I recently had a discussion with the CEO of a large East Coast hospital system. She was relatively new in the job and was lamenting that her prior organization, where she had been the COO, seemed to have operated much more effectively than the one she had taken over. 

As we began drilling down into the issues she was experiencing, she noted that employee morale was low and patient satisfaction was only average (as identified through surveys), and there seemed to be a general lack of concern from key employees that these were important issues. Additionally, she observed the creation of silos and a CYA mentality, in which a culture of blame existed, rather than one of mutual problem-solving. 

One example she provided was how nurses on one of the nursing stations were blaming housekeeping for the general untidiness of the area, but doing little on their watch to make things better. It was easier to blame than to problem-solve. This blame, and counter-blame, was unproductive, yet no one was taking responsibility or ownership to make the environment better for employees or for patients. Furthermore, she was alarmed that a few good employees had recently left the system for jobs elsewhere. It was clear to the new CEO that she was navigating through a depressed culture—a result of the absent accountability.  

Everyone wants to be associated with a winner, not a whiner. When differentiating between winners and whiners, the most important differentiator is also the simplest: accountability! 

When problems arise, and persist, it is common to hear employees say that “no one is being held accountable.” This is often perceived in a punitive sense, with the assumption that there must be someone to blame for problems not being solved. This attitude is one in which employees are always looking outward, rather than inward, for solutions. While the process of creating a culture of accountability can be arduous, the steps to be taken are easy to understand and are generally related to leadership. 

As we explored the creation of a culture of accountability with the CEO, we discussed the necessary steps that leaders must take to be successful. These are, in order: 

1. Leaders must themselves have a clear understanding of the mission and goals of the organization. 
2. Leaders must have the authority to create a culture of accountability in their department or organization. They must also have the support to make the changes necessary to transform the culture.
3. Leaders must have the right people in the right positions. Changing a culture is not easy; not everyone has the courage, nor skill set, necessary to drive change.
4. Leaders must clearly articulate their expectations and create an environment in which the goals of their department align with the goals of the organization. These expectations include standards related to the quality, quantity, and timeliness (QQT) that leaders expect, and include metrics for measuring success. 
5. Leaders must identify owners of the goals and objectives.
6. The goals must be communicated throughout the department or organization.
7. Owners of goals must have a cadence of meetings for regular review of goal accomplishment, relative to expectations, and revise goals when necessary.
8. Rewards and recognition must become part and parcel of the process.

In our discussions with the CEO, we noted that the most important aspect when creating a culture of accountability is to sustain the effort until it becomes institutionalized. Too many organizational initiatives begin with a bang and end with a whimper, as poet T.S. Eliot famously wrote. Finally, while accountability is often associated with some kind of punitive action, efforts to instill accountability in the culture are much more likely to be successful by having the right people in the right places, and rewarding behavior that approximates the desired results. The new CEO is currently in the process of implementing our recommendations. We are confident that she will be successful!

For information on how we can assist your team, contact us at: MyronBeard@BeardExecutiveConsulting.com

Situation: A newly appointed head of a large, dynamic organization was concerned with how effectively her team was performing. Through her onboarding process, she learned that not all of the members on her new team were satisfied with the team’s functioning. This was causing division within the team and the creation of dysfunctional silos in the organization. In order to have a more comprehensive and objective understanding of her team, she requested that all direct reports participate along with her in Beard Executive Consulting’s High-Performing Team webinar.

The DNA of Leadership Webinar Series: A solution for teams that are experiencing less-than-satisfactory results, Beard Executive Consulting offers 12 unique DNA of Leadership Webinars to solve the issues that organizations face on a daily basis. The Building High-Performing Teams webinar was the ideal solution for this particular team, providing an interactive way for them to reengage and gain essential characteristics required to thrive and survive. Through a case study, custom assessments, and personalized content, the 90-minute format gives leaders information and tools to develop behaviors that are targeted for the positions they hold.

The Process: Prior to the webinar, each team member and their new manager were given an online survey in which they could rate the team’s performance from their own perspective. In addition, team members were sent pre-reading to provide context for the webinar. The meeting was conducted in a live, online setting in order to optimally accommodate everyone’s busy schedules.

The Webinar: To enhance learning, a digital workbook was used during the webinar and the manager was provided with a leader’s manual to help guide implementation of changes post-webinar. The presentation identified two critical metrics that were found to be lower than others for this team, based on the overall survey results:

• Productivity: The degree to which a team’s output is achieved in a quality manner that is timely and meets the expectations of the initiative.
  
• Vitality: The degree to which team members experience cohesiveness and engagement, and have high morale.
  

This discovery meant that the team as a whole was functioning at a level that was far below both the training and backgrounds of individual team members, and required focused efforts in these areas in order to improve and become high-performing. The team then learned about the key components that were required for this level of change, and gained an understanding of the areas that required improvement.

New Life as a High-Performing Team: Based on the results of the webinar and guidance from Beard Executive Consulting, the new leader assembled a small subgroup of her team to create and implement a plan to ensure that the team would become more productive and would do so in a way that increased engagement and cohesiveness. A six-month follow-up survey found that the team had improved in both metrics and that team members had become much more involved with, and supportive of, each other. A positive side effect was that the new leader had gained the respect and admiration of those on her team.   

For information on how you can use this webinar to assist your team, contact us at: MyronBeard@BeardExecutiveConsulting.com.