Initiatives

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.

Status: Active

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.

If you are interested in learning more about this project, check out our project flyer, driver diagram or email us at eccscoiin@nichq.org

Participating States

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.

US-AK,US-DE,US-FL,US-HI,US-IN,US-UT,US-KS,US-OK,US-LA,US-NY,US-NJ,US-MA

Project Map

Project Aim: Thriving at Three

The ECCS CoIIN aims to improve outcomes in population-based children’s developmental health and family well-being. Within five years of the program start, participating ECCS Impact Grantees will strive to show a 25 percent increase in age appropriate developmental skills among their communities’ 3-year-old children.

IF THESE CONTEXTS EXIST...

A collective impact approach by means of a backbone (hub) organization at the state and community level

Linked, aligned and coordinated systems with data infrastructure that promote communication, continuity and cross-sector collaboration

Advocacy and policy change at the local, state and federal level to support families and promote healthy child development

AND THESE STATEMENTS ARE TRUE...

All ECCS Impact services provide the early identification of developmental needs

All ECCS Impact services promote developmental health and are available, accessible, high-quality, coordinated and useful to families

All ECCS Impact families and caregivers understand their important role in child development and engage in language rich, nurturing relationships

All ECCS Impact services address the social determinants of health and strengthen families and systems to mitigate risk and maximize healthy development

THEN THESE SHORT TERM INDICATORS WILL HAPPEN...

All ECCS Impact families understand their important role in child development with an awareness of community resources that support healthy child development

ECCS Impact communities will have capacities for data sharing and resources to promote the healthy development of all children

All ECCS Impact families will value, explore and utilize family and community resources that promote healthy child development

All ECCS Impact families when facing their ACE’s, current challenges and/or needs will access community resources and supports that address family stress and the social determinants of health

SO THAT THESE OUTCOMES WILL OCCUR...

All ECCS Impact families with children birth through 3 are healthy, nurturing, safe and actively promoting the healthy development of their child

A high quality developmental health promotion system is available for all children and families in the ECCS Impact communities

ECCS Impact Grantee babies will be on track to achieve their 3 year old milestones

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.

Play

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.

Already a member?

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.

Align Strengths,
Launch a Movement

From education to healthcare to public policy, building an early childhood system means tapping a diverse set of stakeholders, each with valuable insight and expertise. Separately, each sector has limited reach. Together, they have unmatched potential.

Interested in hearing from the ECCS CoIIN stakeholders about how they're aligning strengths to form a cohesive system? Watch this video from the teams and learn about the powerful partnerships they’ve developed.

Helpful Resources

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.

Webinar

Recent Webinar

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.

View the Webinar

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.