In a statewide initiative, coordinated by the New Jersey Hospital Association (NJHA) Quality Institute, hospitals together with nursing home and home care agencies were asked to participate in a Pressure Ulcer Prevention Collaborative. The goal of this collaborative was to decrease the incidence and prevalence of pressure ulcers across the state by 25% within a 12-month period. This article discusses the rationale for the Collaborative as well as the requirements and implementation of the initiative within Community Medical Center's Home Health Program.