Sec. 2. The statewide maternal mortality review coordinator shall develop a data collection form that includes:
(1) identifying and nonidentifying information;
(2) information regarding the circumstances surrounding a maternal morbidity or maternal mortality;
(3) factors contributing to a maternal morbidity or maternal mortality; and
(4) findings and recommendations that include the following information:
(A) Whether similar future maternal morbidities or maternal mortalities could be prevented.
(B) A list of:
(i) agencies and entities that should be involved; and
(ii) any other resources that should be used;
to prevent future maternal morbidities and maternal mortalities in Indiana.