State Spotlight - Hawaii

Last updated:  April 2009

Susan Anderson, CDR Nurse Coordinator
Hawaii Child Death Review
741-A Sunset Avenue, Room 213
Honolulu, HI 96816
Phone: 808-733-9037
Fax: 808-733-9078
Email: Susan.Anderson@doh.hawaii.gov

Tools
Reports
Mortality Statistics Program Description

Administration
In 1997, HRS 321, part 27 established the Child Death Review Program giving the Department of Health authority to conduct multidisciplinary and multiagency reviews of child deaths in order to reduce the incidence of preventable child deaths.

The Department of Health and the Department of Human Services provide federal and state funds to staff the program.  The Maternal Child Health Branch of the Hawaii Department of Health administers the CDR system.

Teams
State Team: (Chairperson - Louise Kido Iwaishi, MD)
The State CDR Council is comprised of 27 members and meets quarterly. The Council does not review cases.

Local Teams:
The Local CDR Teams consist of six teams, representing Kauai, Big Island, Maui, Oahu (2) and Military and meet as needed.  

Reviews
Local CDR Teams review deaths of children who are less than 18 years old, according to established criteria for review.

Purpose
The main purpose of the Hawaii CDR program is to prevent deaths.

Data
"CDR Case Report" forms are completed for all reviews. The CDR Council Data Committee analyzes the data with Department of Health staff support.

Hawaii's CDR Program has access to state vital statistics. Vital statistics are used to generate a list of deaths annually and provides birth information for children less than three years of age.

Annual Report
Hawaii has produced two reports: the first was for the pilot period of 1996; and the current report is for 1997-2000. These reports were distributed to CDR Teams, CDR Council members, service providers and other stakeholders.

Prevention Initiatives
CDR prevention partners include Safe Sleep Hawaii, Keiki Injury Prevention Coalition (KIPC), HI Suicide Prevention Task Force, DOH Injury Prevention and Control Program and others. For example, a Safe Sleep education campaign was initiated.  Additionally, a suicide task force, under IPCP, has a state plan.

Protocols
A Child Death Review Policy and Procedure Manual.

Training
Hawaii CDR Programs offers training for local teams, CDR Council and community stakeholders.