Collaborative Improvement and Innovation Network to Reduce Infant Mortality (IM CoIIN)

Status: Active

WHAT: A multiyear national movement engaging federal, state and local leaders, public and private agencies, professionals, and communities to employ quality improvement, innovation and collaborative learning to reduce infant mortality and improve birth outcomes. IM CoIIN has identified six strategic areas to focus on:

  • Safe Sleep: Improve safe sleep practices
  • Smoking Cessation: Reduce smoking before, during and/or after pregnancy
  • Pre/Interconception Care: Promote optimal women’s health before, after and in between pregnancies, during postpartum visits and adolescent well visits
  • Social Determinants of Health: Incorporate evidence-based policies/programs and place-based strategies to improve social determinants of health and equity in birth outcomes
  • Preterm and Early Term Births: Prevent births before 39 weeks
  • Risk-appropriate Perinatal Care: Increase the delivery of higher risk infants and mothers at appropriate level facility

WHO: Multifaceted stakeholders from many disciplines and agencies both within and across state boundaries. In 2012, IM CoIIN began as a regionally based initiative in 13 states from the southern and southwestern U.S., with six other Midwestern states joining the effort in 2013. In 2014, IM CoIIN was expanded to the remaining 31 states and eight territories and refocused on national collaboration versus regional collaboration.

WHEN: September 2012 to December 2013 (first regionally focused phase); September 2013 to September 2017 (current nationally focused phase)

FUNDER: The project is funded by the Maternal and Child Health Bureau (MCHB) of the Health Resources and Service Administration (HRSA) in the Department of Health and Human Services.

OUR ROLE: In the first phase of the IM CoIIN, we provided project teams with technical assistance on how to incorporate quality improvement principles into their work. In the current, nationally focused phase, we lead teams and provide the data infrastructure, online community and continuing expert technical assistance needed to support their efforts. We work with several national partners, including AMCHP, ASTHO and the March of Dimes.

Project Videos
Get inspired for this great infant mortality reduction movement by hearing from IM CoIIN participants about their work.

If you are interested in learning more about this project, please email:

IM CoIIN Participants

Register new team members to receive IM CoIIN newsletters, Collaboratory access, Thematic Webinar information and more.

