The goal of the Ventilator-Associated Pneumonia intervention is to implement the ‘VAP bundle’ of practices to prevent VAP infections and deaths. Ventilator-associated Pneumonia is the leading cause of death among hospital acquired infections and substantially increases the likelihood of mortality for ventilated patients. There are two measures – the VAP rate per 1,000 ventilator days and the implementation of the four evidence-based "bundle" elements. For the first measure, the majority of teams had implemented the four bundle elements. Half of the teams reporting data achieved the national goal of seven VAP per 1,000 ventilator days. The overall national mean for the VAP rate per 1,000 ventilator days was reduced from a baseline of 20 to five in Phase I.