Leaders who are really successful are those who are accountable and hold others accountable. Over the years I have served in several leadership positions in this amazing industry/profession, we call Long Term Care, and have observed many who live the principle of accountability. The more precise the terms of the accountability, the more effective the leader and the team he or she leads. You may think it odd that in a technology blog, you would read about leadership, but be patient. There is an IT-related point to this.