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 on the ground. As a result, many programs nationwide are struggling to meet families’ complex needs.

EDC was selected by the Maternal and Child Health Bureau’s Division of Home Visiting and Early Childhood Systems to design and implement the Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN), the first of its kind national quality-improvement collaborative. HV CoIIN helps states, tribes, and home visiting programs identify, test, and measure the effectiveness of policies and practices that can make a difference for children and families.

Key Activities

The HV CoIIN works to improve areas of concern specific to home visiting, such as breast feeding, developmental delays, maternal depression, and family engagement in home visits. Related activities include:

  • Identifying evidence- and experience-based practices
  • Encouraging frontline workers, supervisors, and administrators to develop innovative practices for improving outcomes
  • Disseminating the improvements within participating organizations and to other Maternal, Infant, and Early Childhood Home Visiting grantees and local implementing agencies
  • Building capacity among home visitors to use quality improvement methods


HV CoIIN states are achieving significant improvements in their services:

  • Individual agencies are showing signs of improvement in three- and six-month retention of families in the home visiting program.
  • More than 80 percent of mothers are being screened for maternal depression at appropriate intervals, a figure well above the national average.
  • Nearly 100 percent of home visitors are now adequately trained in infant feeding and lactation, supporting a key area of improvement.
  • Home visitors are providing individualized developmental promotion to 85 percent of children with developmental concerns.

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