The document discusses how scorecards can be used as a key tool for accountability in organizations. It recommends that leadership teams create scorecards with key business focus areas and metrics in a concise format. Lower teams then develop supporting tactical scorecards to track progress. Scorecards should be reviewed in meetings and used to track performance and address issues. An action register can also be used to document tasks, owners, and target dates to move initiatives forward. Together, scorecards and action registers can create a consistent process that increases accountability, engagement, and business performance when used systematically throughout an organization.