(1)(a) The
legislature finds that the mortality rate in Washington state
among infants and children less than eighteen years of age is
unacceptably high, and that such mortality may be preventable.
The legislature further finds that, through the performance of
child mortality reviews, preventable causes of child mortality
can be identified and addressed, thereby reducing the infant and
child mortality in Washington state.
(b) It is the intent of the legislature to encourage the
performance of child death reviews by local health departments by
providing necessary legal protections to the families of children
whose deaths are studied, local health department officials and
employees, and health care professionals participating in child
mortality review committee activities.
(2) As used in this section, "child mortality review" means
a process authorized by a local health department as such
department is defined in RCW 70.05.010 for examining factors that
contribute to deaths of children less than eighteen years of age.
The process may include a systematic review of medical, clinical,
and hospital records; home interviews of parents and caretakers
of children who have died; analysis of individual case
information; and review of this information by a team of
professionals in order to identify modifiable medical,
socioeconomic, public health, behavioral, administrative,
educational, and environmental factors associated with each
death.
(3) Local health departments are authorized to conduct child
mortality reviews. In conducting such reviews, the following
provisions shall apply:
(a) All medical records, reports, and statements procured
by, furnished to, or maintained by a local health department
pursuant to chapter 70.02 RCW for purposes of a child mortality
review are confidential insofar as the identity of an individual
child and his or her adoptive or natural parents is concerned.
Such records may be used solely by local health departments for
the purposes of the review. This section does not prevent a
local health department from publishing statistical compilations
and reports related to the child mortality review, if such
compilations and reports do not identify individual cases and
sources of information.
(b) Any records or documents supplied or maintained for the
purposes of a child mortality review are not subject to discovery
or subpoena in any administrative, civil, or criminal proceeding
related to the death of a child reviewed. This provision shall
not restrict or limit the discovery or subpoena from a health
care provider of records or documents maintained by such health
care provider in the ordinary course of business, whether or not
such records or documents may have been supplied to a local
health department pursuant to this section.
(c) Any summaries or analyses of records, documents, or
records of interviews prepared exclusively for purposes of a
child mortality review are not subject to discovery, subpoena, or
introduction into evidence in any administrative, civil, or
criminal proceeding related to the death of a child reviewed.
(d) No local health department official or employee, and no
members of technical committees established to perform case
reviews of selected child deaths may be examined in any
administrative, civil, or criminal proceeding as to the existence
or contents of documents assembled, prepared, or maintained for
purposes of a child mortality review.
(e) This section shall not be construed to prohibit or
restrict any person from reporting suspected child abuse or
neglect under chapter 26.44 RCW nor to limit access to or use of
any records, documents, information, or testimony in any civil or
criminal action arising out of any report made pursuant to
chapter 26.44 RCW.
(4) The department shall assist local health departments to
collect the reports of any child mortality reviews conducted by
local health departments and assist with entering the reports
into a database to the extent that the data is not protected
under subsection (3) of this section. Notwithstanding subsection
(3) of this section, the department shall respond to any requests
for data from the database to the extent permitted for health
care information under chapter 70.02 RCW. In addition, the
department shall provide technical assistance to local health
departments and child death review coordinators conducting child
mortality reviews and encourage communication among child death
review teams. The department shall conduct these activities
using only federal and private funding.
[2009 c 134 § 1; 1993 c 41 § 1; 1992 c 179 § 1.]