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.
Metrics for Early Childhood Systems: A National Scan
This report provides the results of a national scan of metrics used by early childhood systems and initiatives to assess the well-being of young children and their families. Along with a detailed list of all metrics scanned, the report includes observations and recommendations about the state of early childhood data, an overview of common challenges, and recommendations about the most important opportunities to advance measurement and data use in the field of early childhood development and care.
Improving Maternal and Child Health in the Face of the Opioid Epidemic
High rates of opioid use among pregnant women reflect an ongoing national epidemic. Here, two experts share why improving both short and long-term health outcomes starts by recognizing that this is a treatable chronic disease and providing comprehensive care for the mother-baby dyad.
Spreading Safe Sleep Messages Across Tennessee
The Tennessee Department of Health is implementing a multifaceted approach to teach families about safe sleep so all families can learn about safe sleep practices and more babies can sleep safely.
Pediatricians Partnering with Families: Three Ideas for Effective Partnerships
One of the most powerful partnerships for improving children’s health is the partnership between parents and pediatrics. When this partnership is successful, pediatric health professionals can support parents on multiple fronts—providing preventative care and explaining what parents can expect as their children grow, advising parents on how to support their child’s social and emotional development and, when necessary, connecting families with supportive services and resources. Find three strategies to enhance this partnership here.
An Innovation in Provider Training Increases Access to Care for Sickle Cell Disease Patients
An internationally recognized telementoring initiative is transforming provider training to enhance care delivery and improve access to care and quality of life for SCD patients across the country.
Children’s Social and Emotional Development Starts with Co-Regulation
Before children learn how to make a friend or resolve a conflict, they first need to develop the capacity to self-regulate their emotions. This is a critical skill to support social and emotional development. Here, Gerard Costa, PhD, the founding director of the Center for Autism and Early Childhood Mental Health at Montclair State University, explains why pediatric health professionals need to engage families in conversations about self-regulation, and he offers a resource for inspiring those conversations.
One Step Closer to the National Norm of Infant Safe Sleep and Breastfeeding
Consistent, evidence-based advice on safe sleep and breastfeeding, whether in a hospital or at home, could improve maternal and infant health outcomes, save babies’ lives, and address significant racial disparities. Learn how a national initiative is seizing every opportunity to support caregivers and babies by working with hospitals and prenatal care centers, social service agencies, and other community touch points across the country.