State Spotlight - Minnesota

Last updated:  February 2008

Susan Krinkie
Child Mortality Review Coordinator
Minnesota Department of Human Services
444 Lafayette Road
St. Paul, MN 55155-3832
Phone: 651-431-4697
Fax: 651-297-1949
Email: Susan.Krinkie@state.mn.us

Tools
Reports
Mortality Statistics Program Description

Administration
Minnesota’s Child Mortality Review Program was established in 1989 by legislation. Funding for the program is stable. The program is housed out of the Department of Human Services, Child Safety and Permanency Division. There are two state level employees that staff the program.

Teams
Minnesota has both state and local teams.

State Team: (Chairperson - Child Mortality Review Coordinator)
The Minnesota Child Mortality Review Panel (CMR) is comprised of 29 members and meets quarterly. The CMR reviews up to six selected child deaths or near fatalities each month. The Coordinator selects deaths for review that are critical or could have a statewide application. The CMR focuses on systems issues and practice issues and makes recommendations to improve the state and local  child protection system.

Local Teams: (Chairperson - Multidisciplinary)
There are 87 Local Child Mortality Review Teams (LCMRT).

Reviews
The Minnesota Child Mortality Review Program reviews deaths or near fatalities resulting from maltreatment or suspected maltreatment; deaths which are classified by the medical examiner as homicides, suicides, accidents or undetermined; deaths in which the child was a member of a family that received social services within one year prior to the death; deaths that occurred in a facility licensed by the Department of Human Services and natural deaths classified as SIDS or SUDS. The team reviews cases of all of the above in which the age is less than 18 years old.

Purpose
The purpose of the Minnesota Child Mortality Review program is quality assurance and prevention of future deaths or serious injury of children by making recommendations to improve the systems that protect children from maltreatment.

Data
Standardized data reporting forms are completed for all state reviews. This is not required by state legislation or policy. Minnesota Child Mortality Review has access to information from state vital statistics. Death certificate data is reviewed by the state coordinator and sent to the counties with a request to complete a search for social services records.  This data and data from the local review reports are entered into the child mortality database. Data is stored in a Microsoft Access database.

Annual Report
Minnesota does produce an annual report. The report is distributed to the Commissioner, Child Mortality Review Panel members and other Department of Health and Human Services administration and the 87 local Child Mortality Review teams. The report is also available online.

Prevention Initiatives
Child Mortality Review findings have influenced policy changes. Statewide examples of these changes include contributions to the development of the Minnesota Infant Death Investigation Guidelines and training for law enforcement to ensure standardized death scene investigations. Local community examples include county adoption of recommendations from the state panel regarding water safety for foster children by revising their training manual, requiring face-to-face sessions between the social worker and the foster parent with pools or who lived on a body of water and annually sending reminders to foster parents regarding safety measures. Prevention activities motivated by Child Mortality Review findings include involvement with public health in the development of brochures for safe sleep for infants.

Protocols
Minnesota Child Mortality Review has a variety of protocols in place including child/infant death investigation and confidentiality.

Training
Training is provided to local teams and panel members on a perioidic basis. Technical assistance is provided to counties regarding their local reviews. The trainings are not funded and are planned as needed.