Collaborative Improvement and Innovation Network to Reduce Infant Mortality (IM 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:
- Safe Sleep: Improve safe sleep practices
- Smoking Cessation: 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
- Preterm and Early Term Births: Prevent births before 39 weeks
- Risk-appropriate Perinatal Care: Increase the delivery of higher risk infants and mothers at appropriate level facility
September 2012 to December 2013 (first regionally focused phase); September 2013 to September 2017 (current nationally focused phase)
- Who: Multifaceted stakeholders from many disciplines and agencies both within and across state boundaries. In 2012, IM 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, IM CoIIN was expanded to the remaining 31 states and eight territories and refocused on national collaboration versus regional collaboration.
- 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 (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 current, nationally focused phase, we lead teams and provide the data infrastructure, online community and continuing expert technical assistance needed to support their efforts. We work with several national partners, including AMCHP, ASTHO and the March of Dimes.
The Neonatal Abstinence Syndrome Framework
The Neonatal Abstinence Syndrome (NAS) Framework's intent is to aid in structuring stakeholder discussions at the state level to better understand how collective efforts can prevent in-utero opioid exposure and impact the incidence of NAS.
Infant Mortality CoIIN Prevention Toolkit
This interactive toolkit allows users to learn from participants in the Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN). Organized by topics from the initiative, this toolkit features change ideas, case studies, videos and key insights from teams who are working to reduce infant mortality throughout the country.
Powerful Partnerships: Working Together to Improve Care
This issue brief details the intersections between health departments' efforts to earn public health accreditation with their work in collaborative improvement & innovation networks (CoIIN).
Strategies to Increase Access to LARC in Medicaid
This issue brief details the use of LARC in preventing unplanned pregnancies, the current availability and education for women, barriers to prescribing LARC, and potential Medicaid reimbursement models to improve LARC access.
Medicaid Funding Opportunities in Support of Perinatal Regionalization Systems
This issue brief analyzes the perinatal regionalization as a system for improving risk-appropriate care, and how Medicaid funding can be used by states to better serve at-risk moms and connect them with the right treatment.
Medicaid Incentives to Improve Women's Health and Birth Outcomes
This issue brief details state Medicaid models that provide incentives for the use of effective contraception to support healthy, planned births. Additionally, the brief includes examples of state strategies to improve postpartum follow-up to monitor mothers' physical and emotional health, as well as start discussions about birth spacing and future pregnancy plans.
New Framework to Curb Births of Babies Born Addicted to Drugs
There is little consensus about the best way to diagnosis and treat opioid addiction in women and infants. As part of the NICHQ-led Collaborative Improvement and Innovation Network to Reduce Infant Mortality (Infant Mortality CoIIN), ASTHO is releasing a Neonatal Abstinence Syndrome Framework to support stakeholder discussions at the state level to better understand how collective efforts can prevent in-utero opioid exposure and impact the incidence of NAS.
Stumping Out Prenatal Smoking in West Virginia
Tobacco use during pregnancy increases the rate of stillbirth, preterm birth, birth defects, low birth weight and infant mortality. Despite this information, some states have consistently high rates of women who smoke while pregnant. Read how West Virginia succeeded in addressing this challenge as part of the NICHQ-led Infant Mortality CoIIN.
Virginia Aims for a Zero
When a 2014 report showed one child almost every three days in Virginia died related to a preventable unsafe sleep environment, leaders at the Virginia Department of Health knew it was time to take action.
Mapping State Medicaid Efforts to Improve Birth Outcomes
New maps show state Medicaid quality metrics and performance-based incentives for women’s health services to improve birth outcomes.
Collaborative Approach Helps Minnesota Accelerate Improvement
Minnesota’s Department of Health began working towards increasing the number of full term births in 2015 by focusing efforts to increase awareness and the use of 17-alpha hydroxyprogesterone caproate (17P) in women who have had previous spontaneous singleton preterm births.
The Baby Box: An Opportunity, Not A Magic Bullet
In the past few months, you may have seen increasing attention around the use in the U.S. of Finnish baby boxes to promote safe sleep environments. While the baby box can be seen as an innovative product and a promising practice, it does not meet requirements of an evidence-based initiative.