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
Keep scrolling, or use these quick links, to learn more.
Phase one: 19 states in regions IV, V, and VI, September 2012 to August 2014 led by Abt Associates with NICHQ as subcontractor; Phase two: National Expansion, September 2013 to September 2017, led by NICHQ
- Who: Multifaceted stakeholders from many disciplines and agencies both within and across state boundaries. In 2012, IM CoIIN began with 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
The following issue briefs are a result of a shared commitment with our partners to spread learnings from the Infant Mortality CoIIN.
- Strategies to Increase Access to Long-Acting Reversible Contraception (LARC) in Medicaid
- Opportunities for States to Improve Women’s Health and Birth Outcomes through Medicaid Incentives for Effective Contraceptive Use and Postpartum Care
- Preventing Preterm Birth Through Progesterone: How Medicaid Can Help Increase Access
- Using Maternal and Child Health Quality Improvement Efforts to Advance State Health Agency Accreditation
- Medicaid Funding Opportunities in Support of Perinatal Regionalization Systems
Maternal Depression: First Steps
This issue brief will help mothers, families and family advocates understand the signs of maternal depression, the interdependence between caregiver-child health and well-being, and provides guidance on how mothers can connect with their pediatricians to get the help they need to heal.
Data-for-Equity Research Brief
Child care is unaffordable for the majority of working parents, especially for low-income and black and Hispanic working parents. This research brief provides insight and analysis about the challenges families face in affording childcare, which can underpin inequities in early childhood health and development.
How Safe Sleep Savvy Are You? Spanish Version
The Spanish-language version of our popular video quiz to help physicians, nurses, home visitors and other public health professionals can prompt discussions around best-practices for infant sleep.
Safe Sleep Social Media Graphics
We've put together a small collection of social media graphics to help raise awareness about the importance of safe sleep. Download them to use on your own social channels and make sure to tag @NICHQ so we can like and share your post.
Early Childhood Data in Action
Three case studies from communities leveraging data to improve early childhood outcomes. Specifically, readers will uncover how to develop a culture of data collection, build local capacity, and use data to inform critical public policy decisions.
Are Your Hospital’s Website Images Safe-Sleep Friendly?
The internet is filled with unsafe images of babies sleeping. Hospital websites can set a much-needed positive online precedent. Here, learn what you can do make sure your hospital images are safe sleep friendly.
How to Improve Health Systems for Families: One Mom's Investment in Change
In 2004, after experiencing severe preeclampsia, Tara Bristol Rouse quickly learned just how complicated the health system can be. Now, after 15 years of advocacy, she’s sharing making things easier for families across the nation.
Families Drive Better Outcomes in Children’s Health
Christy Blakely and Elizabeth Aquino both have daughters with special healthcare needs. And both went on to become passionate family partners, advocating for change in the health system. When you read their stories, you'll see that change is possible, thanks to the power of family voices.
Driving Statewide Improvement in Perinatal Care
Across the nation, perinatal quality collaboratives (PQCs) are working to improve health outcomes for moms and babies by advancing evidence-informed clinical practices. In this article, learn about strategies for developing and sustaining a successful PQC. While the advice focuses on perinatal health, these ideas can benefit any quality improvement collaborative seeking to improve care delivery across a state or community.
Recent Legislation that Supports Better Children’s Health Outcomes
In recent months, there has been a surge of legislative actions for children’s health advocates. New laws have been passed that provide funding for programs and research initiatives essential for improving the health and well-being of children and families across the country. Here, NICHQ provides an update on the legislation and brief analysis on the impact on children’s health.
A New Study Reveals a Breakthrough in Examining Rare Events
Targeted efforts can help decrease the U.S.'s troubling high infant mortality rate. However, since infant mortality is considered a relatively rare occurrence, it can difficult to measure improvement efforts and assess impact. To combat these challenges, NICHQ leveraged a QI approach novel to the field of maternal child health: the use of statistical process control (SPC) charts. In this article, we share insight on how these charts can improve maternal and child health programs by helping them analyze and respond to rare events.