The document discusses Phoebe's strategy to implement a Quality First philosophy and principles of "Good to Great" leadership to ensure its long-term success and growth. It outlines elements of Quality First like commitment to consumers, community involvement, and continuous quality improvement. It also discusses applying Good to Great concepts like confronting facts, having a clear focus or "hedgehog", and building momentum to achieve greatness. The document proposes a performance framework for 2007 with goals in areas like quality of care, leadership development, fiscal performance, and institutional advancement to further these strategies.