The National Center, in collaboration with many FIMR programs and partners, have developed many resources to support the work of FIMR teams.  These documents are presented here in PDF format here but Word versions are available for customization by your program.  If you would like the Word version, please use the “Contact Us” page and send a request telling us which document(s) you would like. If there is a tool or resource that you are interested in that is not listed, please send us your suggestions.

  • FIMR Case Report Form version 5.1 (PDF)
  • National Center FIMR Brochure (PDF)
  • FIMR Data Abstraction Book* (PDF)

*Developed by ACOG’s FIMR support, during a collaborative effort between the American College of Obstetricians and Gynecologists and the Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA).

  • Planning for a New Fetal Infant Mortality Review Team (PDF)
  • Agenda for First FIMR Planning Meeting (PDF)
  • Review Team Confidentiality Agreement (PDF)
  • Setting Policies and Procedures (PDF)
  • Template for a FIMR Policy and Procedure Operating Guide (PDF)
  • Building and Maintaining your CRT and CAT (PDF)
  • Sample Consent for Parental Interview (PDF)
  • Sample Consent for Parental Interview – Spanish (PDF)
  • FIMR Overview for Developing Teams (PDF)
  • Orientation for New Case Review Team (CRT) members (PDF)
  • Sample Recruitment Letter for CRT member (PDF)
  • Sample Confidentiality Team Sign In Sheet (PDF)
  • FIMR Manual* (PDF)
  • Parental Interview Guidance (PDF)
  • Overview for New Case Review Team (CRT) and/or Community Action Team (CA) Members (PDF)
  • Position Descriptions for Project Director, Project Coordinator, Medical Record Abstractor and Parental Interviewer (PDF)
  • Position Description for FIMR Director (PDF)
  • Role of the FIMR Coordinator (PDF)
  • Role of the Case Review Team Member (PDF)
  • Role of the Community Review Team Member (PDF)
  • Role of the Community Action Team (CAT) (PDF)
  • FIMR Confidentiality Concerns (PDF)
  • The HIPAA Privacy Rule and FIMR (PDF)
  • Template for a FIMR team charter (PDF) (Word)
  • Parental interview Sample Protocol for Contacting Families (PDF)

*Developed by ACOG’s FIMR support, during a collaborative effort between the American College of Obstetricians and Gynecologists and the Maternal and Child Health Bureau (MCHB), Health Resources and Services Administration (HRSA).

  • Guidelines for Writing Effective Recommendations (PDF)
  • Sample Standard Recommendations Related to Prematurity (PDF)
  • Sample Action Log (PDF)
  • Sample Recommendations and Action (PDF)
  • Summary of CRT Deliberations (PDF)
  • SMARTIE Goals Work Sheet (Word)
  • Prevention Matrix (PDF)
  • The Spectrum of Prevention (PDF)