2018 National Child Death Review Conference:

Transcription

1 2018 National Child Death Review Conference: Helping Communities Celebrate More Birthdays 2018 Child Death Review Meeting: Helping Communities Celebrate More Birthdays Denver, Colorado May 7-10, 2018 #MoreBirthdays2018

2 Tuesday, May 8 Wednesday, May 9 Thursday, May 10 7:30 Registration & Breakfast Rainier Breakfast Rainier Breakfast Rainier 8:30 Welcome Rainier 8:45 National CDR Updates Rainier Bethany Miller, LCSW-C, M.Ed. Abby Collier, MS 10:00 State Success Stories Arkansas: Suicide Prevention Campaign Delaware: CDR and CRP Collaboration to Promote Action Version 5 & Data Quality: Good, Bad or Ugly? Rainier Data Team National Center for Fatality Review and Prevention: Erik Buczkowski, MPH Heather Dykstra, MPA Patricia Schnitzer, PhD Esther Shaw, MS State Success Stories Massachusetts: Statewide Child Fatality Review Needs Assessment Texas: Initiative to Increase Data Quality and Quantity in Local Child Fatality Review Teams 10:30 Break 10:45 Breakout Session Effective Reviews of Natural Infant Deaths Rainier Improving the Quality of Local Reviews Morello Improving Effectiveness of State Teams Bing Breakout Session Reducing Burnout, Enhancing Resilience: Strategies to Strengthen Self/Others Rainier Partnering to Align MCH Priorities and Leadership for CDR Morello National and Local Perspectives on Collaboration with FIMR, Domestic Violence Fatality Review, and Citizen Review Panels: A Panel Discussion Rainier Rosemary Fournier, RN, BSN Anne Pedrick, MS Joey Thurgood Heidi Hilliard, MPH Blake Jones, PhD, LCSW Checkout and Ride Share You can use this time to retrieve your luggage and connect with other paritcipants to sign up for ridesharing. Prevention Partners Plenary Panel Rainier Jennifer Allison, PhD Morag MacKay, M.Sc. Lindsey Myers, MPH Erin Schneider, MSW 11:45 Lunch* The Role of Fatality Review in Suicide Prevention Bing Lunch Award Ceremony Rainier Theresa M. Covington Award for Excellence in Fatality Review Closing Remarks and Dismissal

3 12:45 Leading for Equity within the CDR Process Rainier Marijata Daniel-Echols, PhD We Can Do Better: Bereaved Families Informing Our Practices, Protocols and Policies Rainier Joyal Mulheron 2:00 Break Breakout Session 2:15 Health Equity, Part 2: Practice Applying Core Concepts Rainier Conducting High Quality Opiate Reviews Morello The Role of Fatality Review in Suicide Prevention Bing Breakout Session Partnering with Native American Communities for Prevention through Fatality Review: A Panel Discussion Rainier Effective Review of Maltreatment Deaths: Improving Systems to Keep Children Safe Morello Policy Advocacy for Prevention Bing 3:15 Break 3:30 Reducing Burnout, Enhancing Resilience and Caring for Self/Others in Child Death Review Rainier Rick Klomp, MOB, MS, LPC, BCPC Certified Clinical Traumatologist Using Existing Data to Build Informed Programs Rainier Vanya Jones, PhD 4:55 Closing Remarks Rainier 6:00 Optional Group Dinner Optional Group Dinner On TUESDAY, Join your CDR Region and Regional Coordinator. New England Marc Clement, New Hampshire Coordinator *Tuesday Lunch Mid-Atlantic Anne Pedrick Delaware Coordinator Southeast Rachel Heitmann, Tennessee Coordinator Midwest Heidi Hilliard, Michigan Coordinator West Joey Thurgood, Utah Coordinator

