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Early Childhood Comprehensive Systems Impact Initiative (ECCS Impact)

Early Childhood Comprehensive Systems Impact Initiative (ECCS Impact)

The NYS Council on Children and Families and grantees in 11 other states have been awarded the Early Childhood Comprehensive Systems (ECCS) Impact grant. This 5 year grant from the Health Resources and Services Administration, Maternal and Child Health Bureau seeks to enhance early childhood systems building and demonstrate improved outcomes in population-based children’s developmental health and family well-being using a Collaborative Innovation and Improvement Network (CoIIN) approach. The overall 5 year aim of this project is to demonstrate a 25% increase from baseline in age appropriate developmental skills among 3-year-old children in selected NYS communities. 


Aims of ECCS Impact

Strengthen NYS leadership expertise in continuous quality improvement and program innovation using quality improvement science.

Achieve greater collective impact in NYS early childhood systems, develop common aims, share statewide measurement systems and coordinate strategies at the state and local levels. 

Create two-generational approaches to integrate early childhood services.

Develop indicators to measure early childhood system processes and performance indicators that measure developmental health and health equity.

Collaborate with statewide and local leaders to adopt new early childhood system policies to ensure sustainability of the project.


Project Goals of Cohort A

The Council has partnered with the NYS Department of Health and other state and local public and private agencies to implement the following goals for the first 18 months of the project: 

  • Increase awareness, coaching and training about child development, monitoring, screening and follow-up among early childhood professionals, pediatric and family care practitioners and family members.
  • Use the CoIIN approach to identify, test and operationalize strategies to increase cross-systems (i.e. medical, early childhood, child welfare) and cross-governmental (community to county to state) integration with emphasis upon:
  • Expand the settings in which developmental screens are conducted and the professionals who conduct them;
  • Reduce health inequities in screening, service referral and access; and
  • Increase family engagement and family wellness.

For the most recent updates on the project, please see our NYS ECCS Impact Newsletter located in the project Resources section on the bottom of the page!


Frequently Asked Questions

What is a CoIIN?

A CoIIN (Collaborative Innovation and Improvement Network) is a group of people and organizations sharing a common agenda, collaborating to achieve a common goal by continuous communication and mutually reinforcing activities.   The Council as well as each of the community based teams in Nassau and Western NY have established statewide and local CoIIN teams made up of state and local leadership.  During these regularly scheduled CoIIN meetings, members have worked together to identify challenges facing their communities for children and families. Teams have reviewed their community data related to developmental screening of young children, families living in poverty and health equity. Meetings have focused upon strategizing ideas that could be implemented by the NYS ECCS Project to bring about community and statewide improvements for families and children related to developmental health and wellness. CoIIN meetings are key in ensuring the project’s commitment to a shared vision, continuous communication and rapid cycle review of progress over time.  In addition, all members of the nationwide ECCS CoIIN have access to an online virtual learning collaborative to ask questions, exchange resources, attend webinars and virtual learning sessions.  To learn more about NYS ECCS CoIIN members and our two place based communities in Western NY and Nassau county, click here.

What are the primary drivers of the ECCS Impact project?

There are 6 areas driving the improvement in the ECCS Impact Grant. The drivers are:

  1. Coordinated community-wide systems promote developmental health and early identification of developmental needs of all children & families, especially those that are vulnerable.
  2. Systems promote and maintain family dignity and integrity by supporting active involvement in identifying, promoting, improving, and managing child developmental health in ways that are meaningful to them.
  3. Systems address social determinants of health, including related needs and stressors, and support families to minimize risk, and maximize healthy development.
  4. Services throughout the ECCS that promote developmental health are available, high quality and used by families.
  5. Linked and coordinated systems promote continuity, collaboration, and cross-sector sharing in all aspects of monitoring, screening, referral and service delivery while ensuring privacy and legal rights of families.
  6. Systems promote healthy child development and support children and families through advocacy and policy change at the local, state, and federal levels.

What is a PDSA?

Plan-Do-Study-Act Cycles, referred to as PDSA Cycles for short, test small scale changes in a real world setting as part of the Quality Improvement Science Model for Improvement. Both the Nassau County and Western NY teams will be conducting PDSA Cycles in their communities throughout this project in an effort to promote system change. 


Our Partners


Federal Funding and Technical Assistance


Place-Based Community Partners



Katie Douglas
ECCS Impact Project Coordinator

Council on Children and Families
52 Washington Street
West Building, Suite 99
Rensselaer, New York 12144



ECCS Impact Resources

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