Child Safety Collaborative Innovation and Improvement Network

Child Safety Collaborative Innovation and Improvement Network


More children and adolescents ages 1-19 die from injuries and violence than from all diseases combined, and injuries are a leading cause of emergency department visits, hospitalizations, and disabilities. The Child Safety CoIIN represents an unprecedented opportunity for states and jurisdictions to advance evidence-based strategies for injury and violence prevention. Through the Child Safety CoIIN, states and jurisdictions are working with one another to increase the adoption of evidence-based policies, programs, and practices at state and local levels.

 - PDSA Cycles lead to development, testing, implementation, and spread of change ideas. - Development, testing, implementation and spread of change ideas leads to movement in the process measures. - Movement in the process measures leads to movement in the outcome measures.

For questions about the Child Safety CoIIN, please contact:

Jennifer Allison


The Child Safety CoIIN Charter explains the methodology and timeframe for Cohort 2. 


Activities of the CS CoIIN

Learning Session:

  • Meeting of all Topic Teams. May occur virtually or in person
  • Content includes action planning and accelerating learning
  • May include pre-work, such as storyboard development

Topic Calls

  • Virtual meeting of a sub-set of Strategy Teams working on a particular topic or strategy
  • Takes place monthly during the action periods, which occur between Learning Sessions
  • Topic Calls take an all teach all learn approach. Active paticipation is expected, and at least one presentation over the life of the CS CoIIN is requested.

PDSA Cycles

  • Occur continuously and are reported using the web form at least monthly
  • Are reviewed by the CS CoIIN Improvement Advisor
  • Impact process measures

Monthly Report

  • Outcome Measures (ED Visits, Hospitalizations, Deaths)
  • Process Measures from the change package that relate to selected drivers
  • Statements on lessons learned, barriers and success
  • The IHI Improvement Scale Self Assessment and Improvement Advisor Assessment (see glossary for additional information)
Timeframe of the CoIIN

CS CoIIN Timeline: January 2017- June 2018

CS CoIIN TImeline

January 2017: Call for Applications

February 2017: Applications Due

March 2017: Acceptance Announcement

April 2017: Pre-work

May 2017: Cohort 2 Learning Session & Summit: In-person, Waltham, MA

June–September 2017: Action Period: PDSA Cycles; Monthly Topic Calls; Monthly Reports; Strategy Team and State Team Meetings

October 2017: Learning Session

November 2017- March 2018: Action Period: PDSA Cycles; Monthly Topic Calls; Monthly Reports; Strategy Team and State Team Meetings

April 2018: Learning Session

May 2018: Strategic Planning for Holding the Gains Past the End of the CS CoIIN

Change Packages

The Change Packages list the evidence-based and evidence-informed strategies that will lead to breakthrough improvement in five topic areas of child safety.

The Change Packages include the Child Safety CoIIN aim statements, goals, drivers, change ideas, and measures. They were developed by the Children’s Safety Network (CSN) with input from the Steering Committee of the National Coordinated Child Safety Initiative and the states and jurisdictions that participated in Cohort 1.

Infographic: A Roadmap to Continuous Quality Improvement

 A Roadmap to Continuous Quality Improvement

Child Safety CoIIN: A Roadmap to Continuous Quality Improvement

The following information uses the analogy of a road trip to describe the steps for participants in the Child Safety CoIIN. We hope it will help you understand how all the different components fit together and how your state, jurisdiction, or tribal community team can use quality improvement to prevent childhood injuries. For definitions and additional information, see the CS CoIIN Charter.

Decide Where You Want to Go

State your destination as an aim statement reflecting the reduction in injuries you would like to see by the end of the CS CoIIN (make sure your aim statement is SMART*)

If you work on more than one topic area, you’ll need a destination for each!

Map Your Route

Think of the Change Ideas in the Driver Diagram as roads. While choosing the roads you will take, ask yourself:

  • Do the roads lead to the destination (aim statement)?
  • Will the roads get me to the destination on time?

You may need to revise your destination and roads a few times to make sure you’re on the best route.

Pick Your Passengers

Your passengers are the people who carry out the change ideas and collect data. While selecting your passengers ask yourself:

  • Who has the resources, connections, and know-how to get you to your destination and map your progress?

Be sure to consider state agencies, epidemiologists, community-based organizations, coalitions, law enforcement, hospitals and health clinics, schools, policy-makers, etc.

Buckle Up, Start Your Engine, and Hit the Road

Start developing, testing, implementing, and spreading your change ideas through Plan Do Study Act (PDSA) cycles.

Think of each PDSA cycle as a revolution of your tires.

Check Your Dashboard

Your dashboard consists of real-time data that helps you make sure everything is working properly and you are still on track to arrive at your destination on time. These are the core components of your dashboard:

  • Process measures will show how quickly you are moving towards your destination. Make sure they are measuring what you are working on
  • Outcome measures will show how close you are to your destination
  • PDSA cycles will show when your change ideas are working and when they need adjustment

Conduct Routine Maintenance

Continuously check and respond to your dashboard. Ask:

  • Are you still going to the same place?
  • Have any passengers gotten out of your car?
  • Do you need to pick up new passengers?
  • Did you hit any detours or express lanes?
  • Do you need to revise your goals or route?

Share your journey with other state teams and learn about their journeys. Someone might find an alternative route that will get everyone to their destination faster!

Plan Your Next Road Trip

Once you make it to your destination, keep on going! Using what you learned on your journey, spread your successful strategies across your state.

*Specific, Measurable, Achievable, Realistic, Time bound


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