In the current environment, presidents and chancellors can expect to have their institutions under nearly continuous scrutiny from regional accrediting bodies. The number of reports, the expected details of outcomes measures, and the level of ongoing interaction between the institution and the regional association will continue to increase. In fact, presidents and chancellors need to plan for the organization, costs, and processes that will be a part of each year's operations as the level of accountability increases. This chapter focuses on the impact of the critical changes in accreditation processes and expectations on the role of senior administration and faculty members at the campus level. Of particular importance are the concepts of (1) the changing accreditation climate; (2) the need to focus on assessment across all areas of the institution; (3) organizational approaches to continuing accreditation; and (4) developing a culture of accreditation across the campus that traditionally was found only in professional colleges and schools.