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Pregnancy Associated Mortality Review (PAMR) Activities

HRSA State Maternal Health Innovation Program

ODH was awarded $2 million/year for the next 5 years, for a total of ~$10 million to support maternal mortality prevention efforts (9/30/2019 – 9/29/2024). ODH is one of 9 awardees.

With support from this funding, the PAMR will build on the existing program and infrastructure within Ohio to mobilize data-to-action efforts by:

  1. Establishing a state-focused maternal health task force, called the Ohio Council to Advance Maternal Health (OH-CAMH) to create and implement a strategic plan that incorporates activities outlined in the state’s most recent State Title V Needs Assessment;
  2. Improving the collection, analysis, and application of state-level data on maternal mortality and SMM; and
  3. Promoting and executing innovation in maternal health service delivery, such as implementing the AIM hypertension bundle across all delivery hospitals, supporting postpartum and interconception screening to improve maternal health, implementing urgent maternal warning signs education in public health settings, providing telehealth trainings for women’s health providers and obstetric emergency simulation trainings for emergency medicine providers.

Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM)

ODH was awarded $2,250,000 over 5 years (9/30/2019 – 9/29/2024) from CDC for the Enhancing Reviews and Surveillance to Eliminate Maternal Mortality (ERASE MM) Program. ODH is one of 24 awardees. This funding will directly support agencies and organizations that coordinate and manage Maternal Mortality Review Committees to identify, review, and characterize maternal deaths; and identify prevention opportunities. Through this work, CDC aims to do the following:

  1. Leverage collaborative partnerships to inform practice and policy changes and to facilitate an understanding of the drivers of maternal mortality and complications of pregnancy, and better understand the associated disparities.
  2. Determine what interventions at patient, provider, facility, system, and community levels will have the most impact.
  3. Implement initiatives in the right places for families and communities who need them most.

Rapid Maternal Overdose Response

Through the CDC Building Capacity to Review and Prevent Maternal Deaths Initiative, Ohio has joined 6 other states with maternal mortality review committees, in a CDC Foundation funded opportunity to review all pregnancy-associated overdose deaths called Rapid Maternal Overdose Review (RMOR). Activities will be based on four, specific strategies: 1) the comprehensive review of all pregnancy-associated overdose deaths; 2) the timely and effective use of maternal mortality review committee overdose death findings; 3) enhancing and expanding maternal mortality review committee partnerships and networks with CDC, stakeholders and other jurisdiction-based maternal mortality review committees; and 4) improving the understanding of opiate use and misuse during pregnancy. Funding is expected through 9/29/2020.