4 May 7, 2018 Dear Fatality Review Colleagues, Welcome to Denver and the 2018 National Child Death Review Conference, Helping Communities Celebrate More Birthdays. Your presence here is a testament to your ongoing commitment to the health and wellbeing of your community. In fatality review, we face down the terrible problems of infant and child deaths every day. There is something significant and valuable in meeting together with those who share these experiences. It is our hope that you find this gathering to be one of reflection, partnership, and growth within a committed community of like-minded professionals. Just as each of you hail from very different states, full of rich and diverse communities, we are grateful for the ways in which your state s approach to child fatality review and prevention can enhance our national efforts and understanding. Thank you for joining us. We are excited to share this year s keynote and breakout sessions with you. They represent important aspects of the fatality review process, from topic-specific deaths, team building and leadership, to data quality, self care, and prevention efforts to name a few. We know you put a great deal of thought and care into the trainings you provide to your partners, and it has been a pleasure to think through how we can support your work through the content we provide for these three days. Our speakers and our staff are here as a resource for you. As you go through the sessions, we encourage you to ask questions, seek clarification, and share ideas. Should you have any concerns or need any assistance, please find any staff member from the National Center, and we will be happy to help you. Additionally, I encourage you to connect with our prevention partners while you are here. They have excellent resources and experience to share. When I reflect on the breadth of expertise and effort represented by those of you in attendance, it is both humbling and inspiring. You are doing incredible good for your communities, and it is a amazing privilege to support your work. Thank you for all you do every day to help your communities and their children celebrate more birthdays. In partnership, Abby Collier Director The National Center for Fatality Review & Prevention

5 Session Descriptions National Child Death Review Updates Tuesday, 8:45 AM Bethany Miller, LCSW-C, M.Ed. Supervisory Public Health Advisor Team Lead, Injury and Violence Prevention Programs, Health Resources and Services Administration Bethany Miller is a Supervisory Public Health Analyst in the Maternal and Child Health Bureau of the Health Resources and Services Administration, and serves as the team lead for the Bright Futures Program and the Bureau s Injury and Violence Prevention Programs. Bethany has twenty years of experience working with and on behalf of children and families in clinical settings and in federal programs. Bethany leads HRSA programs related to safe infant sleep, bullying prevention, child death review, and child safety. She has 10 years of federal service in the Department of Health and Human Services, including previous work at the Administration of Children and Families and the Substance Abuse and Mental Health Services Administration. Bethany holds a license in clinical social work in the state of Maryland. She received her Master of Social Welfare from the University of California, Los Angeles, and a Master of Education in Guidance and Counseling from Virginia Commonwealth University. Abby Collier, MS Director, National Center for Fatality Review and Prevention Ms. Collier is the Director at the National Center for Fatality Review and Prevention, a program of the Michigan Public Health Institute. Ms. Collier leads the National Center in providing technical assistance and supporting to local and state child death review (CDR) and fetal infant mortality review (FIMR) programs throughout the United States. One of her focus areas is building collaboration between CDR and FIMR. She provides training on a variety of topics including improving death scene investigations, best practices for CDR and FIMR reviews, self-care and vicarious trauma, writing prevention recommendations, implementing evidence-based recommendations, advocacy, and engaging partners. Prior to joining the staff at the National Center, Ms. Collier worked in Wisconsin s fetal, infant, and child death review program. During the eight years she worked in the program it grew from a handful of CDR teams to a robust statewide system. Additionally, Wisconsin was one of the first states to focus on enhancing collaboration between CDR and FIMR. Ms. Collier worked on a number of policy and legislative issues during her time in Wisconsin. She holds a master s degree in counseling with an emphasis in working with minority populations. Before joining the public health workforce, Ms. Collier worked in the Wisconsin prison system providing substance abuse and mental health counseling and referrals. Ms. Collier serves on the board of directors for the Children s Safety Network and Midwest Injury Prevention Alliance.

6 Health Equity & Fatality Review: Tuesday, 12:45 PM Marijata Daniel-Echols, PhD Director, Center for Health Equity Practice, Michigan Public Health Institute Dr. Marijata Daniel-Echols is Director of the Michigan Public Health Institute s (MPHI) Center for Health Equity Practice. She has 15 years of experience in research, program evaluation, consultation to state departments of education, facilitation, and strategic planning. She has content expertise in poverty policy, the intersection of race and class, early childhood education, and nonprofit management. In her current role she serves as a health equity and social justice consultant to the Michigan Department of Health and Human Services. Prior to joining MPHI, Dr. Daniel-Echols was CEO of the Early Childhood Investment Corporation which is responsible for implementing programs like the state s child care quality rating and improvement system. Earlier in her career, Dr. Daniel- Echols spent 10 years at the HighScope Educational Research Foundation eight of those years she was the Director of Research. Dr. Daniel-Echols is a member of a national cohort of professionals working towards race equity within early childhood systems called the BUILD Equity Leaders Action Network. In addition to her research and policy background, Daniel-Echols has experience implementing early childhood care and education programs and serves on the Board of Directors for both Starfish Family Services and the Michigan Association for Infant Mental Health. She has an interdisciplinary social science background including a B.A. in sociology, a masters in public policy, and a Ph.D. in political science from the University of Michigan and a M.A. in sociology from the University of California, Los Angeles. Reducing Burnout, Enhancing Resilience and Caring for Self/Others in Child Death Review Tuesday, 3:30 PM Richard (Rick) Wallace Klomp, MOB, MS, LPC, BCPC, Certified Clinical Traumatologist Behavioral Scientist and EAP Counselor, Centers for Disease Control and Prevention Rick Klomp, MOB, MS, LPC, BCPC, is a Certified Clinical Traumatologist who has worked at CDC since He has added value in the Office of Communications, the Injury Center, and the Office of Safety, Security and Asset Management by focusing on individual and community resilience, worklife wellness, and counseling. His emergency response involvement includes supporting CDC staff deployed to: The tsunami in 2004; outbreak of Marburg hemorrhagic fever in 2005; Hurricanes Katrina and Rita, Haiti, Ebola in West Africa and CDC s Zika response. He led the workgroup that created the clinic s pre-deployment wellbeing screening process. For 9 years he led the initiative he developed collaboratively with psychiatrists from the Center for the Study of Traumatic Stress at the Uniformed Services University of the Health Sciences to safeguard the health, safety and resilience of individuals CDC deploys to dangerous environments in response to public health emergencies. This training includes immersion in one of several VREs (virtual reality environments) that simulate the kinds of sights and sounds deployers might experience in the field.

