INTRODUCTION:: The New York State (NYS) Obstetric Hemorrhage Project (NYSOHP) aims to reduce maternal morbidity and mortality by improving management of obstetric hemorrhage. In order to develop a strategy for intervention, a survey of current policies and practices was conducted. METHODS:: The NYSOHP Current Practices Survey was disseminated to all NYS birthing hospitals. Participating hospitals were asked to complete the survey upon joining the project beginning October 2017. One survey was completed per hospital. Results were analyzed in aggregate and by hospital level. RESULTS:: 84 of 123 NYS birthing hospitals are participating in NYSOHP. 100% of project participants completed the survey. 98% of hospitals have an obstetric hemorrhage protocol. The top three elements addressed in protocols were: obstetric hemorrhage definition (89%), massive transfusion protocol (85%) and hemorrhage risk assessment (83%), while advisement on huddles/debriefs (57%), outcomes monitoring (43%), and information for patients (28%) were identified as areas for improvement. In practice, risk assessments were conducted: 88% on admission, 47% intrapartum, and 28% postpartum. Quantification of blood loss was used exclusively in 23% of hospitals, 20% used visual estimation and 57% used a combination. 86% conduct hemorrhage drills with variable frequency, only 37% are at least quarterly. 88% conduct reviews after serious hemorrhages. CONCLUSION:: The majority of NYS birthing hospitals fulfill many elements of readiness for obstetric hemorrhage. However, significant variation remains. Better understanding of opportunities for improvement allowed for the development of a State-wide QI intervention launched in November 2017. Further data collection and analysis will allow assessment of impact on outcomes.