The document discusses making performance improvement strategic by starting with high-level strategic thinking and aligning initiatives with organizational goals and strategy. It recommends developing a strategic framework that includes strategic elements, objectives mapped in a strategy map, and performance initiatives to address gaps in objectives. This allows initiatives to be logically tied to vision and strategy, improving alignment, accountability and focus on results. Whether for businesses, governments or nonprofits, the approach helps prioritize initiatives and measure their impact on desired outcomes.