    (b) Developing recommendations to reduce factors contributing to fetal and infant deaths;

    (c) Recommending strategies to improve the system of care in an effort to prevent or reduce fetal and infant deaths; and

    (d) Informing the Committee of changes that affect fetal and infant deaths in:

      (i) Local law;

      (ii) Policy; or

      (iii) Practices.

C. A FIMR team shall:

  (1) Analyze fetal and infant deaths to determine contributing system factors; and

  (2) Make recommendations for systems change as appropriate.

D. A FIMR team may:

  (1) Evaluate the continued effectiveness and efficiency of the local fetal and infant mortality review process and make appropriate changes; and

  (2) Establish protocols in compliance with State statutes and regulations, as applicable, for:

    (a) Data collection;

    (b) Analysis; and

    (c) Reporting.