The document discusses the challenges facing organizations in today's changing business environment. It notes that the usual strategies are no longer working and that executives need new approaches to improve organizational performance. The key points are: 1. Organizational performance is driven by seven domains of excellence, including strategic focus, customer value, leadership, culture and knowledge management. 2. To succeed, organizations need new views of customers as unique individuals, employees as complex performers and executives as leaders. 3. Improving performance requires evaluation, planning, implementing changes and ensuring continuity through formalizing new processes. Management ownership, employee engagement and customized solutions are critical success factors.