Culture Change RX

Culture Change RX

Embark on a journey to the heart of healthcare, where we dissect the driving force behind every thriving organization: its culture. Drawing on her executive background and extensive work as a strategic coach, Capstone’s co-founder Sue Tetzlaff and guests will share actionable insights and practical steps for successfully navigating the people side of the business of healthcare. Join weekly to be equipped and inspired to uplevel the culture and unlock the next level of potential in your healthcare organization.

Episodes

August 19, 2026 16 mins

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In this solo Culture Byte episode of Culture Change RX, Sue Tetzlaff challenges the conventional narrative and shares why rural hospitals may actually have one of healthcare's greatest competitive advantages: the ability to become the preferred place to work.


Drawing on more than 30 years in rural healthcare—including 14 years partnering with rural hospitals across the country—Sue explains why smalle...

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In this short solo Culture Byte episode of Culture Change RX, Sue reveals the three patterns behind why so many healthcare organizations work incredibly hard to improve...yet still struggle to achieve consistent, award-winning excellence.

After spending two decades as a healthcare executive and more than fourteen years partnering with dozens of rural hospitals across the country, Sue Tetzlaff has noticed the same th...

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In this episode of Culture Change RX, Sue welcomes Mark Allen, founder of Rural Health Engine, for a conversation about innovation, technology, and the future of rural healthcare.

Mark shares how his journey—from growing up in rural Missouri, to serving in the U.S. Coast Guard, to helping innovative technology companies—ultimately led him to create Rural Health Engine, a nonprofit dedicated to connecting...

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In this solo Culture Byte episode of Culture Change RX, I share a strategy development insight from Capstone Leadership Solutions' recent Healthcare Executive Forum: Identifying and Unlocking Untapped Potential.

Drawing from years as a rural healthcare executive and my work with hospitals across the country, I challenge leaders to stop asking, "What should we add next?" and instead begin asking:

"What...

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In this episode of Culture Change RX, Sue welcomes back Doug Morse, Principal of Strategic Planning at Capstone Leadership Solutions, for a conversation about a different approach to strategy.

Rather than trying to be slightly better than the hospital down the road, Doug challenges organizations to ask a much bigger question:

What unique value can only your organization provide?

Together, Sue and Doug explore why diff...

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In this episode of Culture Change RX, Sue Tetzlaff explores why many healthcare organizations aren’t lacking effort — they’re lacking integration, sequencing, and coordinated systems.

Sue shares why disconnected initiatives often create fragmented energy, initiative fatigue, and temporary improvements that fail to strengthen the organization as a whole. She explains how truly strong and agile healt...

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In this episode of Culture Change RX, Sue Tetzlaff welcomes Greg Opseth, COO of Highland Medical Staffing, Executive Director of the Iowa Nurses Association, and a Capstone Transformational Expert, for a meaningful conversation about the importance of staying grounded in purpose as healthcare leaders.

Drawing from insights gained at the Iowa Organization for Nursing Leadership (IONL) conference, Greg shares reflecti...

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In this episode of Culture Change RX, Sue Tetzlaff explores one of the most common objections healthcare organizations face when considering transformational change:

“We don’t have enough time or money.”

Drawing from decades of experience leading and supporting transformation in small and rural healthcare organizations, Sue challenges the assumption that meaningful improvement always requires more r...

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In this episode of Culture Change RX, Sue Tetzlaff welcomes Darrell Bodnar, Chief Information Officer for North Country Healthcare in New Hampshire, for a fascinating conversation on innovation, artificial intelligence, patient safety, and high reliability in rural healthcare.

Darrell shares how North Country Healthcare — an independent rural healthcare system serving the northern third of New Hampshire &mdash...

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In this episode of Culture Change RX, Sue Tetzlaff explores one of the most common - and costly - mistakes organizations make during change efforts: declaring victory too soon.

Drawing from John Kotter’s work on organizational change, Sue explains why early improvement is not the same as long-term transformation and why organizations often regress when new behaviors and systems are not fully embedded into the ...

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Most healthcare leaders think about retention as something that happens after someone is hired. But what if your hiring process itself is either building or quietly eroding your culture?

In this episode, Sue Tetzlaff sits down with Capstone Transformational Expert Julie Coneset to talk about one of the most consequential — and often most stressful — responsibilities healthcare leaders carry: hiring the r...

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In this episode of Culture Change RX, Sue Tetzlaff explores a simple but powerful truth: leadership is hard — but the experience of that “hard” can look very different depending on how leaders connect to their work.

Inspired by watching the intensity and passion of NHL playoff hockey, Sue draws a compelling parallel between athletes who embrace the difficulty of the game because they love it &mdash...

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In this episode of Culture Change RX, Sue Tetzlaff sits down with Chelsea Hoffrichter, registered nurse, nurse manager, and service excellence team leader at MyMichigan-Sault, to discuss how employee-driven teams are helping improve the patient experience in their rural healthcare organization.

Chelsea shares the journey of transforming their service excellence work from a leader-driven approach to an employee-drive...

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Pursuing RHT opportunities that are not in strategic alignment can create “strategy creep” or “strategy swap” scenarios that likely won’t play out well in the short or long term

In this episode of Culture Change RX, Sue Tetzlaff explores a critical strategy challenge facing rural healthcare organizations today: how to navigate the massive Rural Health Transformation (RHT) opportunity wi...

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In this episode of Culture Change RX, Sue Tetzlaff is joined by Capstone’s Chief Transformation Officer, Courtney Kloehn, to explore what it really means to build a data-driven culture in healthcare organizations. While many organizations collect and report data, far fewer use it effectively to guide decisions, align teams, and drive meaningful improvement. Sue and Courtney discuss how organizations can move ...

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In this episode of Culture Change RX, Sue Tetzlaff discusses the importance of foundational strength in rural healthcare organizations. She emphasizes how strengthening people, service, and quality creates organizational vitality, magnetism for talent and patients, and sustainable growth.

Ready to strengthen your organization’s foundation and become a magnet for talent and growth?

Schedule a complimentary disco...

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In this episode of Culture Change RX, host Sue Tetzlaff and guest Christy Pretzinger delve into the concept of BETTER Quotient™ (BQ) and its significance in leadership. Christy shares her journey of understanding the importance of continuous improvement and vulnerability in leadership roles. They discuss the relationship between BQ and growth mindset, the necessity of self-awareness, and the value of soft skills in...

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In this episode of Culture Change RX, Sue Tetzlaff and Julie Coneset discuss the importance of meaningful celebrations, focusing on the 'why' behind recognition efforts, and share practical ideas and a comprehensive celebration guide to foster a culture of celebration in healthcare settings.


How to get your guide to creating meaningful Hospital Week and other celebrations: Email info@capstoneleadership.net and r...

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In this episode of Culture Change RX, Sue Tetzlaff explores the nine essential 'ITs' of customer service excellence in healthcare. She emphasizes that building a multi-faceted systematic approach, rather than just providing training, is key to achieving sustainable service quality and patient satisfaction.

Quotes from the episode: 

  • “Exceptional service is not created by training alone — it is cre...
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In this episode of Culture Change RX, Sue Tetzlaff sits down with healthcare security expert Tony York to explore the evolving role of safety and security in healthcare environments.

Tony shares insights from more than three decades in healthcare security, discussing how the challenges facing hospitals today are very different from those of the past. From workplace violence and behavioral health challenges to evolvi...

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