7 His education includes: BA in communications and graduate degrees in organizational behavior and community counseling. He is a board-certified, cognitive-behavioral therapist who maintains a private counseling practice. He works with individuals who struggle with depression, anxiety, compulsive behaviors and relationship issues and has developed expertise in helping people who were abused as children or who are dealing with PTSD symptoms. He and his wife of 39 years have four children and 10 grandchildren! Version 5 & Data Quality: Good, Bad, or Ugly? Wednesday, 8:45 AM Erik Buczkowski, MPH Data Analyst, National Center for Fatality Review and Prevention Erik Buczkowski (pronounced buhch-kow-skee) is a data analyst for the National Center for Fatality Review and Prevention at the Michigan Public Health Institute. He has attained a BS in biomedical science from Central Michigan University and a master s in public health epidemiology from Grand Valley State University. Prior to his work with child fatality review, he coordinated the Michigan Local Public Health Accreditation Program to improve the performance of Michigan s public health system. When he isn t glued to the computer working with the National Fatality Review Case Reporting System, he likes to spend time staying active, listening to music, and playing games in the world of virtual reality. He is currently working on breathing a sigh of relief, as at this time, Version 5.0 of NFR-CRS has been released. Heather Dykstra, MPA Senior Data Analyst, National Center for Fatality Review and Prevention Ms. Dykstra is a Senior Data Analyst with the National Center for Fatality Review and Prevention at MPHI. Since joining the the National Center in 2006, Ms. Dykstra has been a key consultant for states to better understand and make effective use of the data collected with the web-based National Fatality Review Case Reporting System (NFR-CRS). Ms. Dykstra assists with the management of NFR-CRS software releases (including developing reporting requirements, testing system functionality, and revising system documentation) and provides training to new users. Ms. Dykstra has also coordinated with several other federal agencies on different data projects related to the NFR-CRS. Finally, helping researchers understand and use the CDR-CRS data has also been an important element to Ms. Dykstra s position. Ms. Dykstra has an undergraduate degree from Cornell University (BA) and a graduate degree (MPA) from Indiana University.

8 Patricia Schnitzer, PhD Epidemiologist, Data Quality Consultant, National Center for Fatality Review and Prevention Patricia (Patti) Schnitzer, PhD, is an epidemiologist with nearly 20 years of experience working with child death review programs and data. She spent 17 years on the faculty at the University of Missouri and is currently a data systems consultant to the National Center for Fatality Review and Prevention, leading its data quality initiative. She is a member of the Boone County (Missouri) Child Fatality Review Panel, and the Missouri Child Fatality Review State Advisory Panel, providing expertise on child abuse and neglect and injury prevention. Her research has examined the role of adult supervision in the risk of unintentional injuries among young children, and currently focuses on the definition and measurement of fatal child maltreatment. Esther Shaw, MS Senior Data Analyst, National Center for Fatality Review and Prevention Esther Shaw is a Senior Data Analyst with the CDR and FIMR programs both at the National Center and the Michigan programs. She has been in her current job for over 10 years and provides technical assistance to the users of the Case Reporting System throughout the country. With degrees in Social Work and Information Science, this position combines these interests with its focus on using technology to gather data that guides the path to preventing future deaths. In previous jobs, Esther has worked at the University of Pittsburgh s Western Psychiatric Institute and Clinic on research grants exploring the ability of clinicians to predict future violence in the mentally ill and data analysis on adolescent drug and alcohol use. Grief and Bereavement Support for Fatality Review Wednesday, 12:45 PM Joyal Mulheron Founder and Executive Director, EVERMORE Joyal Mulheron is the founder and Executive Director of EVERMORE, a nonprofit dedicated to improving the lives of families who have experienced the death of a child by marshaling the full support of their communities and society. EVERMORE advances and advocates for research, policy and program solutions to foster positive change at the national, community and family level. Its work supplements existing resources, such as support groups, therapists, summer camps and retreats. Child death at any age and from any cause is largely an invisible problem in the United States. While no federal institution has quantitative data to determine how many Americans are impacted,

