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.
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
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
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.
How Safe Sleep Savvy Are You?
Physicians, nurses, home visitors and other public health professionals can use this video quiz as an interactive, visual tool to prompt discussions around best-practices for infant sleep.
Tactics to Support Safe Sleep Conversations
Founder of the Global Infant Safe Sleep Center, Stacy Scott, PhD, MPA and a team of experts compiled a list of tactics and examples to support infant safe sleep conversations.
Countering Systems of Oppression
How do you have conversations about structural racism and its effect on health systems? Two health professionals open up about their experiences and share advice.
Historic Trauma is Affecting Tomorrow’s Children
When Indigenous people were dispossessed from their land, they not only lost their homes but were separated from their way of life. And in many cases, children were forcefully taken from their families. How do we synthesize the promotion of breastfeeding and safe sleep practices among within the context of this historical trauma? Collectively our Indigenous healthcare professionals offer three ideas.
Kindergarten Readiness Starts Prenatally
All children deserve an equal change to reach their full potential—to make lasting friendships, to explore and discover, and to dream big. Giving all children an equal start means supporting families from the earliest moments of development. Here, NICHQ President and CEO Scott D. Berns explains why we need to do more to support that early health by building a bridge between the prenatal and birth to 3 spaces.
Cracking the Code on Early Childhood Data
Highlights and lessons-learned from real communities who used real-time data to achieve real results. Their experiences can help demystify the data journey and show how data informs improvements to developmental health and overall well-being
Taking a Community-Based Approach to Early Childhood Systems-Change
A community-based partnership in Liberty City, FL works directly with the families who are most isolated from support. Discover more about the partnerships they've developed and the young lives they've changed.
How can Hospitals Reduce Sleep-Related Infant Deaths?
Improving conversations between health professionals and caregivers can help ensure that more families have the knowledge, skills and self-efficacy to practice safe sleep at every sleep. Right now, hospitals across the country are developing a bundle of evidence-based best to spread and scale. Keep reading for four key takeaways.