Abstract Body: Background: Intracerebral hemorrhage (ICH) constitutes 10% of all strokes and is the most fatal and debilitating subtype. Unlike ischemic stroke, treatment strategies for ICH have not advanced as rapidly, resulting in limited adoption of specialized care metrics. Translating current guidelines into actionable performance measures is central to enhancing care delivery and improving ICH patient outcomes. Objective: Establish a three-year national initiative focused on promoting ICH data collection and analysis with specific ICH education, model share events, and protocol contribution which is built on existing hospital quality improvement work. Methods: In February 2023, expanded data elements and sixteen measures for ICH care adopted from the Clinical Performance Measures for Adults Hospitalized with Intracerebral Hemorrhage were added to the American Heart Association's Get With The Guidelines® (GWTG)-Stroke registries. This allowed hospitals to identify gaps and barriers in care with support from AHA staff through training, model sharing, and resource development. Findings: The initiative led to a significant increase in data collection entered into GWTG-Stroke registry during 2023. It also identified gaps in care, particularly in Last Known Well, Baseline Severity Score documentation and Time to Anticoagulation Reversal. Conclusions: This national initiative allows for hospitals to analyze data, exchange challenges, develop strategies and resources, all aimed at fostering continuous quality improvement in ICH guideline adherence. Enhanced data collection established during the initiative timeframe will prove to strengthen insights into ICH care for years to come.