Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN)
A 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. Infant Mortality CoIIN has identified six strategic areas to focus on:
- SIDS/SUID/Safe Sleep: Improve safe sleep practices
- Smoking Cessation: Reduce smoking before, during and/or after pregnancy
- Preconception/Interconception Health: Promote healthy birth spacing and reduce unintended pregnancy
- 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: Increase appropriate use of 17 OH progesterone, a hormone given to prevent pre-term labor, and/or reduce early elective deliveries (i.e., before 40 weeks gestation)
- Risk-appropriate Perinatal Care (perinatal regionalization): Increase the delivery of higher-risk infants and mothers at appropriate level facilities
Keep scrolling, or use these quick links, to learn more.
Phase one: 19 states in regions IV, V, and VI, September 2012 to August 2014 led by Abt Associates with NICHQ as subcontractor; Phase two: National Expansion, September 2013 to September 2017, led by NICHQ
- Who: Multifaceted stakeholders from many disciplines and agencies both within and across state boundaries. In 2012, IM CoIIN began with 13 states from the southern and southwestern U.S., with six other Midwestern states joining the effort in 2013. In 2014, IM CoIIN was expanded to the remaining 31 states and nine jurisdictions and refocused on national collaboration versus regional collaboration.
- Funder: The project was funded by the Maternal and Child Health Bureau (MCHB) of the Health Resources and Services Administration (HRSA) in the Department of Health and Human Services (HHS).
- Our Role: In the first phase of the IM CoIIN, we provided project teams with technical assistance on how to incorporate quality improvement principles into their work. In the nationally focused phase, we led state teams and provided the data infrastructure, online community and continuing expert technical assistance needed to support their efforts. We worked with several national partners, including AMCHP, ASTHO and the March of Dimes.
Results Webinar: Big Wins and Next Steps in Addressing Infant Mortality
In a recent webinar, NICHQ shared the results and impact of the work to date, strategies that led to success, key resources and next steps to keep the momentum going.
View this webinar, as well as our full expert series here
The following issue briefs are a result of a shared commitment with our partners to spread learnings from the Infant Mortality CoIIN.
- Strategies to Increase Access to Long-Acting Reversible Contraception (LARC) in Medicaid
- Opportunities for States to Improve Women’s Health and Birth Outcomes through Medicaid Incentives for Effective Contraceptive Use and Postpartum Care
- Preventing Preterm Birth Through Progesterone: How Medicaid Can Help Increase Access
- Using Maternal and Child Health Quality Improvement Efforts to Advance State Health Agency Accreditation
- Medicaid Funding Opportunities in Support of Perinatal Regionalization Systems
Quality Improvement Courses
Our Quality Improvement (QI) courses have helped thousands of people start their journeys in improvement science. These courses teach the fundamentals of quality improvement (QI); how to use this methodology to create effective, beneficial change; and give direction on how to test improvement ideas and increase their impact and effectiveness.
We are currently in the process of re-developing these courses to provide a new, expanded, and even more interactive experience. Please use the form below to be notified with updates.
ECHO DINE Quick Facts
Download this helpful flyer for some quick facts about Environmental Influences on Child Health Outcomes: Developmental Impact of NICU Exposures (ECHO DINE) – a research study on the long-term impact of environmental exposures in neonatal intensive care units (NICUs).
Sickle Cell Awareness Month Toolkit
Share these ready-to-use social media graphics and posts in honor of Sickle Cell Awareness Month to continue the conversation about sickle cell disease and sickle cell trait. When posting, use the hashtag #SickleCellMatters2023 and tag @NICHQ so we can like and share your posts!
New York State Obstetric Hemorrhage Project
The goal of the NYS Obstetric Hemorrhage Project was to reduce maternal morbidity and mortality statewide by translating evidence-based guidelines into clinical practice to improve the assessment for and management of obstetric hemorrhage.
National Infant Mortality Awareness Month Toolkit
Share these ready-to-use social media graphics and posts in honor of Sickle Cell Awareness Month to continue the conversation about sickle cell disease and sickle cell trait. When posting, use the hashtag #SickleCellMatters22 and tag @NICHQ so we can like and share your posts!
National Infant Mortality Awareness Month Toolkit
In recognition of National Infant Mortality Awareness Month, we’ve put together a collection of social media posts and graphics that can be used to raise awareness about infant mortality and make sure that families are equipped with the tools to live healthier lives. Share these ready-to-use social media graphics and posts to continue the conversation about our nation’s history and its impact on modern-day health outcomes in the Black community.
Preparing Children with Special Healthcare Needs for Transition of Care
Transitioning from pediatric to adult care can be challenging for any young person, but those challenges are often amplified for children with special healthcare needs. Two young adults with complex medical conditions share their experience with transitioning from pediatric to adult care.
TRANSCRIPT | Connecting Infant and Maternal Health Outcomes – Prematurity Awareness Month
Our main story this episode highlights he links between maternal and infant health, and the impacts of preterm birth on health outcomes for mothers, birthing people, and babies. Hear from NICHQ VP of Equity and Innovation Dr. Stacy Scott, Ph.D. D, MPA, who shares some equity considerations regarding disparate rates of preterm birth, infant mortality, and maternal mortality. Dr. Zsakeba Henderson, MD, FACOG, NICHQ’s senior health advisor, also connects the impact of maternal health on infant health outcomes while shining a light on the U.S. maternal mortality crisis and current policy initiatives that can help reverse maternal mortality trends.
4 Strategies for Transitioning from Pediatric to Adult Care for People Living with Sickle Cell Disease
Whether transitioning to college or a full-time job, it's a time when young adults are going to be establishing their independence from their nuclear family and taking responsibility for their own needs. For a young person with special healthcare needs such as SCD, the responsibilities are compounded by the additional need to begin transitioning from pediatric to adult care. Read more for four helpful strategies for transitioning from pediatric to adult care for people living with sickle cell disease and other special health conditions.
TRANSCRIPT | Sickle Cell Awareness Month: Transitioning to College, Equity Considerations, and Resource Sharing
Our main story this episode highlights the need for resources for people living with sickle cell disease and strategies for transitioning from pediatric to adult care. We also reflect on National Infant Mortality Awareness Month and hear from NICHQ team member about connecting their personal and professional passion for equity. Thanks for joining us!
For our main story in this episode we are joined by Summer 2023 NICHQ Communications & Digital Strategy interns Amalia Hirschhorn-Martinez and Katie McCormick. They speak with members of the NICHQ team about our upcoming webinar focused on infant safe sleep and breastfeeding messaging and NICHQ’s continued work to ensure health professionals and the communities they serve are supported with the necessary tools and resources to create safe sleeping environments and improve breastfeeding and chestfeeding rates.
Continuing Conversations Around Breastfeeding and Safe Sleep Promotion
Join NICHQ for an upcoming webinar “Their stories are so powerful”: Community-based approaches to infant safe sleep and breastfeeding promotion, on Aug. 23. from 2-3:30 PM EST. The webinar will highlight findings from a recent NICHQ-led study titled “Community-Based Approaches to Infant Safe Sleep and Breastfeeding Promotion, a Qualitative Study,” published in BMC Public Health in March.