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:
- 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
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.
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.
Quality Improvement 101
This interactive course teaches the fundamentals of quality improvement (QI) and how to use this methodology to create effective, beneficial change. Lessons and exercises go over important elements such as the Model for Improvement, Plan-Do-Study-Act cycles, implementation and spread.
Introduction to Using Control Charts
A control chart is a statistical tool that can help users identify variation and use that knowledge to inform the development of changes for improvement. In this Introduction to Control Charts, learn about the purpose, components and how to interpret control charts to guide your improvement work.
Opportunities to Improve Health Equity for Mothers, Babies and Children
To understand health holistically, we need to consider it outside the silo of a healthcare system. We need to take into account the many other factors that impact our individual health, factors like the schools we attend and the relationships we experience. Read on to uncover three tried and tested ways to make changes in your state and help ensure that all children, regardless of circumstance, achieve equity in health outcomes.
Don’t Let These Common Collaboration Challenges Derail Your Change Effort
Collaboration can get complicated quickly but proactively acknowledging common challenges can help keep your collaboration effort on course. To help, we’ve compiled strategies for managing frequent pitfalls so that you can not only initiate, but maintain effective collaboration.
Building a Culture of Collaboration Within Multilevel Systems
Because children’s health is influenced by a great many factors, simultaneously engaging systems at the community, city, state and government level is essential for significant change. All too often we discover that two state agencies can be closely aligned on their goal, but working independently to reach it. When we work collaboratively instead, we’re able to pool, leverage and reinforce our resources for a common aim. A new e-course, NICHQ’s Essentials of Collaboration, provides strategies for healthy collaboration.
Case Studies Show Improved Birth Outcomes and Cost Savings
A 50-state environmental scan of strategies to improve women’s access to high quality preventive and perinatal care—released earlier this year in coordination with the National Academy for State Health Policy (NASHP)—mapped state Medicaid efforts to improve birth outcomes. Three new case studies focus on innovative initiatives providing healthcare cost savings.
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
With an infant mortality rate of 4.4 per 1,000 births, 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.