CA-PAMR (Maternal Mortality Review)
Formation of CA-PAMR:
In 2004, the Maternal, Child and Adolescent Health Program, California Department of Public Health and the California Maternal Quality Care Collaborative (CMQCC) formed the California Pregnancy-Related and Pregnancy-Associated Mortality Review (CA-PAMR) committee to to determine the causes of maternal mortality and to make recommendations concerning quality improvement opportunities in maternity care and public health strategies to prevent maternal deaths in California. Cases are identified by death certificates and linkages of birth, fetal death, and hospital discharge data to death certificates. All case reviews are confidential and de-identified. To get more information on our approach and methods please see that section.
About CA-PAMR
The first-ever California state-wide maternal mortality review and a Title V funded project of the California Department of Public Health, Maternal, Child and Adolescent Health Division.
Case record review began in early 2007 with reviews of maternal deaths from 2002, the first year examined. The reviews continue and are an important tool for identifying priority quality improvement projects for CMQCC. The California Pregnancy-Associated Mortality Review (CA-PAMR): Report from 2002 and 2003 Maternal Death Reviews is available now.
The CA-PAMR Committee is comprised of leading clinical experts in maternal and perinatal health and public health from around the state, who volunteer their time and expertise to perform maternal death reviews and to assist in the formulation of quality improvement opportunities.
CA-PAMR Expert Committee Members
- Elliott Main, MD, Chair, CMQCC (San Francisco)
- Deirdre Anglin, MD, MPH, LA County/USC Medical Center (Los Angeles)
- Debra Bingham, DrPH, RN, (2006-2010)
- Conrad Chao, MD, UCSF-Fresno (Fresno)
- Sheila Cohen, MD, Am Society Anesthes/Stanford (Palo Alto)
- Patricia Dailey, MD, CA Society Anesthes (Burlingame)
- Maurice Druzin, MD, Stanford (Palo Alto)
- Michael Fassett, MD, Kaiser Permanente So Cal (Los Angeles)
- Kristi Gabel, RNC, MN, CNS (Sacramento)
- Dodi Gauthier, MEd, RN, AWHONN (Santa Barbara)
- Jeffrey B. Gould, MD, MPH, CPQCC (Palo Alto)
- Kimberly Gregory, MD, MPH, UCLA/Cedars Sinai (Los Angeles)
- Afshan Hameed, MD, UC Irvine (Irvine)
- Thomas Kelly, MD, UC San Diego (San Diego)
- Christopher Krawczyk, PhD, CDPH, MCAH, Epidemiology Chief (Sacramento)
- Marla Marek, RNC, MSN, PhD (c) California State University, Stanislaus
- Christine Morton, PhD, CMQCC (Palo Alto)
- Barbara Murphy, MS, RN, CPQCC (Palo Alto)
- Larry Newman, MD, Kaiser Permanente No. Cal (Oakland)
- Larry Shields, MD (San Luis Obispo)
- Lucy Van Otterloo, RN, MSN, Community Perinatal Network (Whittier)
- Linda V. Walsh, CNM, PhD, FACNM, UCSF (San Francisco)
Maternal, Child and Adolescent Health Program, CA Dept. of Public Health
- Shabbir Ahmad, DVM, MS, PhD
- Elizabeth Lawton, MHS
- Connie Mitchell, MD, MPH
Public Health Institute
- Christy McCain, MPH
- Sue Holtby, MPH
Related Resources
Profile in Improvement
Learn how Elliott Main of Sutter's California Pacific Medical Center is improving the care for first labors and births.