Office of the Chief Medical Examiner
At a Glance
H. WAYNE CARVER, II, MD,
Chief
Medical Examiner
Edward T. McDonough, MD,
Deputy
Chief Medical Examiner
Statutory authority - CGS Sec. 19a-400 through
19a-414
Average number of
employees - 55 full-time and 14 part-time
Recurring operating
expenses - $ 4,946,874
Capital outlay - $ 62,832
In Connecticut, all violent, sudden, unexpected and suspicious deaths, deaths related to employment or which constitute a threat to the public health, and deaths of people whose bodies are to be cremated, are reportable to the Office of the Chief Medical Examiner. It is the mission of this Office to investigate these deaths, certify the cause and manner of death and provide information to legitimate interested parties as defined by law and regulation.
The Connecticut General Statutes
concisely defines what deaths will be investigated. Because of the nature of death, the Office has little control of
the number of investigations. During
the year 15,664 deaths were reported to the Medical Examiner's Office. After
initial investigation, the Office of the Chief Medical Examiner took
jurisdiction of 13,069 cases for further investigation. Staff investigators and/or Assistant Medical
Examiners, serving in communities throughout the state, initially investigates
each case. Of the total number of deaths reported, 10,018 were cremation
investigations, an increase of 6.2 percent from the previous fiscal
year. There were 1,572 Medicolegal
autopsies/examinations conducted at the Farmington facility. Of the autopsies performed at the Chief
Medical Examiner's Office, 114 were
homicide victims, a slight increase from the previous fiscal year. Completed
records of homicides, including toxicological analysis, were furnished to the
state's attorneys.
The Office, located on the grounds of the
University of Connecticut Health Center in Farmington, operates 24 hours a day,
7 days a week, year round. Our goal is: to investigate deaths presented to this
Office in a timely and in a high quality manner; release the body to the family
within 24 hours; and complete at least 80 percent of required reports within
thirty days of autopsy.
The Office is functionally divided into
three parts: Pathology Services;
Laboratory Services and Management Services. While the Office is geared to delivering services in a
timely, efficient, high-quality and cost-effective manner, mandated layoffs,
early retirements and budget reductions have unfortunately resulted in
unacceptable delays in autopsy/examination service which results in often
unacceptable delays to loved ones as they plan funeral services for the
deceased.
The Office has been a very active
participant in the statewide CoreCT technology initiative for financial and
human resource information technology systems.
The Office is also close to implementing a contemporary windows based
death investigation information technology system to replace a very old DOS
based system.
Ongoing review of business practices continues
to result in small, but important, steps to streamline and simplify office
operations. We continue to utilize the Employee Assistance Program (EAP)
provided by the University of Connecticut Health Center.
The facility is under the
control of the Department of Public Works and managed by a private
company. Health and safety issues are
continually addressed with the expected result of a better environment for the
employees and protection of evidence.
Connecticut has one of the largest databases of
accumulated death investigation data in the country (over 186,000
records). The office produced
substantial computerized statistical reports during the year. Recipients
include state’s attorneys, public defenders, hospital quality control
departments and researchers. The Office
continues its migration to automate processes to reduce repetitive manual entry
to increase service response. Our website continues to be regularly accessed by
interested individuals. Please visit our website at
http://www.state.ct.us/ocme.
In the toxicology and histology
laboratories, we continue to invest in technological advances to more
efficiently and effectively detect increasingly complex post mortem testing of
tissue and fluids.
Seven pathology residents from two
hospital training programs in Connecticut, four medical students from the
University of Connecticut Health Center and one student from the University of
New Haven spent an elective rotation at the Chief Medical Examiner's
Office. Twenty-four pathology master
degree candidates from Quinnipiac College spent a rotation observing and
assisting in the performance of autopsies during this period.
An average of fifteen residents
from several hospital pathology programs statewide participated in our forensic
pathology seminar during 2002-2003.
Educational programs were provided to law enforcement personnel at the
Connecticut Municipal Police Academy and Connecticut State Police Training
Academy, to medical students at the University of Connecticut Health Center,
Yale University School of Medicine and to many professional and community
groups across the state.
The Office of the Chief Medical Examiner continues
its ongoing initiative to continuously improve the quality and delivery of its
critical services in a timely, efficient and caring manner, and is committed to
the letter and spirit of equal opportunity and affirmative action for all.
The Chapter 368q of the Connecticut
General Statutes places the Office of the Chief Medical Examiner under the
supervision of the Commission on Medicolegal Investigations. The commission met
at the Office of the Chief Medical Examiner in Farmington on September 20 and
November 22, 2002 and on January 24, March 21 and May 30, 2003. The March 21, 2003 meeting was the annual
open meeting at which member of constituent groups and representatives of the
public are invited to address the Commission.
Commission membership during fiscal year
2002-2003: Joxel Garcia, Commissioner,
Department of Public Health, Hartford; Robert E. Cone, Ph.D., Professor of
Pathology, University of Connecticut Health Center, Farmington; Francis R. Coughlin,
M.D., JD, Physician and Attorney, New Canaan; Steve Evans Downing, M.D.,
Professor of Pathology, Yale University School of Medicine, New Haven; Steven
B. Duke, JD, Professor of Law, Yale University School of Law; New Haven; Todd
Fernow, JD, University of Connecticut Law School, Hartford; Susan Keane Baker, MHA, public member,
Glastonbury; Daniel C. Niejadlik, M.D.,
Physician, Essex; Richard A. Lavely, M.D., JD,MS, MPH, Connecticut Bar
Association, Celia Pinzi, West Haven.
Dr. Downing was re-elected to continue serving as chairman.