"Coming together is a beginning; keeping together is progress; working together is success." — Henry Ford

Declining reimbursements, the rising costs of technological advances and operations, staffing shortages, and changes in recertification – these issues continue to assault the cardiovascular profession and test its resilience both domestically and across the globe.

Using its Strategic Plan to guide efforts, the ACC through its member volunteers and staff is committed to supporting cardiovascular professionals amidst these challenges. "It is our charge to seize this opportunity to help the College evolve in the best fashion possible to realize its full potential for its members, the patients they serve and the global cardiovascular community," noted John G. Harold, MD, MACC, ACC past president. "Our heritage in education, our extensive work in quality improvement, and our advocacy for quality patient care provide the foundation for success – and we will succeed."

This edition of CardioSurve is devoted to the cardiovascular clinicians and communities that work together to soften the challenges that strain our profession. This research highlights some of the approaches that the global community is using to support their practice, how excellence in institutional quality improvement has moved beyond the walls of the hospitals to the ambulatory setting, as well as what drives our leaders and volunteers to make time in an already packed schedule to give back to their profession. Together we support our profession to improve heart health.