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This project involved evaluation, consultation, and facilitation to the design and implementation of a renewed governance approach, philosophy, structure, and governance processes. An analysis was conducted regarding the governance model/approach, the Board structures and processes, the Board’s role in strategic leadership, and the differentiated role of the Board, Board Committees, and the CEO. This project was initiated in response to the Women’ College Hospital separation from the Sunnybrook Health Sciences Centre. The Board was challenged with determining the new strategic future and focus of Women’s College Hospital. Board priorities were established. As well, an approach to governance was developed which took into account this organization’s history of being highly consultative at all levels of the organization.