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MPEEC provides consultation resulting in a definitive medical opinion regarding manner of injury when allegations of serious harm involving children less than three years old living in Chicago are reported to Illinois Department of Children and Family Services (DCFS). This study is the first to link data from a medically directed, inter-agency program with CPS investigations data to specifically examine the duration of CPS investigations and the level of concordance between the manner of injury as determined by CAPs and the investigation\u2019s outcome when CPS investigators and medical professionals are required to formally collaborate. On average, MPEEC produced a written opinion 16\u00a0days from the time of referral and DCFS made a finding 45\u00a0days after receiving the MPEEC report for the 690 cases referred to MPEEC over a 3-year period. The concordance level ranged from 75\u201390%. 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