The article presents information on performance improvement through relationship building. Relationship building is where learning and performance improvement efforts need to focus attention and where our industry can truly add value to ensuring increased business results. The essence of positive relationships is in the strength of the connections between the entities, and these connections require significant attention in order to be obtained, nourished, and sustained over time. So, while the solution sounds simple, it's clear that failure is in the execution. Otherwise, all entities would be happy, satisfied with results, and have healthy viable relationships in the long-term.