This document discusses partnerships vs outsourcing in clinical research. It outlines some key factors for successful partnerships: Implementing measures that focus on real business improvements rather than just lower costs. Uncovering historical examples to build trust between partners. Defining shared definitions of success and clear expectations and commitments. The document emphasizes the importance of communication and flexibility given the unpredictable nature of drug development. It also stresses aligning metrics and incentives to partners' goals to drive performance and success for both parties.