Access the IM CoIIN Collaboratory at


  • NYS Builds Unlikely Partnerships to Promote Safe Infant Sleep Read
  • 3 Keys for Preparing to Engaging Extended Partners Read
  • Delaware and Georgia Use Innovative Strategies to Promote Women' Health in Medicaid Read
  • How to Use In-Person and Remote Learning Resources to Support Collaboration Read
  • New Toolkit for Addressing Infant Mortality Read
  • NICHQ Projects Highlighted in Research Journal Read
  • Medicaid Funding Opportunities in Support of Perinatal Regionalization Systems Read
  • Why Improved Pre-Pregnancy Health is the Key for Reducing Birth Defects Read
  • Race and the Inequity in Maternal and Infant Health Read
  • Efforts to Reduce Infant Mortality Focus on Underserved Populations Read
  • 3 Resources for Preventing Sudden Infant Death Syndrome Read
  • Breaking Barriers to Healthy Birth Spacing in Underserved Populations Read
  • Medicaid Incentives for Effective Contraceptive Use and Postpartum Care Read
  • Raising Awareness of the Impact of Early Childhood Trauma Read
  • PATCH-ing up Communication Between Providers and Teenagers Read
  • Missouri is Bringing Risk Appropriate Care to its Moms and Babies Read
  • How Asking One Key Question Helps Moms and Healthcare Providers Prepare for Pregnancy Read
  • Infographic – America's Problem: Infant Mortality Read
  • The Journey to LOCATe Levels of Neonatal & Maternal Care Read
  • Closing the Gaps in Safe Sleep Education in Underserved Populations Read
  • National Initiative to Reduce Infant Mortality Extended Read
  • Babies in Utero Experience Effects of National Opioid Addiction Epidemic Read
  • Quality Improvement: A Necessary Addition to the Maternal and Child Health Tool Belt Read
  • How Can Maternal Mental Health Be Improved During and After Pregnancy? Read
  • How Sharing Data Can Help Cities and States Reduce Infant Mortality Read
  • Building the Foundation: Clinicians and Patients Work Together to Improve Preconception Health in the U.S. Read
  • Medicaid Strategies to Promote Increased Access to Long-Acting Reversible Contraception (LARC) Read
  • Putting the Cross-Sector Gears in Motion: How 3 Best Babies Zones Are Moving Towards Cross-Sector Action to Reduce Disparities in Infant Mortality Read
  • Boxing Out Unsafe Sleep Practices for Babies Read
  • Rhode Island Targets Social Factors to Achieve Health Equity Read
  • Medicaid Strategies to Promote Full-Term Births Read
  • ABCs of Safe Sleep Education Reduces Sleep-Related Infant Deaths in Tennessee Read
  • Delaware Hones in on Medical-Legal Partnerships to Reduce Infant Mortality Read
  • Just Download It: Wyoming Discovers Novel Way to Help Pregnant Mothers Read
  • Focusing on Population-Level, Collaborative, Perinatal Outcomes Improvement Read
  • Better Care for High-Risk Babies: Improving Perinatal Regionalization in Illinois Read
  • 4 Strategies for Building a Public Health Social Movement Read
  • SC Finds Winning Strategy to Reduce Unintended Pregnancies in its Medicaid Population Read
  • New CDC Data Shows More Work Needed to Curb Smoking During Pregnancy Read
  • How Kansas is Leveraging the Infant Mortality CoIIN to Accelerate Improvement Read
  • Join the Interactive Webinar on Improving the Health of New Mothers Read
  • Medicaid Data Increasingly Used to Improve State’s Maternal and Child Health Programs Read
  • Perinatal Quality Collaboratives are Partners in Safe Sleep Message Spread Read
  • States Use Home Visiting Programs to Spread Safe Sleep Messages Read
  • Battling Prematurity to Ensure a Fighting Chance for Every Baby Read
  • Bringing the APHA Poster Session to You Read
  • Managing Life Stressors Helps to Reduce Infant Mortality Read
  • Diaper Vouchers Add Extra Incentive for Pregnant Women to Quit Smoking Read
  • A Practical Approach to Keep Stakeholders Engaged: Factsheets Are Helping Wisconsin Build and Maintain Support for their Infant Health Work Read
  • Inspiring Change through Motivational Interviewing Read
  • Addressing Infant Health Disparities in the American Indian Population Starts by Building Trust with Tribes Read
  • Resources and Must Reads for Infant Mortality Awareness Month Read
  • Video: Lauren Smith speaks at African American Infant Mortality in Colorado Summit View
  • States Put the Squash on Smoking During Pregnancy Read
  • Alaska Shows Perinatal Regionalization Works to Reduce Infant Deaths Read
  • Viewpoint: A Novel Method for Tackling Complex Population Health Problems Read
  • Strengthening and Leveraging Preconception and Interconception Health Read
  • Investigating a Possible Link Between Substance Abuse and Infant Mortality Read
  • High-Profile Coverage for a High-Passion Concern Read
  • Inspiring Video: How States Are Reducing Infant Mortality Rates Read
  • Putting Unsafe Sleep Marketing to Bed Read
  • A First Response to Safe Sleep Habits Read
  • LARC Accessibility, Knowledge Key for Better Interconception Care Read
  • What's Behind NYC's Drastic Decrease in Infant Mortality Rates? Read
  • Eliminating Disparities: from Intent to Action Read
  • Innovation in the Fight Against Infant Mortality Doesn’t Have to be Scary Read
  • How Delaware Became a Model for States in Preventing Infant Deaths Read
  • Group Care for Women and Babies Reduces Pre-Term Births, Increases Care Satisfaction Read
  • Maternal Interviews Key to Addressing Infant Mortality Read
  • Saving Newborns by Changing the Delivery System Read
  • Thoughts from a Pioneer and Leader in the Drive to Reduce Infant Mortality Read
  • Taking the Fight to Reduce Infant Mortality Nationwide: AMCHP Shares Its Perspective on Innovating to Save Babies Lives Read
  • Hundreds Kick Off National Infant Mortality Movement Read