In May 2022, the SHM Board of Directors began work on a new strategic plan. The process spanned nine months and incorporated feedback from a variety of stakeholders including staff, the membership at large, and volunteer leaders of SHM Chapters, Committees, and Special Interest Groups. This initial framework, approved February 2023, will help SHM align our efforts specific to four key goal areas. The framework will evolve with regular input from the membership and adapt to the rapidly changing needs and realities of our practice and specialty.