The Indiana Department of Health (IDOH) joined the Alliance for Innovation on Maternal Health (AIM) in 2019 and collaborated with the state’s Maternal Mortality Review Committee, the Indiana Hospital Association and the Indiana Perinatal Quality Improvement Collaborative to implement AIM’s Severe Hypertension in Pregnancy patient safety bundle. As of February 2022, Indiana has engaged 77 of the state’s 84 birthing facilities in implementation of the Severe Hypertension in Pregnancy patient safety bundle. To support participating birthing facilities in quality improvement work, IDOH designed a Maternal Hypertension Toolkit and facilitated webinars and trainings. Between Q1 2021 and Q4 2021, the percentage of participating facilities with unit policies and procedures to respond to hypertensive emergencies increased from 74.4% to 91.0%. During the same period, the percentage of obstetric physicians and midwives who received education on severe hypertension and preeclampsia increased from 55.7% to 69.2% and the percentage of obstetric nurses who received education on severe hypertension and preeclampsia increased from 79.7% to 90.6%. IDOH continues to support bundle implementation at participating facilities and works to continuously recruit new facilities to engage in quality improvement work.