PMID- 28101758
OWN - NLM
STAT- MEDLINE
DCOM- 20180222
LR  - 20181113
IS  - 1573-6628 (Electronic)
IS  - 1092-7875 (Linking)
VI  - 21
IP  - 6
DP  - 2017 Jun
TI  - Applying Collaborative Learning and Quality Improvement to Public Health: Lessons 
      from the Collaborative Improvement and Innovation Network (CoIIN) to Reduce 
      Infant Mortality.
PG  - 1318-1326
LID - 10.1007/s10995-016-2235-2 [doi]
AB  - OBJECTIVES: Infant mortality remains a significant public health problem in the 
      U.S. The Collaborative Improvement & Innovation Network (CoIIN) model is an 
      innovative approach, using the science of quality improvement and collaborative 
      learning, which was applied across 13 Southern states in Public Health Regions IV 
      and VI to reduce infant mortality and improve birth outcomes. We provide an 
      in-depth discussion of the history, development, implementation, and adaptation 
      of the model based on the experience of the original CoIIN organizers and 
      participants. In addition to the political genesis and functional components of 
      the initiative, 8 key lessons related to staffing, planning, and implementing 
      future CoIINs are described in detail. METHODS: This paper reports the findings 
      from a process evaluation of the model. Data on the states' progress toward 
      reducing infant mortality and improving birth outcomes were collected through a 
      survey in the final months of a 24-month implementation period, as well as 
      through ongoing team communications. RESULTS: The peer-to-peer exchange and 
      platform for collaborative learning, as well as the sharing of data across the 
      states, were major strengths and form the foundation for future CoIIN efforts. A 
      lasting legacy of the initiative is the unique application and sharing of 
      provisional "real time" data to inform "real time" decision-making. CONCLUSION: 
      The CoIIN model of collaborative learning, QI, and innovation offers a promising 
      approach to strengthening partnerships within and across states, bolstering data 
      systems to inform and track progress more rapidly, and ultimately accelerating 
      improvement toward healthier communities, States, and the Nation as a whole.
FAU - Ghandour, Reem M
AU  - Ghandour RM
AD  - U.S. Department of Health and Human Services, Maternal and Child Health Bureau, 
      Health Resources and Services Administration, Rockville, MD, USA. 
      rghandour@hrsa.gov.
AD  - Division of Epidemiology, Office of Epidemiology and Research, Maternal and Child 
      Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, 
      Room 18N122, Rockville, MD, 20857, USA. rghandour@hrsa.gov.
FAU - Flaherty, Katherine
AU  - Flaherty K
AD  - Katherine Flaherty Consulting, Franklin, MA, USA.
AD  - Abt Associates, Cambridge, MA, USA.
FAU - Hirai, Ashley
AU  - Hirai A
AD  - U.S. Department of Health and Human Services, Maternal and Child Health Bureau, 
      Health Resources and Services Administration, Rockville, MD, USA.
FAU - Lee, Vanessa
AU  - Lee V
AD  - U.S. Department of Health and Human Services, Maternal and Child Health Bureau, 
      Health Resources and Services Administration, Rockville, MD, USA.
FAU - Walker, Deborah Klein
AU  - Walker DK
AD  - Abt Associates, Cambridge, MA, USA.
FAU - Lu, Michael C
AU  - Lu MC
AD  - U.S. Department of Health and Human Services, Maternal and Child Health Bureau, 
      Health Resources and Services Administration, Rockville, MD, USA.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Matern Child Health J
JT  - Maternal and child health journal
JID - 9715672
SB  - IM
MH  - Humans
MH  - Infant
MH  - *Infant Mortality
MH  - *Interdisciplinary Placement
MH  - *Organizational Innovation
MH  - Program Evaluation
MH  - Public Health
MH  - *Quality Improvement
OTO - NOTNLM
OT  - Collaborative learning
OT  - Infant mortality
OT  - Quality improvement
EDAT- 2017/01/20 06:00
MHDA- 2018/02/23 06:00
CRDT- 2017/01/20 06:00
PHST- 2017/01/20 06:00 [pubmed]
PHST- 2018/02/23 06:00 [medline]
PHST- 2017/01/20 06:00 [entrez]
AID - 10.1007/s10995-016-2235-2 [pii]
AID - 10.1007/s10995-016-2235-2 [doi]
PST - ppublish
SO  - Matern Child Health J. 2017 Jun;21(6):1318-1326. doi: 10.1007/s10995-016-2235-2.