Michigan Maternal Mortality Surveillance (MMMS) and Fetal Infant Mortality Review (FIMR) are examples of two fatality review programs that have developed strategies to improve their recommendation development and implementation processes to enhance outcomes for women, children, and families. We will be sharing strategies for program alignment and discussing mechanisms for analyzing and coding data; examining inherent challenges and identify opportunities for success. MMMS and FIMR programs align with and will inform the work of the 2020 – 2023 Mother Infant Health & Equity Improvement Plan (MIHEIP) and are specifically identified within the state action to improve and align the programs to provide actionable and locally relevant recommendations. Fatality review is a theory and method grounded in public health, designed to identify and analyze risk factors that contribute to death through the examination of patterns and trends. The purpose of these reviews is to improve understand of how and why mothers and infants die and to make recommendations for systems change including education, training, and prevention efforts. This Café Conversation will invite others to think about their data collection strategies and consider how these tools could be adapted to fit other programs.