Early Childhood Comprehensive Systems Collaborative Improvement and Innovation Network (ECCS CoIIN)
A multiyear initiative to improve early childhood service systems in 12 states to increase age-appropriate developmental skills among 3-year-old children and reduce developmental disparities.
Keep scrolling, or use these quick links, to learn more.
August 2016 - August 2021
- Who: Twelve states and their respective communities (see map), which will be comprised of community leaders, researchers, healthcare providers and family partners.
- Funder: Health Resources and Services Administration Maternal and Child Health Bureau. Partners on the project include: ZERO to THREE (ZTT), Applied Engineering Management Corporation (AEM), the Association of Maternal and Child Health Programs (AMCHP) and the Institute for Healthcare Improvement (IHI).
- Our Role: Lead the NICHQ Coordinating Center for ECCS CoIIN to support state teams through quality improvement and innovation, using collaboration and rapid cycle testing to create new approaches that will enhance early childhood systems.
Teams are provided technical assistance and an online collaborative workplace (NICHQ's Collaboratory) to promote continuous communication, and a data dashboard to capture shared measures and track progress toward the common agenda. Click on the map below to see a list of participating communities in the 12 "Impact Grantee" states.
- Norton Sound
- New Castle and Wilmington
- Western Sussex
- Western New York
- Choctaw County
- McCurtain County
- Pushmataha County
- Geary County
- Montgomery County
- San Juan
- South Salt Lake
Project Aim: Thriving at Three
Equity Action Lens
NICHQ is infusing its focus on health equity into the ECCS CoIIN initiative. This graphic, which we call the Equity Action Lens, shows the fusion of three perspectives essential to foster health equity: social determinants of health, life course perspective, and the social ecological model, which include multiple levels and sectors of social influence and support. The Equity Action Lens helped to guide the design of the theory of change for this initiative.
Join Our Virtual Community
The ECCS CoIIN Collaboratory (CoLab) is a virtual place where ECCS CoIIN participants and stakeholders can share ideas and best practices, ask questions, and uncover useful tips to advance their change efforts.
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Want to join? Submit a request for an account, and a site moderator will review and send you a welcome email with additional details once approved.
We've curated several resources for those working to improve early childhood systems:
- The Integration of Early Childhood Data
State profiles and a report from the U.S. Department of Health and Human Services and the U.S. Department of Education
- Implementation of Young Child Wellness Strategies in a Unique Cohort of Local Communities
A report of lessons learned from Project LAUNCH (Linking Actions for Unmet Needs in Children’s Health.
- The Guide to Community Preventive Services
A collection of evidence-based findings from the Community Preventive Services Task Force to improve health and prevent disease.
- Achieving the Promise of a Bright Future
A policy brief from ZERO to THREE outlining recommended developmental screening of infants and toddlers.
- From the Ground Up: Establishing Strong Core Policies for Infants, Toddlers and Families
This resource describes the rationale for investing in programs that support children’s development in the earliest years of life.
- Infant-Toddler State Self-Assessment Toolkit
This toolkit is intended to help state policy leaders and advocates assess the current status of services for infants, toddlers and their families, and to set priorities for improvement.
Engaging Families from Diverse Backgrounds with Developmental Screening and Child Well-Being
Early childhood screenings, starting at 9 months, give children with disabilities the opportunity to thrive. At NICHQ, we're committed to helping improve access for all children. View our recent webinar to find out how to engage families from diverse backgrounds and improve screenings in your state.
Building an Early Childhood Community Coalition
A coalition of diverse stakeholders has proven to be a catalyst for early childhood improvement in Chelsea, Massachusetts, helping them align messages, raise awareness, and collect more robust and relevant data. Ready build one in your community? Find out how here.
A Call to Keep More Moms and Babies Safe
Preeclampsia, a dangerous disorder where a mother’s blood pressure spikes during pregnancy, is one of the leading causes of maternal and infant illness and death. Here, a mother who lost her baby daughter shares a plea for improvement.
Millions of Invisible Children
Over 13 million children live in rural areas and of those 13 million, more than a quarter live in poverty. Here, NICHQ Chief Health Officer Elizabeth Coté, MD, MPH, expands on the urgent need to understand and respond to the disparities in health outcomes for this population of children.
Bringing Breastfeeding Support to More Mothers and Caregivers
In an increasingly digital age, telelactation support is a powerful opportunity to increase breastfeeding rates among amothers who can't access classes. In addition to over the phone, lactation consultants and counselors can support moms through video chats like Skype, via text message or in online communities.
A Mother-Centered Approach to Treating Neonatal Abstinence Syndrome
A mother-centered approach to caring for NAS may reduce the need for drug treatment and length of hospital stays. Here, Matthew Grossman, MD, one of the authors of the approach, expands on its benefits for improving infant health outcomes.
A Better Approach to Conversations about Breastfeeding
Without hearing directly from mothers, health professionals can’t provide meaningful education and support that speaks to each mother’s individual views and experiences. This is one reason why improving conversations with breastfeeding mothers can help increase breastfeeding rates. Here, two experts offer advice on how put a better conversational approach into action.