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
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.
Fast Facts to Champion Support for Caregiver Depression
This brief provides fact sheets on the key strategies and information influencers need to help more caregivers affected by depression access the supportive services and resources.
Interactive E-Handout for Safe Sleep Conversations
This interactive E-handout helps families learn about safe sleep practices. Health professionals can sit with families and click through the pages where they’ll find different sleep scenes and environments. A series of prompts and pop-ups show what is and is not safe and inspire learning conversations. Families can also access the handout at home and use it to teach their friends and families about safe sleep.
National Sudden Infant Death Syndrome (SIDS) Awareness Month Social Media Toolkit
In recognition of National Sudden Infant Death Syndrome (SIDS) Awareness Month, we’ve put together a collection of social media posts and graphics. Use these to raise awareness about SIDS and safe-sleep related deaths so that more babies reach year one. Download the toolkit to use on your own social channels and make sure to tag @NICHQ so we can like and share your post
Opportunities for Medicaid to Transform Pediatric Care for Young Children to Promote Health, Development, and Health Equity
Covering one half of young children birth to five, Medicaid (and Medicaid-CHIP programs) plays a critical role in improving young children’s health and developmental outcomes and assisting the families who support their healthy development. This document provides a common framework and specific opportunities for states and their partners working to improve Medicaid for young children.
Supporting Children’s Health During the COVID-19 Pandemic
While most children may be unlikely to have adverse health effects from the illness, COVID-19’s overall impact on children’s health outcomes will likely be far reaching.
Promoting Fathers’ Mental Health During Children's Early Childhood
Father involvement has significant benefits for everyone involved. But too often, social expectations about masculinity and structural barriers make it difficult for fathers to get involved, especially during the early years of life.
Addressing Black Maternal Mortality Rates Starts with Listening to Black Women
In New York State (NYS), Black women are more than three times as likely to die from pregnancy or giving birth as white women. This disparity has persisted alongside the U.S.’s rising maternal mortality rate, which has doubled in the past 15 years. Recognizing the urgent need for change both within their state and across the nation, NYS launched an initiative to engage women of color in identifying sustainable solutions for improvement.
Four Steps to Address Racism’s Impact on Maternal and Child Health
Racism has been baked into U.S. systems and structures since enslavement, and Black families and other people of color are still suffering its consequences. As health professionals, it’s vital to acknowledge that all forms of racism—institutional, personally mediated and internalized—are real, are present in health systems, and are adversely affecting the health of Black families. One person can’t solve a systemic problem, but there are impactful steps everyone can take to help address it.
NICHQ Employee Spotlight: Rachel Leibowitz
Each month, we’re shining a spotlight on a NICHQ employee, asking them to share their memories, advice, and goals. Here, Accounts Payable Coordinator Rachel Leibowitz shares how her experience in non-profit finance has helped revamp NICHQ’s financial systems and support NICHQ employees' work to improve children's health outcomes.
Using an Equity Lens to Reduce Maternal Mortality in Louisiana
Louisiana has one of the highest maternal mortality rates in the country. And troublingly, Black women are dying from pregnancy-related deaths at over four times the rate of white women. According to a recent report, more than half of these deaths could have been prevented by making a system change, either at the patient, community, or hospital level. These findings illustrate the enormous potential that quality improvement initiatives have for reducing maternal mortality in Louisiana and eliminating the Black-white disparity in maternal deaths.. Here, the Louisiana Perinatal Quality Collaborative shares seven opportunities for improvement.