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PNQIN MA AIM Initiative 

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

This page introduces different components of the MA AIM Initiative.
For quality Improvement Resources, or for general AIM Implementation Guides, please visit the pages via the links below.
AIM OUD Hospital Teams: To access Wave 1 or 2 Team pages, or AIM OUD Onboarding Support, please visit the links below.

PNQIN has identified the following bundles as priorities 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

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 workgroups 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

Why are We Partnering with AIM?
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


The rate of SMM increased 179% between 1998 to 2013 (from 57 per 10,000 delivery hospitalizations to 159 per 10,000 delivery hospitalizations)


Among pregnant women enrolled in the MA Bureau of Substance Addiction Services (BSAS) treatment system, 20% of pregnant women reported the use of opioids.

AIM Implementation has Several Benefits

AIM Implementation Benefits

Proven Interventions

1. Uses proven medical interventions and recommendations

Care Standardization

2. Informs care standardization to reduce variation of treatment across hospitals and systems, but can be tailored to meet local needs

Resources and Tools

3. Provides resources and  implementation tools for collaborative improvement across the state and locally

Timely Data


4. Generates data that can track results and progress and can be used for benchmark against peers (both statewide and nationally)

Improves Outcomes

5. Improves Outcomes for Severe Maternal Morbidity and Mortality​

Early outcomes revealed reduced SMM associated with hemorrhage and maternal mortality in California

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Find out more about AIM through their 2023 Spring Onboarding webinar here and slides here.
  • Webinars
    We are hosting a monthly webinar series on the first Tuesday of every month, from 1pm-2pm. Please email Mary Houghton for more information.
  • MPQC Maternal Opioid Use During Pregnancy Toolkit
    Click HERE to access the MPQC Maternal Opioid Use During Pregnancy Toolkit. This toolkit was developed by all the maternal health providers that encompass the Massachusetts Perinatal Quality Collaborative, the Massachusetts Department of Public Health, Bureau of Substance Abuse Services, Boston Medical Center’s STATE OBAT-B, and Institute for Health and Recovery. Additional thanks goes to Massachusetts Child Psychiatry Access Project (MCPAP for Moms) and Massachusetts Perinatal-Neonatal Quality Improvement Network with whom the initial document was conceptualized.'
  • Hospital Resources
    Click here to access a collection of policies, guidelines, and educational materials developed by different hospitals engaged in our collaborative.
  • Plan of Safe Care
    The Plan of Safe Care is a document created jointly by a pregnant or parenting woman, and her provider. This document helps women to think about what services or supports they might find useful, to record their preparations to parent and organize the care and services they are receiving. To view more information and see templates of a plan of safe care, click here. As part of the statewide initiative around plans of safe care, DPH and IHR have developed a robust web-based repository with searchable, geographically-organized substance use resources for pregnant and parenting women. The repository can be found on the IHR website here.
Explore AIM Components
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