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Exceptional performance requires a radical transformation that impacts the entire organization, including cohesive leadership, clarity of purpose and mission, exceptional communications, enhanced critical thinking, shared knowledge, and extensive investment in coaching. These elements are fundamentals of the daily experience mechanisms that enable individual beliefs that must be leveraged by leadership into desired behaviors for new organizational capabilities. Traditional management fails to understand the truth that to transform performance first there must be organizational effectiveness. Organizational effectiveness is the enabler of the Human Value Stream to achieve new innovative performance results. Creating an environment that can sustain high levels of performance must focus on establishing breakthroughs in the Human Value Stream capabilities that mature into distinctive competencies. These unique strengths within the organization's Human Value Stream become distinctive competencies enabling the company to differentiate itself from the competition with a sustainable competitive advantage.