Child Death Review Reporting From Case Review to Data to Prevention Teri Covington, M.P.H Director National Center for Child Death Review

CDR Reporting in States 44 States have a CDR case report tool 18 States have legislation that requires an annual State report on CDR findings 39 States publish an annual report with findings and recommendations However, there is no consistency among any State case report tool or State reports

Purpose of CDR Case Reporting To systematically collect, analyze, and report on: Child, family, supervisor, and perpetrator information Investigation actions Services needed, provided, or referred Risk factors by cause of death Recommendations and actions taken to prevent deaths Factors affecting the quality of the case review

How Do Teams Use Their CDR Data? Local teams present annual findings to community groups to push for local interventions Teams use data as a quality assurance tool for their reviews State teams review local findings to identify trends, major risk factors and to develop recommendations State teams use findings to develop action plans based on their recommendations Local teams and States use their reports to keep or increase CDR funding National groups use State and local CDR findings to advocate for national policy and practice changes

A New Case Report System

The Child Death Review Case Reporting System From Case Review to Data to Action Step 1: Complete case review of child death Step 2: Complete CDR Case Report online at Step 3: Send Report through Web, to servers at MPHI Step 4: Servers sort and store data and permit access according to State requirements Step 5: State and local teams and national CDR download standardized reports and/or download data to create custom reports Step 6: Reports and data are used to advocate for actions to prevent child deaths and to keep children healthy, safe, and protected

State Level Standardized Reports

Standardized Reports – State and Local Level 1.Demographics (Ethnicity/Race and Age Group by Sex) 2.Infant Death Information 3.Manner and Cause of Death by Age Group 4.Investigation Information 5.Motor Vehicle and Other Transport Death Demographics 6.Vehicle Type Involved in Incident and Position of Child 7.Risk Factors of Young Drivers (Ages 14  21) Involved in the Crash 8.Motor Vehicle Protective Measures 9.Fire Death Demographics 10.Factors Involved in Fire Deaths 11.Drowning Death Demographics 12.Factors Involved in Drowning Deaths 13.Suffocation or Strangulation Death Demographics 14.Weapon Death Demographics 15.Safety Features and Storage of Firearms Used in Incident 16.Owner and Use of Weapon at Time of Incident 17.Poisoning Death Demographics 18.Factors Involved in Poisoning Deaths 19.Sleep-Related Death Demographics 20.Sleep-Related Deaths by Cause 21.Circumstances Involved in Sleep- Related Deaths 22.Factors Involved in Sleep-Related Deaths 23.Sleep-Related Deaths by Acts that Caused or Contributed to Death 24.Acts of Omission/Commission Demographics 25.Acts of Omission/Commission Child Abuse Information 26.Acts of Omission/Commission Child Neglect Information 27.Acts of Omission/Commission Assault Information (Not Child Abuse) 28.Acts of Omission/Commission Suicide Information 29.Deaths by Manner and Cause by Preventability 30.Team Prevention Recommendations 31.Review Team Process

Using the National MCH Center System Participating Considering In Process

Future Plans Beta Test Assessment completed September 2006 Beta test completed December 2006 New version ready January 2007 Release Of Data Data sharing protocols under development Aggregate data available in 2007

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