The Joint Commission of Taiwan launched a new quality certification program in 2025 to improve the care of neonatal respiratory distress syndrome (NRDS). This initiative aligns closely with national policy goals aimed at reducing neonatal mortality. NRDS predominantly affects preterm infants, with severity increasing as gestational age decreases. Therefore, improving the quality of care for preterm infants with NRDS is critical to increasing survival rates. This certification focuses on the quality of respiratory care for preterm infants. Neonatal care experts in Taiwan have developed the certification standards based on established practice guidelines for NRDS management. Hospitals seeking certification are required to form interdisciplinary care teams and implement evidence-based practices that incorporate advanced medical technologies and innovative care models. High adherence to clinical guidelines is expected, with a strong emphasis on shared decision-making with families. The program also mandates comprehensive case management to ensure seamless interdisciplinary coordination, robust discharge planning, and structured follow-up. Through this initiative, hospitals are encouraged to identify and collaborate with benchmark institutions, fostering a culture of peer-driven improvement and shared learning that ultimately enhances the quality of care for preterm infants.