Child Health Projects

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

Status: Active

WHATA 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. The CoIIN has identified six strategy areas that it will focus on:

  • SIDS/SUID/Safe Sleep: Primary focus is to improve safe sleep practices
  • Smoking Cessation: Primary focus is to reduce smoking before, during and/or after pregnancy
  • Preconception/Interconception Care: Primary focus is to promote optimal women’s health before, after and in between pregnancies, including a focus on Postpartum Visits (content and frequency), and Adolescent Well Visits (content and frequency)
  • Social Determinants of Health: Primary focus is to incorporate evidence-based policies/programs and place-based strategies to improve social determinants of health and equity in birth outcomes
  • Prevention of Preterm and Early Term Births: Primary focus is to increase appropriate utilization of progestogen and/or reduce early elective deliveries 
  • Risk-appropriate Perinatal Care (perinatal regionalization): Primary focus is to increase the delivery of higher risk infants and mothers at appropriate level facility

Learning networks are developing around each strategy, and every state, jurisdiction and territory has selected up to three learning networks in which to participate.

WHO: Multifaceted groups of stakeholders from many disciplines and agencies and within and across state boundaries. In 2012, the 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, the 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 2016 (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.

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