9 conservative estimates project that a child dies every 90 seconds; thereby, leaving millions of parents and siblings bereft. In addition to the immense personal tragedy, families face vast health, economic, and social costs. Prior to EVERMORE, Joyal spent 15 years advising both Republican and Democratic executive politicians on population health matters and translating basic science into public policy. She has most enjoyed leading initiatives for the National Governors Association, National Academies of Science, American Cancer Society and Partnership for a Healthier America. Joyal loves biological sciences and holds an advanced degree in biotechnology from Johns Hopkins University and an undergraduate degree in biochemistry from Virginia Tech. She enjoys reading and holds a degree in English with an emphasis in World War II and minority literature. She and her husband of 20 years have four children, including one superhero. Using Existing Data to Build Informed Programs Wednesday, 3:30 PM Vanya Jones, PhD, MPH Johns Hopkins Bloomberg School of Public Health; Robert Wood Johnson Foundation Interdisciplinary Research Fellow Dr. Jones is an Assistant Professor at the Johns Hopkins Bloomberg School of Public Health in the Department of Health, Behavior and Society with a joint appointment in General Pediatrics in the Johns Hopkins School of Medicine. She is a core faculty member in the Johns Hopkins Center for Injury Research and Policy. She has conducted research and collaborated with community associations, non-profit organizations, and government agencies to implement programs that reduce injuries in Baltimore, in Maryland, and across the United States. Dr. Jones has created programs that include classroom curricula, one-to-one mentoring trainings, and train-the-trainer programs. For example, she collaborated with state and local police, the Maryland Motor Vehicle Administration, and aging experts, to explore the complex issue of selfregulation among older adults, driving regulations, and motor vehicle crashes and created the Seniors on the M.O.V.E. (Mature Operators Vehicular Education) older driver curriculum. Dr. Jones currently is leading efforts to develop a mentor training and evaluation of the Take Charge! program that pairs youth seeking care in the emergency department for peer-assault injuries with a community-based mentor. As a leader in these initiatives, Dr. Jones uses theory, research methods, and community engagement to develop strategies and programs that prevent injuries. She is originally from Columbus, Ohio, with a BS in health education from Bowling Green State University, an MPH from the University of North Carolina at Chapel Hill, and a PhD from the Johns Hopkins Bloomberg School of Public Health.

10 Award Ceremony Theresa M. Covington Award for Excellence in Fatality Review Wednesday, 12:00 PM Acknowledging and celebrating the significant contribution Ms. Covington has made to the field of child fatality review, we will begin a tradition of awarding the Theresa M. Covington Award for Excellence in Fatality Review. Child Death Review became a known and respected public health and injury prevention program due, in large part, to her national leadership and the interdisciplinary partnerships she helped to build. Teri spent the first half of her 34-year public health career as a Peace Corps volunteer in the Philippines, the health educator fore the N. Cheyenne, and director of two teen health centers in Flint, Michigan. She built the Michigan CDR program and managed it and the state FIMR program for 8 years. She became the founding director of the National Center for Fatality Review and Prevention from its inception in 2002 through She continues to be a tireless advocate for the health and wellbeing of America s children in her new role as the Director of Within Our Reach, an office established at the Alliance for Strong Families and Communities to advance recommendations from the Commission to Eliminate Child Abuse and Neglect Fatalities. In future years, this award will be given in Teri s honor to nominated fatality review professionals who exhibit fatality review leadership, effective excellence in collaborating with partners, and advocacy for the health and wellbeing of children. We encourage you to congratulate Teri on her decades-long investment in the nation s child fatality review systems. National and Local Perspectives on Collaboration with FIMR, Domestic Violence Fatality Review, and Citizen Review Panels: A Panel Discussion Thursday, 8:45 AM This session will highlight the practical considerations, challenges, and benefits of collaboration between fatality review processes. State and national experts will share from their experience, highlighting effective strategies and outcomes. Moderator: Abby Collier Panelists: Rosemary Fournier, RN, BSN National FIMR Director, National Center for Fatality Review and Prevention Anne Pedrick, MS Executive Director, Delaware Child Death Review Commission Joey Thurgood Fatality Review Coordinator, Utah Department of Health Blake Jones, PhD, LCSW Faculty, University of Kentucky College of Social Work Coordinator; President, National Citizen Review Panel Community

