Collaborative Improvement and Innovation Network (CoIIN) to Reduce Infant Mortality

Status: Active

WHATA 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. The CoIIN has identified six strategy areas that it will focus on:

  • Improve safe sleep practices
  • Reduce smoking before, during and/or after pregnancy
  • Pre/Interconception Care: Promote optimal women’s health before, after and in between pregnancies, during postpartum visits and adolescent well visits
  • 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
  • Risk-appropriate Perinatal Care: Increase the delivery of higher risk infants and mothers at appropriate level facility

Learning networks are developing around each strategy, and every state, jurisdiction and territory has selected up to three learning networks in which to participate.

WHO: Multifaceted groups of stakeholders from many disciplines and agencies and within and across state boundaries. In 2012, the CoIIN began as a regionally based initiative in 13 states from the southern and southwestern U.S., with six other Midwestern states joining the effort in 2013. In 2014, the CoIIN was expanded to the remaining 31 states and eight territories and refocused on national collaboration versus regional collaboration.

WHEN: September 2012 to December 2013 (first regionally focused phase); September 2013 to September 2016 (current nationally focused phase)

FUNDER: The project is funded by the Maternal and Child Health Bureau (MCHB) of the Health Resources and Service Administration (HRSA) in the Department of Health and Human Services.

NICHQ'S ROLE: In the first phase of the CoIIN, NICHQ provided project teams with technical assistance on how to incorporate quality improvement principles into their work. In the current, nationally focused phase, NICHQ was selected to lead the teams and provide the data infrastructure, online community and continuing expert technical assistance needed to support their efforts. NICHQ is working with several national partners, including AMCHP, ASTHO and the March of Dimes.

Project Video
Get inspired for this great infant mortality reduction movement by hearing from CoIIN participants as they begin their work.


Doctor cradling a small baby

CoIIN Participants

Register new team members to receive CoIIN newsletters, Online Community access, Thematic Webinar information and more.

Access the Online Community at


  • How Delaware Became a Model for States in Preventing Infant Deaths [Read]
  • Group Care for Women and Babies Reduces Pre-Term Births, Increases Care Satisfaction [Read]
  • Maternal Interviews Key to Addressing Infant Mortality [Read]
  • Saving Newborns by Changing the Delivery System [Read]
  • Thoughts from a Pioneer and Leader in the Drive to Reduce Infant Mortality [Read]
  • Taking the Fight to Reduce Infant Mortality Nationwide: AMCHP Shares Its Perspective on Innovating to Save Babies Lives [Read]
  • Hundreds Kick Off National Infant Mortality Movement [Read]