“Leaders lead”, as the old saying goes. This is a simplistic view of what leaders actually do; it does not take into account the fact that not everything a leader does is worth following. So let’s revise this saying to be more specific: “Leaders lead by modeling effective behaviour.”
As an ‘Influential Leader’ you are the role model of accountability regardless of rank or position. Your ‘effective behaviour’ must come from a conscious choice to live by your convictions, to change harmful mental models, and to manage your emotions. In health care this choice extends to the way you view your enormous responsibility for other people – from the internal senior management team, to governing board, to employees, to physicians and other clinical providers, to the patient population, to the community at large. Accountability is a practical instrument that you can use to keep yourself and those around you honest, focused and productive. As leader you know that an organization devoid of accountability is nothing but a collection of people who shift blame, feel victimized, procrastinate, and disguise their incompetence.
Another way you can role-model accountability is transparency – admit your own mistakes and vulnerabilities in the face of various responsibilities. For example, the leader can share a story in which he “dropped the ball” on an important project. He can explain the steps he took to recover from this event. The story can then be turned into a teaching moment that may inspire others to change their approach to avoid the negative outcome experienced by the storyteller. The point of this exercise, which is called power of story, is to show that a lack of accountability has the power to weaken even a strong performer and thus needs to be managed with vigilance.
In challenging situations or in situations of conflict, leaders can also role-model by asking themselves the question, “how did I contribute to this problem?” This simple question must be followed by an actual evaluation of your role, because just posing the question is as good as screaming, “I didn’t do it!” This show of genuine concern indicates to others that you see yourself as accountable, not only for the problem, but also for the solution. Without the use of accountability and feedback you will be leading in the dark.