In order to address the long-standing national CCM data deficiencies, the Society of Critical Care Medicine commissioned two 1-day surveys. The first survey was in 1991,4,5 and the second was in 2003.6 These reports included detailed information regarding ICU organizational styles, patient treatment approaches, bed numbers, occupancy rates, diagnoses, equipment, and therapeutics. However, these studies are not only outdated, but they also are limited by their 1-day format and by the self-selection of the participating hospitals. Complementing the 1-day surveys, the Society of Critical Care Medicine in 1996 also developed Project Impact, a continuous data-collection program for ICU benchmarking and analytical purposes. However, Project Impact is now incorporated into APACHE (Acute Physiology and Chronic Health Evaluation) Outcomes (Cerner Corp; Kansas City, Missouri), and the number of participating hospitals has significantly decreased from its peak in the early 2000s. APACHE Outcomes data are mainly used for validating advanced ICU scoring systems, predicating diagnostic outcomes, decision support, and comparative analyses for the contributing hospitals.