NYSMSC has carefully balanced the needs of scientific research with the requirements of patient privacy. To that end, the Consortium has structured a set of Core Values to serve as its mission statement. In addition, with the effort and cooperation of all its member centers, the Executive Director and staff from the lead site have compiled polices and procedures to foster adherence to the Core Values. They cover NYSMSC finances as well as every aspect of data management, and were approved by all member sites in early 2004. Policies and procedures were reviewed again in 2008 with the addition of a new section regarding Executive Director Election criteria and responsibilities (A1).