This report reflects the progress of the Ontario Surgical Quality members of the Surgical Network identify opportunities to improve the quality of Improvement Network over its first 18 months, including early indicator results, surgical care for their patients. [...] With significant investment from the Ministry of Health by providing access to and support for the following: high-quality clinical data and Long-Term Care, Health Quality Ontario launched the Surgical Network from ACS NSQIP; the best evidence in surgical care; and proven quality in January 2015 to support a group of hospitals invested in surgical quality improvement methodology. [...] The Surgical Network strives to build relationships that foster collective learning, One of the most invaluable benefits of joining the Surgical Network is sharing, and the opportunity to innovate in a Community of Practice. [...] Access to quality efforts when needed improvement resources Collaboration within •. In the area of collaboration within the surgical team, this improvement surgical teams represents a shift from 8 to 13 hospitals reporting improvement in the Active surgical collaboration occurring between surgical and quality improvement staff quality improvement initiatives Organizational engagement in surgical q