Leaders who lead purposeful organizations are those who put people first. No, it's not a cliché when they actually do it. It means they set clear expectations, provide adequate resources, coach for success, and evaluate for results.

Leadership is the behavior each of us exerts when we take responsibility for our actions and their consequences.

From the hindsight of history George Washington seems larger than life, more statuesque than man. Too bad! Washington's greatness as a leader was courage under fire and persistence in the face of obstacles. Yet even he at times doubted himself. But he put those doubts aside and forged ahead, convinced of his noble purpose.

Leaders do not motivate per se. They create conditions for people to motivate themselves. They do it by communicating clearly, setting clear expectations, following through and recognizing performance.

Three things a leader or manager should be thinking: What's happening? What's not happening? and What can I do to influence the outcome?

Results come from purpose because it is the outcome of what you striving to do. For example, if you run a cardiac care center your goal is best in class cardiac career. Your purpose is to help people leave more healthy lives. Communicating that outcome to all stakeholders physicians, nurses, support staff, etc. a clear goal.

Communication comes with practice. As a leader you must speak the truth; listen for understanding; and learn from what you hear and do not hear.