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?

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

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:

AIM Implementation has Several 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


A cooperative voluntary program involving Massachusetts maternity facilities and key perinatal stakeholders, designed to promote the sharing of best practices of care.