Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality
At a Glance
What: A project to reduce infant mortality by targeting five areas: 1) eliminating early elective deliveries; 2) promoting safe sleep practices for infants; 3) encouraging smoking cessation in parents; 4) helping hospitals adhere to standards of perinatal practice; 5) improving access to care to mothers before and between pregnancies.
Why: The US has a higher infant mortality rate than many other developed countries, particularly in the south and among non-Hispanic black infants. This project aims to reduce infant mortality by strategically assisting states and healthcare systems to promote safer infant practices.
Who: Teams from the 13 states outlined below.
When: September 2012 until December 2013
Funder: The project is funded by the Department of Health and Human Services, Health Resources and Service Administration and is in partnership with Abt Associates.
The infant mortality rate in the US is one of the highest of developed nations, at 25,000 deaths of infants during the first year of birth. The rate disproportionately affects southern states.
Almost half the cases of infant mortality are caused by congenital malformations, low birth weight and sudden infant death syndrome (SIDS). Injury and infection also cause infant mortality. Low birth weight is the leading cause of infant death among non-Hispanic black women, while congenital malformations are the leading cause among other racial groups.
Of major national concern, significant differences in rates of infant mortality are found across US regions, specifically in 13 southeastern and southern states: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee, Arkansas, Louisiana, New Mexico, Oklahoma and Texas. The infant mortality rates in the majority of these 13 states are higher compared to the average infant mortality rate in all other regions of the US.
For this project, Abt Associates has assembled a team that includes the National Initiative for Children’s Healthcare Quality (NICHQ). This quality improvement team, made up of nationally recognized experts, will offer quality improvement technical assistance to the five lead strategies teams who are made up of public health and content experts. Using evidence-based guidelines, innovations in best practices and quality improvement methods, the project will improve the five areas listed above.