The Indiana Department of Health (IDOH), in collaboration with the state’s Maternal Mortality Review Committee, the Indiana Hospital Association, and the Indiana Perinatal Quality Improvement Collaborative, began implementation of the AIM Obstetric Hemorrhage Patient Safety Bundle in December 2019 with 80 of the state’s birthing facilities. Between July 2022 and June of 2023, the percentage of people who had their blood loss measured through quantitative and cumulative techniques remained high and increased from 86.5% to 89.0%. During the same time, the percentage of patients who received a hemorrhage risk assessment for the duration of their birth hospitalization also remained high and increased from 88.6% to 90.2%. As of April 2024, 99% of the state’s birthing facilities participate in bundle implementation. IDOH continues to support bundle implementation at participating facilities with obstetric services and works to continuously recruit new facilities to engage in implementing the AIM Obstetric Hemorrhage Patient Safety Bundle.