Undefined organizational structures can lead to breakdowns in communication that leads to lack of accountability. Therefore programs may suffer or fail. The bottom line, no matter how you look at it, management set priorities and what is on top of the list gets done. As we have discussed in a previous sesssions, safety must become a core value that is built into the management system. Priorities change as fast as time, but a value, once established, will be less apt to change with shifting priorities. This is one of the most important concepts that management must understand. This is how the culture is created and will continue to function and improve.