The document summarizes the results of a survey of 318 procurement professionals about the priorities and challenges facing the role of Chief Procurement Officer (CPO). Key findings include: CPOs face increasing pressure to find savings while also improving effectiveness; top priorities for CPOs are savings, processes, compliance and innovation; adoption of new technologies like spend analysis and e-sourcing is increasing; and best-in-class organizations outperform others on metrics like spend under management and contract compliance through greater use of technology and earlier supplier engagement. The report recommends CPOs develop an "Agility Agenda" focused on technology deployment, collaboration, and business networks.