MA AIM Initiative

PNQIN is excited to team up with the Alliance for Innovation on Maternal Health (AIM) Program to support implementation of maternal safety bundles in birthing facilities, clinics, and hospitals across MA.

PNQIN has identified the following bundles as the focus for MA AIM:

  • Obstetric Care for Women with Opioid Use Disorder
  • Obstetric Hemorrhage
  • Severe Hypertension in Pregnancy
  • Safe Reduction of Primary Cesarean
  • Reduction of Peripartum Racial/Ethnic Disparities

What is AIM?

Responding to a disturbingly rising maternal mortality rate in the U.S, a national partnership of provider, public health and advocacy organizations developed the Alliance for Innovation on Maternal Health (AIM). AIM works through state teams and health systems to align national, state, and hospital level quality improvement efforts to improve overall maternal health outcomes. 



What are Maternal Safety Bundles?  

Developed by multidisciplinary work groups of experts in the field, bundles are standardized evidence-informed toolkits to reduce variation in response to common issues arising in maternal care. Currently, AIM has developed 11 different bundles that focus on specific maternal health and safety topics including obstetric hemorrhage, preeclampsia, and opioid use among pregnant patients. All of the bundles provide a number of resources such as implementation guides, educational documents, and informative guidelines to support better policies and practices that aim to ultimately address these issues commonly associated with preventable maternal mortality and morbidity.

For more information on the National AIM Program, check out the AIM website by clicking here.

Why are we partnering with AIM?

Figure Source: Massachusetts Department of Public Health


The United States has the highest maternal mortality rate among all high resource countries—and it is the only country outside of Afghanistan and Sudan where the rate is rising!


Across Massachusetts:

  • Black women are between 3 – 4X more likely to die following childbirth than White women
  • Approximately 1 in 5 pregnancy-associated deaths (20.6%; n=41) was related to substance use in Massachusetts from 2005 to 2014
  • 71% of pregnant women reported use of heroin and 20% report use of other opioids
  • The rate of SMM increased 179% between 1998 to 2013 (from 57 per 10,000 delivery hospitalizations to 159 per 10,000 delivery hospitalizations)

Data Source: 2017 Massachusetts State Health Assessment

AIM Bundle Implementation Provides Many Benefits:

  1. Uses proven medical interventions and recommendations
  2. Informs care standardization to reduce variation of treatment across hospitals and systems, but can be tailored to meet local needs
  3. Provides resources and implementation tools for collaborative improvement across the state and locally
  4. Generates data that can track results and progress and can be used for benchmark against peers (both statewide and nationally)
  5. Improves Outcomes for Severe Maternal Morbidity and Mortality!
    1. Early outcomes revealed reduced SMM associated with hemorrhage and maternal mortality in California 

Join MA AIM!

Every MA hospital or birthing facility can join our growing and engaged AIM community of multidisciplinary healthcare providers, public health professionals, and cross-sector stakeholders who are committed to improving maternal outcomes in MA and across the U.S.


Help us reach our goal to end preventable maternal death and severe maternal morbidity across the Commonwealth!


Email for more information on how to join our work!

Website Administrator

Breanna Chachere

Project Manager,



Boston Medical Center

85 East Concord St. 

Dept. of OBGYN, 6th Floor

Boston, MA 02118

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