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.
July 2012 to July 2014 (regionally focused pilot phase); September 2013 to September 2017 (expansion/nationally focused phase)
- Who: Multifaceted stakeholders from many disciplines and agencies both within and across state boundaries. In 2012, IM CoIIN began as a regionally based pilot initiative in 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.
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.
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.
Five Strategies for Engaging Family Partners
Only families truly understand their own unique circumstances and needs, and only families can tell their stories. This is one reason why engaging family partners is critical for any improvement effort. How do we get families to the table though? How do we engage with them meaningfully as equal partners in improvement? Below, we’ve compiled five strategies for partnership shared by our family partners.
The Top Stories of 2018
With 2018 drawing to a close, we’re taking stock of the stories you found most engaging over the past year. From the opioid epidemic to mandated reporting to bedsharing and safe sleep, this year’s top stories tackle tough issues and are filled with passionate voices seeking to driving change in children’s health systems.
Developing Multi-Sector Partnerships in Early Childhood
Children and families deserve better services and supports. But silos in our systems makes those supports too hard to find. By building cross-sector partnerships, children’s health stakeholders can make it easier for families to find what they need when they need it. Keep reading for five strategies to develop sustainable cross-sector collaboration.
QI Tips: Developing a Successful Measurement Strategy
After 20 years of coaching teams in quality improvement, we’ve identified three questions that can help you leverage a successful measurement strategy.
Countering Systems of Oppression
How do you have conversations about structural racism and its effect on health systems? Two health professionals open up about their experiences and share advice.
Historic Trauma is Affecting Tomorrow’s Children
When Indigenous people were dispossessed from their land, they not only lost their homes but were separated from their way of life. And in many cases, children were forcefully taken from their families. How do we synthesize the promotion of breastfeeding and safe sleep practices among within the context of this historical trauma? Collectively our Indigenous healthcare professionals offer three ideas.