What is governance?
What is governance?
Governance is the establishment of policies, and continuous monitoring of their proper implementation, by the members of the governing body of an organization. It includes mechanisms required to balance the powers of the members, along with the associated accountability of those individuals, and their primary duty of enhancing efficiency and viability of the organization.
Why is the ACC undergoing a governance transformation and how did the ACC get there?
Why is the ACC undergoing a governance transformation and how did the ACC get there?
The ACC has experienced significant growth and change over the last decade. Much of this growth has come in response to changes in the health care environment, as well as changes in the size, mission and scope of the College itself. In addition to developing a comprehensive Strategic Plan to guide the College through these changes, the ACC’s Board of Trustees (BOT) made it a priority to review its governance and decision-making structures and processes in order to make the College more nimble, strategic, accountable, and more reflective of the diversity and breadth within the global cardiovascular community. After two years of thoughtful discussion, the BOT recently approved changes to the ACC’s overarching governance process and structures that will be phased in between now and 2018 – right in time for the College’s next Strategic Plan. The ACC’s governance redesign is committed to creating a more effective, strategic, and nimble organization focused on centralized authority and decentralized decision-making. Best practices state that effective teams are smaller in size to enable engaged members. The College is moving from a representational body to a strategic, competency-based body.
What is the Board of Trustees?
What is the Board of Trustees?
The Board of Trustees (BOT) is the governing body of the organization and holds ultimate responsibility for the College.
When will the changes take place?
When will the changes take place?
Large-scale transformation takes time, and while the evolution is underway, there are still supporting details that need to be worked out. While many changes began taking place at the beginning of 2016, there are several key elements that will be phased-in between now and 2018.
How will it be implemented?
How will it be implemented?
We want to get this right. BOT members and other leaders will be engaging members and stakeholders across the College as they work to move from principles to implementation. The Governance Task Force developed an implementation plan which the BOT approved at the December 2015 meeting. There will be a phased in approach over the next 2.5 years so that change is not disruptive for members and staff. Expect all changes to be implemented by ACC.18.
What are the benefits of this transformation?
What are the benefits of this transformation?
At a broad level, these changes are based on key principles for optimal governance that center on the concepts of centralized authority and decentralized decision making. Practically, this places tactical, operational, and management decision making at committee and staff levels and makes room for more member volunteers to take on leadership opportunities at the College.
Who should I reach out to if I have questions about this governance redesign?
Who should I reach out to if I have questions about this governance redesign?
Member feedback is a critical element of this process as we continue to ensure these changes are implemented in a manner that meets the needs of members and positions the College for success in the changing health care environment. If you have questions, suggestions or concerns, please reach out to a member of the Board of Trustees, or the Governor from your state that serves on the ACC’s Board of Governors.

Learn more about ACC’s governance transformation via these resources: