The document summarizes the key findings of PwC's 4th Global PPM Survey. It identifies 5 themes for how organizations can better deliver change: 1) optimize portfolios to maximize returns, 2) be flexible and change faster, 3) enable people to deliver success, 4) connect executive teams to delivery teams, and 5) measure and address facts to maintain direction. The survey found disconnects between executive teams and PMs, a lack of clear outcomes, and not stopping low-value projects. Changing how programs are delivered could better align activities to strategy and improve benefits realization.