11 Partnering for Prevention Thursday, 10:45 AM This session introduces the vital prevention work being done across the country by partner organizations. They will discuss resources relevant to child fatality review systems and discuss ways to effectively collaborate to implement evidence-based prevention recommendations. Moderator: Bethany Miller Panelists: Jennifer Allison, PhD Director, Children s Safety Network Morag MacKay, M.Sc. Director of Research, Safe Kids Worldwide Lindsey Myers, MPH President, Safe States Alliance Erin Schneider, MSW Director of Development & Continuous Quality Improvement, CityMatCH State Success Stories, Wednesday, 10:00 AM Arkansas: Suicide Prevention Initiatives Dawn Porter, BS Infant and Child Death Review Coordinator, Arkansas Children s Hospital Delaware: CDR and CRP Collaboration to Promote Action Anne Pedrick, MS Executive Director, Delaware Child Death Review Commission Rasalie Morales, MS Chief Policy Advisor, Office of the Child Advocate Tania Culley, Esquire, CWLS Executive Director, Child Accountability Commission State Success Stories, Thursday, 10:00 AM Massachusetts: Statewide Child Fatality Review Needs Assessment Lindsay Morgia, MS, MPP Research and Policy Analyst, Massachusetts Office of the Child Advocate Texas: Initiative to Increase Data Quality and Quantity in Local Child Fatality Review Teams Amy Bailey, MPH Texas Child Fatality Review Coordinator, Texas Department of State Health Services Breakout Session I: Tuesday, 10:45 AM Effective Reviews of Natural Infant Deaths Rainier Presenters will describe the impact of natural infant deaths on overall child mortality and share tips on what is needed for successful review of deaths due to prematurity, low birth weight, and other natural causes. A state

12 maternal child health (MCH) Coordinator will describe unique strategies for case selection and prevention from the field. Rosemary Fournier, RN, BSN National FIMR Director, National Center for Fatality Review and Prevention Robin Gruenfeld, MPH State Maternal and Child Health Coordinator, Louisiana Department of Health Improving Quality of Local Reviews Morello State and local-level team coordinators discuss strategies to build capacity in local review teams with an eye toward more effective review processes. Karen Nash Senior Project Manager, Children s Health Alliance of Wisconsin Amy Perry, MPT, MPH Senior Project Manager, Children s Health Alliance of Wisconsin Laurie Andrews, RN, BSN Coordinator, Colorado Child Fatality Review Team Improving Effectiveness of State Teams Bing State and regional CDR coordinators share successful strategies to build capacity in state fatality review teams. Maurine Hill State Technical Assistance Team Administrator, Missouri Child Fatality Review Rachel Heitmann, MS Child Fatality Section Director, Tennessee Department of Health Marc Clement, PhD Chair, New Hampshire State Child Fatality Review Committee Breakout Session II: Tuesday, 2:15 PM Health Equity, Part 2: Practice Applying Core Concepts Rainier Building on the concepts of her keynote session, Dr. Daniel-Echols will facilitate a deeper dive into practical equity considerations in fatality and fatality review processes. Marijata Daniel-Echols, PhD Director, Center for Health Equity Practice,Michigan Public Health Institute Conducting High Quality Opiate Reviews Morello Fatality review partners share best practices in opiate fatality review and engage in diaglogue about how your fatality review expertise can be used to address the opioid epidemic. Abby Collier Director, National Center for Fatality Review and Prevention Gretchen Martin, MSW Indiana State Fatality Review and Prevention Director Kelly Cunningham, MPH Indiana Child Fatality Review

