When considering organizational dynamics, we must include all the appropriate stakeholders in measurement discussions, not just the department leaders. Across these stakeholders we will have a combination of those who have been assigned ‘responsibility’ for a process segment, those that have been assigned ‘authority’ for a process segment, those that have been assigned ‘accountability’ to a process segment and finally a set of measurements that hopefully bind them all together to drive the desired outcome. Many times those with operating ‘authority’ will choose to meet with the department director who has similar ‘authority’ when in fact a staff member who lives and breathes ‘responsibility’ and ‘accountability’ might have more influence in improving the performance.