The document outlines a 5-step process for business leaders to survive in the face of changing trends: 1) Identify trends shaping their industry; 2) Map the impact of trends on their business; 3) Consider options for how to respond; 4) Develop plans to deliver intended results from chosen options; 5) Execute plans and monitor outcomes. It then provides examples of trends, their potential impacts, and initial options and plans one company is considering to increase efficiency and reposition itself.