Greenville, North Carolina had often been the top crash location in the state, which prompted the city’s Police Department and the ECU Health Medical Center to form the Greenville Traffic Safety Task Force. This multidisciplinary group identified and implemented solutions including high-visibility crosswalks, red light cameras, traffic delineators and increased enforcement in crash-prone areas. Together, these countermeasures and community support led to a sizable reduction in crashes, providing a model for other cities and communities.