The document discusses various problems faced by organizations related to project management and delivery. It highlights issues around unpredictable efforts leading to cost overruns, unplanned exits impacting schedules, internal blaming between teams, and customer dissatisfaction due to unmet expectations. The document then proposes an engagement methodology involving problem identification, data-driven study, and implementation of recommendations. It provides examples where the consultant's involvement helped address challenges with requirements management, estimation practices, recruitment processes, and utilization through improved communication and planning.