Quality improvement (QI) methods are foundational to pediatric practice, spanning process optimization, safety initiatives, and evidence-based care implementation. Many QI efforts occur at the local institutional level and can be adapted to other settings. As the QI field continues to evolve, we must consider additional strategies to reach more children. Collaborative QI facilitates access to resources that are not widely available, including subject matter and application experts, collective learning opportunities, accelerated knowledge dissemination, and implementation success.1,2