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
Safe Sleep Social Media Toolkit
We’ve put together a collection of social media posts and graphics that can be used to advance advocacy, protection, and promotion of evidence-based safe-sleep practices to ensure that all babies are sleeping safely. Access the toolkit to use on your own social channels and make sure to tag @NICHQ so we can like and share your post.
Building on Campaigns with Conversations
These on-line modules, with extensive input from over 70 national organizations, are designed to help shift the approaches we have often used in promoting safe sleep and breastfeeding and to pull them together since they are all part of caring for a new baby.
Core Practices, Strategies, and Resources for Supporting Social Emotional Development in Pediatric Care
In this packet, we’re outlining the best strategies to support emotional development for participating practices so that pediatric providers across the country can benefit from their learnings
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.
NICHQ Employee Spotlight: Stacey C. Penny
With NICHQ's Rare As One Network Workstream Facilitation Initiative at a halfway point, Senior Project Director Stacey C. Penny, MSW, MPH shares an inside look at one of NICHQ's most collaborative projects.
Are Screens Making our Children’s Eyes Worse?
Even before the COVID-19 pandemic, children of all ages were spending more screen time than ever before on cellphones, tablets, and laptops. Prolonged periods of time staring at a screen that may be too big, too bright, or too close to our eyes can cause eye fatigue or even lead to dry eye, a chronic eye condition common in older adults. With eye conditions becoming more prominent in children, it's important for health professionals to encourage healthy screen viewing habits and support children’s eye health in the digital age.
NICHQ Employee Spotlight: Olivia Giordano
Olivia Giordano, MPH, Project Manager shares how her work with NICHQ’s Supporting Healthy Start Performance Project (SHSPP) is supporting 101 Healthy Start community sites to harness lessons learned, implement innovative approaches to improvement, and ultimately start to close the disparity gap in maternal and child health.
It Starts with Us and It Starts Now: Healing for Moms and Babies Begins with Ourselves and Our Systems
NICHQ CEO Scott D. Berns, MD, MPH, FAAP shares a message on healing and the ongoing need for equity-designed systems in 2021 and beyond.
Safe Sleep and Breastfeeding Initiative Invites Advocates to Join Communities of Practice
A multi-year initiative to improve infant safe sleep and breastfeeding is launching sector-specific Communities of Practice in 2021 to address policies, improve skills, and learn from other advocates’ experiences.
Top Equity Resources for Pursuing Change in 2021
Throughout this year, it has become clearer to many that the hard truth of the racism that shaped our nation requires us all—now, today—to acknowledge and address its impact in our health care systems and in ourselves. That's why we're sharing a collection of NICHQ articles and webinars that your community found most valuable in their equity journeys.