This document provides 49 action steps across 10 categories to help organizations achieve 110% of their goals. It was developed over 5 years working with hundreds of companies. The action steps are designed to help assess an organization's strategic alignment, operational definitions, management style, metrics, defect identification, cost of poor quality, cultural readiness for change, willingness to deploy improvements, and ability to identify opportunities. The document can help identify areas that may be preventing an organization from achieving its goals and better connecting strategy to execution.