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 Severe Hypertension in Pregnancy Patient Safety Bundle in March 2021 with seven of Indiana’s birthing facilities. Between January 2021 and June 2023, the percentage of obstetric physicians and midwives who received education on severe hypertension and preeclampsia increased from 54.9% to 82.9% and the percentage of obstetric nurses who received education on severe hypertension and preeclampsia increased from 78.4% to 92.7%. IDOH continues to support bundle implementation at participating facilities through the development of supporting resources and facilitation of webinars and trainings. As of February 2024, all of Indiana’s 77 birthing facilities are participating in implementation of the AIM Severe Hypertension in Pregnancy Patient Safety Bundle. IDOH continues to support bundle implementation at participating facilities.