Measure Status: Active
Measurement Category: Category 2: Measuring quality of effort (% of reach; satisfaction)
Service Type: Middle level: enabling services
Service Recipient: Activities related to systems-building
Goal: To improve the accuracy of coroners in their reporting of infant deaths.
Numerator: number of SIDS/SUID deaths coded incorrectly on death certificates reported back to coroners
Denominator: number of incorrectly coded SIDS/SUID deaths
Significance: An increase in the number of accurately coded SIDS/SUID will guide necessary messaging and strategies needed to promote safe sleep. Within the State of Louisiana, coroners are elected. While the majority of the coroners have a medical background, this is not always the case, signaling a need to monitor and train the accuracy of coding on death certificates.
Data Sources and Data Issues: Data derived from Vital records, autopsy reports, MCH Regional Coordinators, and death certificates. Coding will be identified as inaccurate by using the following definition of accuracy, consistent with the standards for accuracy defined by Louisiana Vital Records: (1) Record Unknown or Undetermined when the death cannot be explained and one of the following is unavailable: autopsy, death scene investigation or review of clinical history. (2) Record Accidental Suffocation and Strangulation in Bed (ASSB) when the death occurred in a sleep environment and may be due to overlay or roll over. The death may also be due to an object in the sleep environment including but not limited to bed linens, sheets, blankets, pillows, stuffed animals, or soft bedding. (3) Record Sudden Infant Death Syndrome (SIDS); when the death of an infant less than 1 year of age cannot be explained even after autopsy, death scene investigation and review of clinical history. All criteria must be met in order to classify the death as SIDS. In 2015, approximately 50% of coroners coded incorrectly. Half of these received training (25%).
Unit Type: Percentage, Unit Number: 100