In response to the high pregnancy-associated death ratio in New Jersey (NJ) of 46.9 per 100,000 live births 2013-2015, in August 2018, a bill was signed into law requiring the NJ Department of Health (NJDOH) to publish a New Jersey Maternal Health Report Card, a first of its kind publication, which is required to be updated and published annually. In partnership with hospital representatives and subject area experts, NJDOH utilized a statistical approach to develop and refine mandated health metrics tailored to inform members of the public about maternity care provided by each general birthing hospital in NJ.