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10 <br /> 1 replaced by up to five (5) individuals that the Local Team Chair can invite to serve as ad hoc <br /> 2 members for a specific child fatality review to enhance the effectiveness of the review. <br /> 3 <br /> 4 The legislation makes the following changes to required reviews: <br /> 5 • Local Teams are no longer required to do active child protective services case reviews <br /> 6 (formally a CCPT objective), but may elect to do such reviews at the request of the Director <br /> 7 of the county department of social services. <br /> 8 • Local Teams are no longer required to review every death of a resident child. Instead, <br /> 9 Local Teams shall review all deaths of resident children under age 18 that fall into one of <br /> 10 the following categories below (and may elect to review additional deaths that fall outside <br /> 11 these categories). <br /> 12 1. Undetermined causes <br /> 13 2. Unintentional injury <br /> 14 3. Violence <br /> 15 4. Motor vehicle incidents <br /> 16 5. Sudden unexpected infant death <br /> 17 6. Suicide <br /> 18 7. Deaths not expected in the next six months* <br /> 19 8. Deaths related to child maltreatment or child deaths involving a child or child's family <br /> 20 who was reported to or known to child protective services* <br /> 21 9. A subset of additional infant deaths that fall outside of the above categories, <br /> 22 according to guidelines set by NCDHHS* <br /> 23 <br /> 24 *Criteria and guidelines will be established by NCDHHS to further define these <br /> 25 categories. <br /> 26 <br /> 27 The new legislation also requires local teams to prepare to participate in the National Fatality <br /> 28 Review - Case Reporting System (NFR-CRS). <br /> 29 • Local Teams are legislatively required to begin using the NFR-CRS on July 1, 2025. <br /> 30 • Appropriate data use agreements are being developed and will have to be in place prior <br /> 31 to implementation. <br /> 32 • The Office of Child Fatality Prevention will provide training to Local Teams on the use of <br /> 33 the NFR-CRS prior to July 2025. <br /> 34 • The Office of Child Fatality Prevention will also provide guidance and ongoing technical <br /> 35 assistance related to use of the NFR-CRS. <br /> 36 • Once enough data is collected in the NRF-CRS, the Office of Child Fatality Prevention will <br /> 37 analyze and report on aggregate data from the NFR-CRS. <br /> 38 <br /> 39 Quintana Stewart, Health Director, introduced the item and briefed the Board on updates. <br /> 40 <br /> 41 Commissioner Portie-Ascott asked what the review looks like, for example if parents have <br /> 42 lost a child to suicide. <br /> 43 <br /> 44 Quintana Stewart said they receive the case one year after the incident. She said the <br /> 45 receive a copy of the ME report and they look to see if there was an open case with CPS, the <br /> 46 health department reviews to see if they were working with them, they work with the school district <br /> 47 and the hospitals. She said they look into the services that the child was in receipt of and try to <br /> 48 figure out how to prevent future occurrences. She said they review team looks over all of the <br /> 49 information with the goal to prevent future occurrences. <br /> 50 <br />