The May Good Leadership Breakfast featured Andrea Walsh, President and CEO of HealthPartners. I walked into the room excited to share my relationship with Andrea with our guests: she’s a talented leader who knows how to create healthy accountability across a complex healthcare system. Guests who tuned into our 25-minute interview walked away with a clearer picture of what healthy accountability looks like when pressure never lets up.
I opened the conversation with a simple question.
Creating a Culture of Healthy Accountability
When you hear the words creating a culture of healthy accountability, what comes to mind?
Andrea talked about accountability as a system, not a personality trait. It’s about connecting to the origin, mission, and core purpose of the organization, and creating shared commitments to keep that mission alive. Staying true to that purpose leads to clear expectations. Healthy accountability comes from adults holding themselves to high standards without fear.
Where Leadership Starts
Andrea reflected on where and how she grew up. Family. Community. Parents who gave her responsibility early in her life. Those early experiences shaped how she leads today.
When I asked when she knew she wanted to be a CEO, her answer was grounded. Leadership grew from exposure, opportunity, and a willingness to take on hard problems. Not ambition for the role itself. She saw a larger potential in herself through a series of well-coordinated conversations. It was a deliberate exploration of “what’s possible?” for the benefit of both HealthPartners and her.
What Fuels Her Today
I know Andrea as a passionate leader. I asked what she loves about leading HealthPartners today. “For me it comes back to our purpose. We have a special mission in healthcare; it’s easy to be passionate about the people – our 28,000 employees and all of the lives within our care,” she shared.
So, I asked the question leaders everywhere are asking.
Leading Through a Hard Business
Healthcare is a hard business – how do you keep people focused, positive, and optimistic about the future of HealthPartners as a business?
Andrea talked about honesty. Naming reality early. Connecting people to the why. Being real about the results and creating space for people to solve problems together rather than shielding them from difficulty. I call that strategy: realism before positivity.
Optimism does not come from sugar-coating. It comes from realism, balanced by encouragement – allowing the team to find a way forward.
Success Habits
Sticking with our own traditions, the Good Leadership team interviewed people who work with Andrea every day to identify what her followers believe to be her success habits. We define success habits as: The things leaders do over and over again because they are really effective. Here’s what we shared as Andrea’s success habits:
- Connector of people to solve problems. She sees across the whole organization which allows her to bring the right people together to form teams of specialists to do the work.
- Creates calm during crisis. “There’s no benefit to lighting my hair on fire and running around to get attention,” she laughed. “I choose steady leadership to reduce fear and keep the focus where it belongs.”
- Competitor with a never-give-up mindset. Embracing competitive challenges invites problem-solving, not retreat. “We can always find a way,” she shared with resolve.
- BONUS: Gratitude is always in style. “Gratitude is a two-way street. When you give it, it comes back around,” Andrea declared.
What I Took with Me
I left breakfast with questions I am still carrying – questions that will help you create a culture of healthy accountability around you.
- Pressure in my business is predicable: When do I need to create more calm under pressure?
- How do I connect people to work together instead of solving problems alone?
- What behaviors am I rewarding when things get hard?
Take some time and truly consider these questions. How can you implement some of these success habits of Andrea Walsh to create a culture of healthy accountability in your organization?



