Collaborative Improvement and Innovation Network to Reduce Infant Mortality (IM CoIIN)
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. Infant Mortality 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
September 2012 to December 2013 (first regionally focused phase); September 2013 to September 2017 (current nationally focused phase)
- 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.
- 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 (HHS).
- 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.
Early Childhood Developmental Screening and Title V: Building Better Systems
This issue brief provides insight into the Title V Maternal and Child Health Block Grant developmental screening activities across the country. It aims to inform public health professionals, partners and stakeholders of different developmental screening-related strategies that could be applied in communities, and to provide connections to states highlighted for their work on this topic.
The Neonatal Abstinence Syndrome Framework
The Neonatal Abstinence Syndrome (NAS) Framework's intent is to aid in structuring stakeholder discussions at the state level to better understand how collective efforts can prevent in-utero opioid exposure and impact the incidence of NAS.
Infant Mortality CoIIN Prevention Toolkit
This interactive toolkit allows users to learn from participants in the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN). Organized by topics from the initiative, this toolkit features change ideas, case studies, videos and key insights from teams who are working to reduce infant mortality throughout the country.
Powerful Partnerships: Working Together to Improve Care
This issue brief details the intersections between health departments' efforts to earn public health accreditation with their work in collaborative improvement & innovation networks (CoIIN).
Strategies to Increase Access to LARC in Medicaid
This issue brief details the use of LARC in preventing unplanned pregnancies, the current availability and education for women, barriers to prescribing LARC, and potential Medicaid reimbursement models to improve LARC access.
Medicaid Funding Opportunities in Support of Perinatal Regionalization Systems
This issue brief analyzes the perinatal regionalization as a system for improving risk-appropriate care, and how Medicaid funding can be used by states to better serve at-risk moms and connect them with the right treatment.
Using Simulation Modeling Technology to Make a Case for Change
Imagine you had multiple best practices for reducing cesarean sections (c-section) rates in your state but wanted to know which would have the most impact and all you had to do was push a few buttons to find out. That is exactly what a simulation model is doing in the state of New Jersey.
Data Drives Vermont’s Focus on Infant Mortality Reduction
At 4.4 percent, Vermont has one of the lowest infant mortality rates in the country, but, the Vermont Department of Health (VDH) knows there is always room for improvement. As a part of the NICHQ-led Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN), NICHQ helped VDH use data to drive discussions and make decisions about where to prioritize its work: smoking cessation and safe sleep awareness.
New Framework to Curb Births of Babies Born Dependent to Drugs
There is little consensus about the best way to diagnose and treat opioid addiction in women and infants. As part of the NICHQ-led Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN), ASTHO is releasing a Neonatal Abstinence Syndrome Framework to support stakeholder discussions at the state level to better understand how collective efforts can prevent in-utero opioid exposure and impact the incidence of NAS.
Stumping Out Prenatal Smoking in West Virginia
Tobacco use during pregnancy increases the rate of stillbirth, preterm birth, birth defects, low birth weight and infant mortality. Despite this information, some states have consistently high rates of women who smoke while pregnant. Read how West Virginia succeeded in addressing this challenge as part of the NICHQ-led Infant Mortality CoIIN.
Virginia Aims for a Zero
When a 2014 report showed one child almost every three days in Virginia died related to a preventable unsafe sleep environment, leaders at the Virginia Department of Health knew it was time to take action.