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.
One Step Closer to the National Norm of Infant Safe Sleep and Breastfeeding
Consistent, evidence-based advice on safe sleep and breastfeeding, whether in a hospital or at home, could improve maternal and infant health outcomes, save babies’ lives, and address significant racial disparities. Learn how a national initiative is seizing every opportunity to support caregivers and babies by working with hospitals and prenatal care centers, social service agencies, and other community touch points across the country.
Improving Healthcare Environments for Vulnerable Newborns
NICUs provide life-saving care for preterm babies. But, they can also expose babies to a high level of chemicals at an especially vulnerable period of life. Here, learn about a first-of-its-kind study on the long-term impact of environmental exposures in the NICU.
How States Can Better Support Community Early Childhood Efforts
Providing families with comprehensive services that actually fit their needs starts by elevating the work at the community level to inform policy and program improvements. New York’s approach to synergizing state and community work offers a valuable framework for other states to take up in their own systems-change efforts.
Heath Equity: What You Can Do
Because not everyone has equal opportunity to the resources needed for health and well-being, disparities are pervasive right from the earliest years of life. But where does an individual start? How does one person make a dent in a systemic and structural problem? Find three ideas here.
Are Your Hospital’s Website Images Safe-Sleep Friendly?
The internet is filled with unsafe images of babies sleeping. Hospital websites can set a much-needed positive online precedent. Here, learn what you can do make sure your hospital images are safe sleep friendly.
How to Improve Health Systems for Families: One Mom's Investment in Change
In 2004, after experiencing severe preeclampsia, Tara Bristol Rouse quickly learned just how complicated the health system can be. Now, after 15 years of advocacy, she’s sharing making things easier for families across the nation.