Home visiting programs have a unique opportunity to reach vulnerable families and to improve maternal, child, and family outcomes. Yet, gaps exist between our knowledge of what works and the implementation of these practices. As a result, many home visiting programs nationwide are struggling to meet families’ complex needs.

Since 2013, EDC has led the nation’s first Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN 2.0) for the Health Resources and Services Administration. Through HV CoIIN 2.0, EDC is guiding Maternal, Infant, and Early Childhood Home Visiting Program awardees in using continuous quality improvement (CQI) methods to significantly strengthen the services they provide, thereby improving the health and well-being of expectant mothers and families.  

Key Activities

EDC experts in CQI and maternal and child health carry out the following activities:

  • Use the Breakthrough Series model to develop and test interventions to improve maternal and child health, such as addressing intimate partner violence (IPV)
  • Support awardees in bringing interventions focused on maternal depression and developmental screening to large populations
  • Build capacity to engage families and promote parent leadership in CQI efforts
  • Maintain a suite of online resources
  • Manage a state-of-the art online data system that provides on-demand data to awardees


HV CoIIN 2.0 participants have significantly improved their home visiting services:

  • Over 80% of mothers are now being screened for maternal depression at appropriate intervals—a figure well above the national average.
  • Over 90% of families now receive regular developmental surveillance during home visits, and 75% of children are receiving timely screenings.
  • Over 97% of home visitors are trained in basic competencies to address IPV, and an increase of 20% of parents identified with IPV have a personalized plan for their safety.

Learn More

Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN)
U.S. Department of Health and Human Services, Health Resources and Services Administration

Brigham and Women’s Hospital