13 The Role of Fatality Review in Suicide Prevention Bing A national expert highlights the vital role fatality review teams can play in informing suicide prevention efforts. (This session is repeated on Wednesday). Richard McKeon, PhD, MPH Chief, Suicide Prevention Branch, Substance Abuse and Mental Health Services Administration Breakout Session III: Wednesday, 10:45 AM Reducing Burnout, Enhancing Resilience: Strategies to Strengthen Self/Others Rainier Building on the concepts of his keynote session, Rick will provide feasible strategies to help equip you and your team to address the challenges of fatality review in healthy ways. Rick Klomp, MOB, MS, LPC, BCPC, Certified Clinical Traumatologist Behavioral Scientist, EAP Counselor, Centers for Disease Control and Prevention Partnering to Align MCH Priorities and Leadership for CDR Morello This presentation highlights the capacity of fatality review to address your state s maternal and child health priorities, and the practical challenges cultivating leadership and local ownership of the CDR process in a decentralized system. Erin Schneider, MSW Director of Development & Continuous Quality Improvement, CityMatCH Kate Jankovsky Colorado Child Fatality Prevention System Manager, Colorado Department of Public Health and Environment The Role of Fatality Review in Suicide Prevention Bing A national expert highlights the vital role fatality review teams can play in informing suicide prevention efforts. (This is a repeat of Tuesday s session). Richard McKeon, PhD, MPH Chief, Suicide Prevention Branch, Substance Abuse and Mental Health Services Administration Breakout Session IV: Wednesday, 2:15 PM Partnering with Native American Communities for Prevention through Fatality Review: A Panel Discussion Rainier Team coordinators share approaches to partnering with Native American communities to conduct reviews, focusing on collaboration, deference to traditional practices, and mutual respect. Kari Tutweiler Coordinator, Montana State Fetal, Infant, Child, & Maternal Mortality Review Gladys Ambrose Department Manager, Department of Family Services, Navajo Nation Jacalyn Dougherty, PhD, RN New Mexico Suicide Prevention Coordinator John McPhee, BA, EMT Childhood Injury Prevention Coordinator, New Mexico Department of Health Consumer Product Safety Commission State Designee

14 Effective Reviews of Maltreatment Deaths: Improving Systems to Keep Children Safe Morello This session highlights the new Child Abuse and Neglect case review guidance developed by the National Center. Teri Covington, MPH Director, Within Our Reach Patricia Schnitzer, PhD Epidemiologist & Data Quality Consultant, National Center for Fatality Review and Prevention Policy Advocacy for Prevention Bing Fatality review professionals are often asked to implement policy-level recommendations, but it can be an intimidating proposition. Join our presenters to discuss the basics of policy advocacy for prevention, and leave with some valuable tools in your advocacy toolkit. Abby Collier, MS Director, National Center for Fatality Review and Prevention Morag MacKay, M.Sc. Director of Research, Safe Kids Worldwide Tania Culley, Esquire, CWLS Executive Director, Delaware Child Accountability Commission

15 Session Tuesday Plenary, 8:45 AM National Updates Reflection and Action Worksheet Reflections/Action Steps Breakout Session I: Tuesday, 10:45 AM Tuesday Keynote, 12:45PM Leading for Equity within the CDR Process Breakout Session II: Tuesday, 2:15 PM Tuesday Plenary, 3:30 PM Reducing Burnout, Enhancing Resilience and Caring for Self/Others in Child Death Review Wednesday Plenary, 8:45 AM Version 5 & Data Quality: Good, Bad or Ugly? Breakout Session III: Wednesday 10:45 AM Wednesday Plenary, 12:45 PM We Can Do Better: Bereaved Families Informing Our Practices, Protocols and Policies Breakout Session IV: Wednesday, 2:15 PM Wednesday Plenary, 3:30 PM Using Existing Data to Build Informed Programs Thursday Plenary, 8:45 AM Collaboration with FIMR, Domestic Violence Fatlaity Review, and Citizen Review Panels Thursday Plenary, 10:45 AM Prevention Partners Panel

16 Acknowledgements We gratefully acknowledge the contributions of the conference planning committee. Thank you for your diverse talents, enthusiastic effort, and creative ideas. Abby Collier Director, National Center for Fatality Review and Prevention Meghan Faulkner Director, SUID and SDY Case Registries Data Coordinating Center Rosemary Fournier National FIMR Director, National Center for Fatality Review and Prevention Susanna Joy Program Associate National Center for Fatality Review and Prevention Bethany Miller Supervisory Public Health Advisor Team Lead, Health Resources and Services Administration (HRSA) Diane Pilkey Senior Nurse Consultant, Health Resources and Services Administration (HRSA) Nanette Richards Financial Analyst/Program Support Coordinator, Michigan Public Health Institute