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Douglas County Video Tour

 FIMR photos 2451 x 435 2


The Douglas County Health Department (DCHD) utilizes the nationally recognized best practice model known as Fetal Infant Mortality Review (FIMR) to decrease the impact of infant mortality in Douglas County.

The FIMR Cycle of Improvement (below) explains the process that is utilized by DCHD and its partners to improve services and resources for families in Douglas County:


 National FIMR cycle of improvement Black text

  • Data Gathering: Gather information about the infant death from medical and public health records, including voluntary interviews with the mother of loss by a public health nurse who is trained in grief counseling, assessment and community resources.
  • Case Review: Utilize a Case Review Team (CRT), a diverse group of medical and community experts, to review summaries of case information, identify risk and protective factors present in the case, and make recommendations for community change.
  • Community Action: Guide the Community Action Team (CAT) also known as the Baby Blossoms Collaborative, through the review of CRT recommendations and population-based data in an effort to prioritize identified issue and design/implement interventions via the Community Action Plan (CAT).
  • Changes in Community Systems: Implement the CAP, resulting in system change that improves services and resources for the citizens of Douglas County, Nebraska.

The Baby Blossoms Collaborative (BBC) is a 40 agency coalition that serves as the Community Action Team within the FIMR Cycle. The primary work of BBC is to develop an ongoing Community Action Plan to decrease infant mortality in Douglas County.

Please click HERE to access the BBC website.

Reports & Data:

Annual FIMR Reports

 FIMR Handouts:

        -  FIMR Overview

        -  FIMR In Douglas County

        -  DC FIMR Organizational Structure & Function

Infant Mortality Data

Questions? Contact Carol Isaac, FIMR Coordinator, at 402-444-7218 or This email address is being protected from spambots. You need JavaScript enabled to view it. 

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Douglas County Video Tour