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
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.
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.
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.
Designing Systems to Eliminate the Consequences of Maternal Depression
The following case studies highlight stories of three states that have developed successful systems for screening for maternal depression and providing appropriate follow-up treatment.
Implicit Bias Resource Guide
Recognizing and addressing biases is a critical step towards eliminating health disparities and achieving health equity. In this brief, you’ll find three resources to support your work to address your own implicit biases: seven steps we can all take to minimize implicit bias; A Q&A with health experts about how to recognize and address implicit bias; and a selection of stories shared with NICHQ about the many ways bias has affected individuals.
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.
Promising Practices for Eliminating Disparities in Sleep-Related Infant Deaths
While overall infant mortality rates have gone down during the past decade, black infant mortality rates increased from 2014 to 2015. To address these numbers, individuals, organizations and health departments across the country have designed innovative community programs, grassroots initiatives, state and national campaigns, and educational materials tailored to high-risk and underserved populations that experience barriers to safe sleep practices. Together, their work provides a vital roadmap for others seeking to drive community, state and national change.
NICHQ Employee Spotlight: Meera Menon
In honor or our 20th anniversary, we're sharing insights, memories and goals from the NICHQ team. Here, NICHQ Senior Analyst shares what brought her to NICHQ and her role in supporting NICHQ' quality improvement projects.
Three Ways Hospitals Can Help Eliminate Sleep-Related Infant Deaths in their State
For the past two years, Tufts Floating Hospital for Children has been working to empower families to follow safe sleep guidelines so that more babies reach year one. Hospitals seeking to help more families adopt safe sleep practices can learn from and replicate the strategies they share.
Rare Diseases Deserve Our Attention
Between 25 and 30 million Americans, many of them children, are living with a rare disease. The complex challenges facing these children and families deserve attention and demand innovative responses. Here, NICHQ President and CEO Scott D. Berns, MD, MPH, shares his experiences, elaborates on successful strategies, and describes his goals for the future.
North Carolina’s Strategy to Address Social Determinants of Health
North Carolina is developing a system that connects individuals with resources to address social, economic and environmental barriers to their health—such as housing, food insecurity, and transportation. By putting funding and policy efforts into addressing social determinants of health, North Carolina is building a system that can improve health outcomes for children and families across the state.