What Happens to Culture When the Executive Team Is Dysfunctional
- msabbag3

- Jun 2
- 2 min read
Most dysfunctional executive teams aren't made up of bad people.
They're made up of good people following a broken example.
I worked with the executive team of a hospital where the CEO's leadership style was command-and-control. In team meetings, leaders only spoke when they needed to. Nobody offered ideas. Nobody challenged assumptions. Nobody collaborated.
When those same leaders went back to their departments, they did exactly what they had just experienced. The result was the same dynamic, replicated at every level of the organization.
The result was catastrophic and deeply human.

Employees didn't feel safe speaking up in front of their managers. Stress levels rose. And the dysfunction became visible in the worst possible way. Staff argued in front of patients. Team members who needed help with a difficult situation were left without support.
The culture at the top had become the culture everywhere. And patients were paying the price.
Most senior leaders don't realize their team is always watching. Not just what you say but how you treat each other, how you handle disagreement, and how you respond when things go wrong. Whatever you model, they will replicate.
The organization doesn't rise above the example set at the top. It mirrors it.
When a new leader came in, he reached out to me to help build a more cohesive executive team. Over the first few months, something started to shift. Leaders changed the way they interacted with their teams. The language changed from "me" to "we." People started speaking up. Collaboration replaced self-protection.
And the results followed.
Patient survey scores improved significantly. Turnover decreased. The hospital made budget for three consecutive quarters, which hadn't happened before.
None of that started with a new strategy. None of it started with a new process or a new system.
It started with the executive team deciding to operate differently.
Here's what dysfunction at the top actually costs an organization:
Siloed behavior. When leaders protect their departments instead of serving the organization, every layer below them does the same. Territorialism becomes the norm.
Turnover of your best people. The employees most committed to the organization are the first to leave when the culture makes them feel helpless. They don't leave loudly. They leave quietly, and they take their best work with them.
Lost productivity. When people spend their energy navigating political dynamics, protecting themselves, and managing up, they have less left for the actual work.
A damaged customer experience. In the end, dysfunction travels all the way to the customer. In a hospital, it shows up at the bedside. In any organization, it shows up in the moments that matter most.
The hardest truth about organizational culture is this: it starts at the top, and it travels fast.
If something feels wrong in your organization the answer is rarely found in an employee engagement survey.
It's found in the room where the executive team meets.
What's one sign you've seen that tells you a culture problem started at the executive team level?
I help executive teams build the cohesion, alignment, and execution discipline that turn strategy into results. Contact me to continue the conversation.




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