Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality 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:
- SIDS/SUID/Safe Sleep: Improve safe sleep practices
- Smoking Cessation: Reduce smoking before, during and/or after pregnancy
- Preconception/Interconception Health: Promote healthy birth spacing and reduce unintended pregnancy
- Social Determinants of Health: 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: Increase appropriate use of 17 OH progesterone, a hormone given to prevent pre-term labor, and/or reduce early elective deliveries (i.e., before 40 weeks gestation)
- Risk-appropriate Perinatal Care (perinatal regionalization): Increase the delivery of higher-risk infants and mothers at appropriate level facilities
July 2012 to July 2014 (regionally focused pilot phase); September 2013 to September 2017 (expansion/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 pilot 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 nine jurisdictions and refocused on national collaboration versus regional collaboration.
- Funder: The project was funded by the Maternal and Child Health Bureau (MCHB) of the Health Resources and Services 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 nationally focused phase, we led state teams and provided the data infrastructure, online community and continuing expert technical assistance needed to support their efforts. We worked with several national partners, including AMCHP, ASTHO and the March of Dimes.
Results Webinar: Big Wins and Next Steps in Addressing Infant Mortality
In a recent webinar, NICHQ shared the results and impact of the work to date, strategies that led to success, key resources and next steps to keep the momentum going.
View this webinar, as well as our full expert series here
Quality Improvement 102
This interactive course provides further insight into the quality improvement best practices needed to create effective change. The course reviews the concepts covered in Quality Improvement 101, and then gives direction on how to test improvement ideas and increase their impact and effectiveness. Lessons and exercises provide examples of best practices and offer direction on moving from one PDSA cycle to another.
Essentials of Collaboration
This interactive course explores how to produce positive population health outcomes through effective collaboration. With directions on breaking down silos, aligning activities, and working productively together, this course provides a foundation for partnering with others to make a difference in your community.
Sickle Cell Disease Treatment Demonstration Program 2017 Model Protocol
The purpose of this 2017 model protocol is to provide clinicians, nurses, allied health professionals, community-based organizations and public health agencies with recommendations and strategies to improve care provided to individuals with sickle cell disease and trait.
Sickle Cell Disease Treatment Demonstration Program Compendium of Tools and Materials
This compendium identifies promising practices and strategies used by participants in the Sickle Cell Disease Treatment Demonstration Program (SCDTDP) to implement changes in their health systems related to improving access to care, increasing use of hydroxyurea and provider education.
Sickle Cell Disease Treatment Demonstration Program 2017 Congressional Report
The Sickle Cell Disease Treatment Demonstration Program 2017 Congressional Report details the many activities, outcomes, lessons learned and recommendations stemming from this work.
Starting School Prepared Should Be a Right, Not a Privilege
In theory, everyone should start school on equal footing. But the reality is very different for many children across the country. Even before birth, social determinants of health such as parental income and maternal education affect a child's developmental health. Changing this means building stronger systems that support and empower families so all children can achieve kindergarten readiness.
Our Systems Meant to Help Are Hurting Black Families
When does mandated reporting hurt rather than improve health outcomes? Erin Cloud, who’s spent the past seven years advocating for parents in the child welfare system, shares a thought provoking story about what happens when biased reporting causes unintentional harm. Here, we shine a spotlight on this troubling example of when systems meant to support children’s health end up failing black mothers and children.
How Do We Address Safe Sleep Disparities? Start by Building Trust
Healthy babies shouldn’t die in their sleep. But, despite decades of trying to reduce the number of sudden unexpected infant deaths (SUID) they still persist. And most often, their persistence affects families of color. In this article, Founder of the Global Infant Safe Sleep Center, Stacy Scott, shares ideas on how we can best address this alarming lack of equity and reduce sleep-related deaths across all populations.
Use Evaluation to Guide PDSAs Rather Than Derail Them
Evaluation is a critical tool for any improvement project. Yet, teams sometimes find themselves mistaking evaluation tasks for tests of change, which stalls their PDSAs. Here, we help you differentiate between tests and tasks so that you can use evaluation as the powerful tool it should be: one that informs and launches your test of change.
Bedsharing, Breastfeeding and Babies Dying: A Conversation Worth Having
Bedsharing can lead to longer breastfeeding duration. It also leads to more infant deaths. These opposing facts represent a major dilemma for those working to improve infant health. What does it mean when strategies that put babies in danger also support behaviors that improve outcomes? In this article, Lori Feldman-Winter, MD, MPH, FAAP, a pediatrician and safe sleep and breastfeeding expert, provides some answers.
Mastering the Planning Stage of PDSAs
If you’ve completed PDSA cycles but are having difficulty identifying changes that lead to improvement, it’s time to take a step back and review your PDSA process, starting with the “P.” The planning stage sets the foundation of your PDSA cycle, which means mastering it is essential. Click in for tips on improving each element of your planning stage.