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Maternal and Child Health

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Collaborative Improvement & Innovation Network to Reduce Infant Mortality

The Collaborative Improvement & Innovation Network (CoIIN) to Reduce Infant Mortality is a public-private partnership to reduce infant mortality and improve birth outcomes. Participants learn from one another and national experts, share best practices and lessons learned, and track progress toward shared benchmarks.

The CoIIN builds on the success of multiple public and private investments to improve birth outcomes. In Region IV and Region VI, following the 2012 Infant Mortality Summit, five priorities to reduce infant mortality and improve birth outcomes were selected:

  • Reduce elective delivery at  less than 39 weeks of pregnancy;
  • Expand access to interconception care (between pregnancies) through Medicaid; 
  • Promote smoking cessation among pregnant women; 
  • Promote infant safe sleep practices; and 
  • Improve perinatal regionalization (a geographically-targeted approach to assure risk-appropriate care for mothers and infants).

Why the CoIIN to Reduce Infant Mortality?

Iinfant mortality rate (IMR) map.

The infant mortality rate (IMR) is a widely used indicator of the nation’s health. In 2008, the U.S. ranked 27th in infant mortality among industrialized nations, with an overall IMR of 6.61. However, racial-ethnic disparities persist and in the same year, the IMR for infants born to non-Hispanic black mothers was 12.67, more than double the non-Hispanic white IMR of 5.52.  

The importance of this indicator is underscored by its inclusion as a Leading Health Indicator for Healthy People 2020, the Nation’s roadmap for improving the health of all Americans which seeks to reduce the IMR by 10 percent by 2020.

Collaborative Improvement and Innovation Networks are technology-enabled teams that tackle a common problem. The originator of the term describes a CoIIN as a “cyberteam of self-motivated people with a collective vision, that innovatively collaborate by sharing ideas, information, and work enabled by technology.”   

The CoIIN to Reduce Infant Mortality engages participants  in the full spectrum of change implementation – from defining the problem and crafting an intervention, through implementing and evaluating the intervention and, finally, to the diffusing and adapting effective innovations in new settings.


Regions IV, V, VI Infant Mortality CoIIN Meeting October 1-2, 2013

Region V Infant Mortality Summit 2013 March 21-22, 2013

Regions IV and VI Infant Mortality Summit 2012, January 12-13, 2012

Participating States

Region VI and Region VI CoIIN:
New Mexico
North Carolina
South Carolina

Region V CoIIN: