In Michigan, complications from sepsis, hemorrhage, and hypertension are the leading causes of maternal mortality and severe maternal morbidity (SMM). Between November 2015 and September 2023, more than 64% of birthing hospitals in the state participated in the implementation of AIM’s Severe Hypertension in Pregnancy Patient Safety Bundle, with the MI AIM Collaborative providing technical assistance, conducting site visits, facilitating education, and offering data support to collect structure and process data. Between 2011-2015 and 2016-2021, the statewide SMM rate excluding blood transfusions alone among patients with preeclampsia/eclampsia decreased from 7.7% to 6.6%, an overall reduction of 14.3%. The MI AIM Collaborative has a goal of engaging all Michigan birthing hospitals in quality improvement efforts that address drivers of maternal mortality and SMM to improve health outcomes for all.