Fetal Infant Mortality Review (FIMR) is an action-oriented community process that continually assesses, monitors, and works to improve service systems and community resources for women, infants, and families.

The FIMR/HIV Prevention Methodology is based on the premise that all cases of perinatal HIV infection in the United States are sentinel events that warrant full review. By collecting comprehensive quantitative and qualitative data about the pregnancy experiences of women with HIV infection, the methodology provides an in-depth look at the systems that result in a perinatal HIV exposure or transmission. This examination allows communities to identify system strengths, missed opportunities for prevention and, more rarely, failures of interventions to prevent perinatal transmission. Communities can then develop and implement improvements to systems of care for women with HIV infection and their infants.

FIMR in Illinois

PACPI participated in the creation of the FIMR HIV Case Review Team for Illinois in 2010. The team is co-chaired by Eduardo Alvarado and Christi Jackson of the Illinois Department of Public Health. Staff from PACPI, the Hotline, the perinatal centers, and various statewide partners participate in quarterly review meetings and semi-annual Community Action Team meetings.

  • Chart abstraction
  • Coordination of list of cases for review
  • Analysis of cases, preparation of case summaries
  • Presentation of cases assigned for review by the FIMR Community Review Team
  • Collaboration with the FIMR Community Review Team, FIMR Community Action Teams, 24/7 Illinois Perinatal HIV Hotline, and the PACPI Enhanced Case Managers

FIMR Nationwide

The FIMR/HIV Prevention Methodology was created collaboratively by CityMatCH, the U.S. Centers for Disease Control and Prevention (CDC), the American College of Obstetricians and Gynecologists, and the National Fetal and Infant Mortality Review Program (NFIMR). In 2012, a collaboration between PACPI and the Society for Maternal Fetal Medicine (SMFM) competed to participate in this nationwide effort to help develop and support the creation of FIMR HIV reviews across 60 jurisdictions nationwide.

FIMR HIV Goals Include:

  • Collaborative assistance and planning with partners on expansion of FIMR HIV committees across (up to) 60 jurisdictions in five years
  • Leveraging of SMFM as a membership organization to support individual committees and to promote the efforts of FIMR

Interest in FIMR HIV activities is growing across the country as communities recognize the importance of these activities. We are excited to be a part of these nationwide collaborations.