In this talk, participants will understand how a humble beginning of comparison of outcomes between Canada and Japan led to development of a massive 13 country wide, >400 NICU mainly from high income countries. Participants will understand the importance of global data sharing and comparing practices, processes and outcomes in such a way that the massive dataset becomes a benchmark for outcomes improvement in the world. The collaboration has now extended participation to countries without a complete national coverage in order to provide them an impetus for achieving better outcomes. Data regarding outcomes for different sets of population across the world will be shared.