In 2019, the Health Resources and Services Administration (HRSA) awarded the National Healthy Start Association (NHSA) with a cooperative agreement for a five-year project focused on improving maternal health outcomes across the United States. This program would become the Alliance for Innovation on Maternal Health Community Care Initiative (AIM CCI).


AIM CCI’s goal is to reduce maternal mortality and morbidity through the development and implementation of non-hospital focused maternal safety bundles across community and outpatient settings. These safety bundles are sets of evidence-based practices meant to improve maternal health outcomes. The bundles are created to address specific areas of need in communities that experience high rates of maternal mortality and morbidity.

By utilizing an equity framework at all stages, AIM CCI also seeks to reduce disparities in health outcomes based on race and ethnicity. Black and Native birthing persons are around three times more likely to die from pregnancy complications than white birthing persons. The root causes of these racial inequities in maternal health care must be uncovered and addressed.

Read about AIM in Rhode Island:

In response to the maternal morbidity and mortality crisis in the United States, Rhode Island has joined 26 states in the Alliance on the Innovation of Maternal Health (AIM) Collaborative. The Hospital Association of Rhode Island (HARI) and the National Perinatal Information Center (NPIC) are the lead organizations of this statewide effort, supporting hospitals, local agencies and community organizations in reducing maternal morbidity and mortality in Rhode Island.

AIM State Lead Presentation 2022