Infant Mortality Collaborative Improvement and Innovation Network (CoIIN)

At a Glance

What: A multiyear national initiative 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.

Why: The United States has one of the highest rates of infant mortality of all industrialized nations. This is a persistent wound in the body of our nation’s health.

Who: Multifaceted groups of stakeholders from many disciplines and agencies and within and across state boundaries. The initiative began in 2012 in thirteen states, with six other states joining the effort in 2013. NICHQ and its partner organizations will build on the work already underway in these states and expand it to the remaining 31 states and eight territories.

When: Work in the first thirteen states began in 2012.  The project will conclude in 2016.

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.

Background

The United States has one of the highest rates of infant mortality of all industrialized nations. On average, 6.15 out of every 1,000 babies born in the US dies before their first birthday, based on 2010 statistics. This compares with an average of 5.0 for all other industrialized nations. Minority populations are disproportionately affected: the risk of infant death for babies born to non-Hispanic black women is more than two times greater than the risk of infant death for non-Hispanic white women.

In 2013, US Department of Health and Human Services (HHS) Secretary, Kathleen Sebelius, announced the nation’s first national strategy to reduce infant mortality. The Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality is a key component of this strategy. This multiyear national initiative engages federal, state, and local leaders, public and private agencies, professionals and communities to employ quality improvement, innovation and collaborative learning to tackle this critical issue.

Project Overview

NICHQ is honored to have been selected by the US Maternal and Child Health Bureau (MCHB), part of HHS, to lead an exceptional group of partner organizations as we expand this initiative to the entire nation.
 
The initiative began in 2012 in thirteen states: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee, Arkansas, Louisiana, New Mexico, Oklahoma and Texas.  Six other states joined the effort in 2013: Illinois, Indiana, Michigan, Minnesota, Ohio and Wisconsin. These states have begun to address key contributors to infant mortality, such as early elective delivery and the birth of high risk infants in hospitals without the capacity to manage their level of illness.
 
NICHQ and its partner organizations will build on the work already underway in these states and expand it to the remaining 31 states and eight territories.
 
The project brings together multifaceted groups of stakeholders from many disciplines and agencies and within and across state boundaries to “change the game” in infant mortality. At the core of the effort is the concept of a Collaborative Improvement and Innovation Networks (CoIIN). These are dynamic, technology-enabled, virtual work teams in which people with a shared vision collaborate to achieve a common goal by exchanging ideas, information, and work. Participants apply innovation, collaborative learning, and quality improvement methodologies to develop, test, implement, and spread novel approaches to solve seemingly intractable problems.

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