In this article you will learn about the “10 Step” Improve Performance program deployed at MidMichigan Health system from a practitioner’s perspective by walking through a 10 step teams’ case study working papers in narrative form. This article is a precursor to the publication of my third CPM book this fall, Corporate Performance Management Best Practices: A Case Study Approach to Accelerating CPM Results. It will contain numerous case studies, diagnostic tools and 35 best practices for your program. 10 Step teams averaged over $450,000 per team in annual earnings improvements derived from their 12 week problem solving cycle. I hope you find this article useful to your organization. (Article fewer than 8,000 words).