In Utah, substance use disorder contributed to 35% of maternal deaths between 2015 and 2016. In March 2020, the Utah Women and Newborns Quality Collaborative (UWNQC) began implementing the AIM Opioid Use Disorder (now Substance Use Disorder) Patient Safety Bundle. At the kick-off training, 25 of 46 birthing facilities in Utah and six birthing facilities in Wyoming participated. From March 2020 to October 2022, the percentage of pregnant and postpartum people who were screened for substance use conditions using a validated verbal screening tool in participating hospitals increased from 46% to 87%. UWNQC continues to work with participating hospitals on patient safety bundle implementation strategies.