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Engagement can make a difference in employee and organizational performance; however, promoting a culture of engagement in the workplace is not easy. It is crucial for CEOs and the senior team to take the lead in championing a highly engaged culture. What specific actions can CEOs take to hold leaders accountable in sustaining and enhancing employee engagement? This report draws on surveys, focus groups, interviews, and site visits conducted by The Engagement InstituteTM, and features in-depth case studies from 15 exemplar organizations, including Accenture, Cardinal Health, Mayo Clinic, McDonald’s, Quicken Loans, and Wipro.