This document discusses employee engagement and organizational culture. It notes that only 13% of employees worldwide are engaged at work, while 24% are actively disengaged. Frontline leaders have the biggest impact on engagement and culture. The best organizations take a strategic, top-down approach to engaging leadership teams and hold managers accountable for their team's engagement. It promotes increasing an organization's "Care Factor" through clear expectations, honest feedback, sharing vision, growth opportunities, and fostering a sense of belonging among employees.