Birth to One  – Supporting NICU Infants Hospital to Home

The Neonatal Intensive Care Unit (NICU) in hospitals serves very sick and fragile infants.  All care is provided in one place.  When infants are discharged and sent home, parents often feel alone and scared and needing to manage a whole array of new clinicians in their community.

The Birth to One Project was set up to help families connect to and understand how their community partners can help before they leave the hospital and provide virtual parent to parent support in their first year home.

Washington State’s Children with Medical Complexity Collaborative Innovation and Improvement Network (CMC CoINN) is a 4-year award from the Health Resources and Services Administration of the US Department  of Health and Human Services and overseen by Boston University School of Social Work.


Project Overview

  • English – Birth to One:  Washington State Children with Medical Complexity Collaborative Innovation and Improvement Network (CMC CoIIN) Word version  PDF version
  • Spanish – Birth to One (Nacimiento Hasta Un Año): Red de Colaborativa Innovación y Mejoramiento Para Niños con Necesidades Médicos Complejos del Estado de Washington (CMC CoIIN) Word  version  PDF version

Washington State Birth to One Roadmap

Project Overview Presentation

Discharge Packet

  • Families with children 0-3 years old, discharging from the NICU, MED, and SURG floors  get a discharge packet to help answer common questions.
  • Discharge Packet contents

Additional Resources


Early Intervention

  • Primer explaining what early intervention is to hospital staff.  This document was created explicitly to expedite infant referral from hospital PRIOR to baby’s discharge:
  • Early Supports for Infants and Toddlers (ESIT or state Birth to Three program) referral form for health care providers:
  • List of ESIT qualifying diagnoses

Medical Home