NESTcc will establish an effective governance structure to support short-term activities and long-term goals. To date, NESTcc has formed a functional and efficient Governing Committee, selected its Executive Director, grown its team of full-time staff, and established four subcommittees. Over the next year, NESTcc will continue to make progress by ensuring governance is consistent with sustainability plans, produce a mid-year staffing assessment based on the findings of the forthcoming NESTcc sustainability plan, and manage the ongoing assessment of Real-World Evidence (RWE) studies.