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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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.
Recognizing Implicit Bias Can Reduce Inequities in Children’s Health
Here, Joseph R. Betancourt, MD, MPH—a nationally and internationally recognized expert in healthcare disparities, cross-cultural health and cross-cultural communication—shares recommendations to help health professionals and improvement teams better identify bias and prevent it from affecting their behaviors and decisions.
Lead Poisoning Continues to Put Too Many Children at Risk
In more than 4 million homes across America, children are living and playing while being exposed to the damaging effects of lead. This Alabama family's experience illustrates why improving provider education is an important driver for states seeking to improve systems of care; it leads to earlier testing, early and effective interventions, and the coordinated care families need so that more children have the opportunity to grow up in healthy, safe environments.
A Grandfather’s Passion to Transform Early Childhood Systems
David Armstrong's grandson was born into a neighborhood where drug use was common, and poverty and gang violence were pervasive. He was born into a home where his parents struggled with substance abuse and where their fighting sometimes ended in domestic violence. He is one of too many children born into circumstances that illustrate why families need better supports and better systems. Here, Armstrong shares their story.
An African-American Fraternity Alliance is Changing Infant Health Outcomes
In Arkansas, nearly 300 babies die before their first birthday each year. That’s almost a baby every day. Determined to change these numbers and reach communities most affected, the Arkansas Department of Health turned to a nontraditional partner for maternal and infant health: Brothers United, an alliance of African American fraternities.
The Opioid Epidemic and Maternal Health: Three Opportunities for Change
Opioid use disorder in pregnancy has increased dramatically across the country in the last decade, bringing with it increased health risks for mothers and babies. Health professionals can help change these statistics by making the most of every interaction they have with new mothers, from prenatal care to building postpartum supports. Click in for advice from experts in the field.
Driving Improvement with Motivational Interviewing
Change is most effective, and most sustainable, when individuals choose to make the change because they’ve realized it supports their goals. While eliciting that realization isn’t always easy, drawing on motivational interviewing (MI) can help. Click in for three strategies to get your team started on using this technique.