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
National Breastfeeding Month Social Media Toolkit
In recognition of National Breastfeeding Month, we’ve put together a collection of social media posts and graphics that can be used to raise awareness about the importance and benefits of breast milk, as well as empower and support all mothers to achieve their breastfeeding goals. Download the toolkit to use on your own social channels and make sure to tag @NICHQ so we can like and share your post.
Safe Sleep Resources for Child-Care Providers
Millions of babies across the country attend child-care, which makes child-care providers invaluable allies for championing infant safe sleep: Child-care providers can make sure that all babies in their care sleep in a safe environment and they can help share guidelines and recommended practices with the families they serve. These two resources can help empower child-care providers as safe sleep champions.
Mental Health Awareness Month Social Media Resources
In recognition of Mental Health Awareness Month, we’re sharing a social media toolkit and infographic to raise awareness and share resources that can change the way the world sees mental health. Download these resources to use on your own social channels and make sure to tag @NICHQ so we can like and share your post.
Census Social Media Toolkit
We’ve put together a collection of social media posts and graphics to help you encourage families to participate in the census. Use these posts on your own social channels to connect with families and prevent children from being undercounted. Make sure to tag @NICHQ so we can like and share your post.
Safe Sleep Promising Practices and Literature Review
These two resources can support state and community efforts to eliminate sleep-related infant deaths: a comprehensive literature review and specific examples of promising resources, programs and interventions states can spread and scale to reduce sleep-related infant deaths.
Continuing Sickle Cell Disease Care During the COVID-19 Pandemic
People who have sickle cell disease and very vulnerable to COVID-19 impact. As we enter the fourth month of the pandemic in the U.S., we’re sharing how providers and advocates have remained nimble to ensure that comprehensive and consistent care is maintained throughout the pandemic and beyond.
Using Pediatric Group Visits to Promote Social Emotional Development
Boston Children’s Hospital launched an innovative pilot program focused on using group pediatric visits for 2 ½ year old children to provide parents with enhanced guidance around supporting children’s social emotional development.
An Introduction to Measuring Reliability
Measuring reliability enables us to understand the effectiveness of our health systems and initiatives and discover where improvements are needed. Not sure where to start? We're sharing an introduction to measuring and increasing reliability in your projects and initiatives.
Making Fathers Visible in Maternal and Child Health
From cognitive and social emotional development to education and accomplishments, children with involved fathers achieve better health outcomes. Yet despite fathers’ positive impact on maternal and child health, many of the systems intended to serve women and children were not designed with fathers in mind. That’s why we’re sharing strategies to increasing father involvement in early childhood programs.
NICHQ Employee Spotlight: Barbara Lambiaso
Each month, we’re shining a spotlight on a NICHQ employee, asking them to share their memories, advice, and goals. Project Manager Barbara Lambiaso shares her commitment to various NICHQ projects, including an initiative that serves children and adults with sickle cell disease.
Indianapolis Gives Moms and Babies in Prison a Healthy Start
Committed to championing a too-often forgotten population, Indianapolis Healthy Start partnered with the state’s women’s prison system to ensure that moms and babies could receive all recommended services and supports, starting with prenatal care and continuing for two years after birth.