UC449476

Alliance for Innovation on Maternal Health - American College of Obstetricians and Gynecologists
Christie Allen (202)349-7382
aim@acog.org
www.saferbirth.org

Notice of Funding Opportunity, HRSA-23-084, $3 million annually

Project Abstract

The Alliance for Innovation on Maternal Health (AIM) Technical Assistance (TA) Center at the American College of Obstetricians and Gynecologists (ACOG) provides comprehensive, high impact, TA to the AIM Quality Improvement Initiative within the United States (US). AIM program entities implement Patient Safety Bundles (PSBs) and other best practices that make birth safer, improve maternal health outcomes, and save lives.

AIM entities implement 8 core PSBs: Obstetric Hemorrhage, Severe Hypertension in Pregnancy, Safe Reduction of Cesarean Birth, Care of the Pregnant and Postpartum Person with Substance Use Disorder, Cardiac Conditions in Obstetric Care, Sepsis in Obstetric Care, Postpartum Discharge Transition, and Perinatal Mental Health Conditions – collections of evidence-based practices used in a standardized manner across settings of care. Each core bundle has associated metrics related to structure, process, and outcome measures which inform successful rapid-cycle implementation.

Entities supported by the TA Center in implementing AIM PSBs include state and jurisdiction based teams, birthing facilities, Indian Health Services (IHS) facilities, and tribal health entities working to reduce preventable maternal mortality and severe maternal morbidity (SMM) in the US. The AIM TA Center’s vision is that every pregnant and postpartum person receives safe, respectful, and equitable care in their birthing experience. The TA Center also seeks to provide resources and education to allow pregnant and postpartum people to recognize and respond to warning signs during all periods of care.

The AIM TA Center partners with a Clinical and Community Advisory Group, 13 key organizations including aligned clinical member associations, public health, quality improvement, and advocacy organizations, as well as patients and families with lived experience. The Advisory Group assists the AIM TA Center in providing expert TA, furnishes subject matter experts to support resource development, surfaces emerging topics, and informs agendas and event plans.

AIM TA Center program objectives include planning and monitoring of AIM work nationally. By August 31, 2027, the TA Center will: 1) increase the technical assistance provided to participating AIM states for implementing AIM Patient Safety Bundles; 2) increase the number of hospitals and other birthing facility settings implementing Patient Safety Bundles; 3) increase the overall number of core bundles being implemented and/or sustained; 4) support widespread implementation of the core Patient Safety Bundles, all of which include elements focused on the provision of respectful, equitable, and supportive care; 5) provide TA to support AIM states in reporting key measures by race and ethnicity, at a minimum, to evaluate disparities.

The TA Center accomplishes these objectives through robust multimodal learning opportunities, publicly available resources, and curriculum responsive to emerging needs. This is facilitated by onboarding trainings to orient new entities participating in AIM; national collaborative-based learning opportunities via Communities of Learning (CoL) to support priority areas for PSB implementation; coordinating standalone TA webinars on AIM bundle elements; individual TA provided by AIM program staff; and in person peer to peer learning. The TA Center also frequently provides TA to entity teams related to data needs.

AIM entities are supported in reporting key PSB implementation measures by race and ethnicity and in data-driven quality improvement by a Data and Evaluation Team that offers a Data CoL; access to a Quality Improvement Data Visualization AIM Data Center; robust written and electronic resources; and direct data coaching and office hours with internal staff.

American College Of Obstetricians And Gynecologists

NOT APPLICABLE

93.110 - Maternal and Child Health Federal Consolidated Programs

HRSA Office of Federal Assistance Management (OFAM) [HHS - HRSA]

Maternal and Child Health Bureau (MCHB) [HHS - HRSA]

Washington, District Of Columbia United States

City-Wide

Alliance for Innovation on Maternal Health (AIM) Technical Assistance Center (HRSA-23-084)

Amendment Since initial award the End Date has been shortened from 08/31/27 to 09/02/25 and the total obligations have increased 31% from $3,000,000 to $3,940,000.