In the past 10 years, tracheostomy- related catastrophic events have galvanized the international community. The most startling realization in the wake of these findings was that most of these catastrophic events were preventable, arising from avoidable shortfalls in education, preventive, or rescue measures. The Global Tracheostomy Collaborative (GTC) emerged with a vision of safe tracheostomy care worldwide for patients through building a learning community that promoted key drivers of improved care. A cornerstone of this effort has been patientcentered multidisciplinary teams.