Maternal Mortality Review Committee Application

The Georgia Maternal Mortality Review Committee (MMRC) identifies deaths occurring during or within a year of the end of a pregnancy and reviews each case to determine pregnancy-relatedness, causes, and contributing factors, and to make recommendations for interventions to reduce future deaths. Georgia law (O.C.G.A. 31-2A-16) provides the committee with the authority to collect data for maternal death case review. It also ensures the confidentiality of the case reviews and provides for legal protections for committee members. 
 
Expectations of members of the Maternal Mortality Review Committee:
  • Membership is voluntary, and members are appointed by the Georgia Department of Public Health to serve a three-year term.

  • Committee members are required to attend 80% of MMRC meetings, participate in necessary trainings and respond to communications timely. 
  • Appointment to the MMRC can be terminated by the committee member at any time and for any reason. 
To apply to become a member of the Maternal Mortality Review Committee, the following must be completed:
  • Complete the online application in full. current committee members are required to reapply for each new term. 
  • Complete a follow-up telephone call with the Maternal Mortality Review Coordinator
  • Complete confirmation of state licensure if applicable
  • Sign a commitment letter, confidentiality statement, conflict of interest and disclosure form, and a recusal policy form.
The MMRC is currently seeking individuals to fill the following positions:
  • Cardiology
  • Domestic violence

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* 1. Name

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* 2. Agency/Organization

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* 3. Email Address

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* 4. Phone Number

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* 5. Credentials/professional title. Please include license number if applicable.

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* 6. CV/Resume

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* 7. The MMRC is seeking individuals with certain expertise - what best describes you? 

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* 8. Please share your interest and/or goals for joining the Maternal Mortality Review Committee.

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* 9. Please briefly describe your understanding and/or experience of the issues that impact maternal health outcomes and maternal mortality in Georgia.

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* 10. What agencies, populations/groups, or other voices will you represent as an MMRC member? This may include the type of professional you are, professional organizations you are connected with, or other communities you sit on, geographic locations where you work, or additional pertinent areas of representation.

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* 11. Are you available to participate in at least 80% of annual virtual and/or in-person meetings, and maintain consistent communication with DPH staff? 

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