High Titles. Low Accountability. Why Leadership Optics Are Costing Us Outcomes.

When leadership is defined by titles instead of traction, systems suffer. In this piece, I share a real story from a major healthcare system—where an interim executive role revealed just how disconnected leadership optics have become from real operational outcomes. If you're navigating high-stakes environments—whether in healthcare, government, or enterprise—this is a wake-up call for why clarity, accountability, and systems thinking must replace performance theatre.