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The Quality Improvement Committee of the Indiana Perinatal Quality Improvement Collaborative (IPQIC) was charged to develop guidelines that would support efforts in Indiana to reduce the number of non-medically indicated early term deliveries to a rate of 3% or less. The following document reflects the efforts of the dedicated medical professionals, state health officials, and public insurance representatives that contributed to the final guidelines.
The purpose of this paper is to:
1) Provide a brief review of national and Indiana infant mortality rates;
2) Describe the complexity of addressing infant mortality;
3) Examine examples of successful state approaches to infant mortality;
4) Give an overview of Indiana’s strengths and gaps to address infant mortality;
5) Show the benefits to Indiana if the state’s IMR was decreased to the US IMR; and
6) Provide rationale and recommendations to address Indiana’s high infant mortality rate.