The strategic goal setting process at Memorial Hermann Sugar Land (MHSL), a US Acute Care community hospital and winner of the 2016 Baldrige National Quality Award, produced highly aligned and cascaded Strategic Initiatives (SI). Parent Memorial Hermann Health System (MHHS) established three levels of performance or achievement that served as goals: 1) Threshold (average), 2) Target (above average or equal to the prior year’s performance) and 3) Distinguished (top decile performance). MHSL’s...