The Mitre Maternal Mortality Interactive Dashboard (3mid): A Tool for Assessing the Effectiveness and Equity of Quality Improvement Toolkits on Maternal Care

Abstract

From 1987 to 2014, the U.S. pregnancy-related mortality rate increased from 7.2 deaths per 100, 000 live births to 18 deaths per 100, 000 live births (Centers for Disease Control and Prevention, 2018). Of the pregnancy-related deaths in the United States, 66% are preventable (Petersen, et al., 2019). We identified key factors that influence maternal mortality rates and incorporated related data into an interactive dashboard and policy microsimulation entitled the MITRE Maternal Mortality Interactive Dashboard (3MID). This analytic tool, built in R/Shiny, allows us to visualize historic trends at the state level and build a microsimulation to forecast future trends in maternal mortality, docking the results of the simulation to empirical data from the Centers for Disease Control and Prevention. Finally, we can explore the range of expected outputs of various policies aimed at ameliorating the causes of pregnancy related deaths, particularly among non-Hispanic black mothers in various states.