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PODCAST

Culture Change RX

Capstone Leadership Solutions

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

business management

All Episodes

24:32

Culture Bytes: You Promoted a Great Employee. Now What?

Culture Change RX ·

2026/10/07

Send us a Message In this solo Culture Byte episode of Culture Change RX, Sue Tetzlaff challenges healthcare executives to consider an uncomfortable question: When a capable person struggles in a management role, what responsibility does the organization have for that result? Because promoting a great employee doesn't automatically create a great leader. Leadership requires an entirely different body of knowledge and skills and organizations have a responsibility to help new managers develop ...

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38:53

What Happens After the Strategic Plan? ( Courtney...

Culture Change RX ·

2026/09/30

Send us a Message In this episode of Culture Change RX, Sue Tetzlaff is joined by Capstone Chief Transformation Officer Courtney Kloehn for a practical conversation about moving from strategic clarity to execution certainty. Drawing from content developed for Capstone's annual Healthcare Executive Forum, Courtney and Sue discuss the alignment, leadership ownership, and organizational systems that are necessary to consistently turn strategy into results. Because strategy creates direction. Exe...

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29:17

Culture Bytes: The Employees You're Forgetting to Praise

Culture Change RX ·

2026/09/23

Send us a Message In this solo Culture Byte episode of Culture Change RX, Sue Tetzlaff explores the power of praise and why intentional positive feedback is an essential leadership tool for elevating behavior, performance, relationships, and workplace culture. Through several real-life leadership stories, Sue demonstrates why praise shouldn't be reserved for exceptional performance—and why some of the employees who most need positive feedback may actually be receiving the least. Because what ...

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37:43

Escaping the Healthcare Payroll Trap (Rodney Johnson)

Culture Change RX ·

2026/09/16

Send us a Message In this episode of Culture Change RX, Sue Tetzlaff welcomes Rodney Johnson, DHA, founder and owner of The Practice Society, for a conversation about practical innovation in healthcare, and one creative solution designed to better align an organization's largest expense with the timing of its revenue. Rodney introduces Workforce Rx, an approach that combines payroll processing with payroll funding and 60-day payment terms. He also explains additional options that can include ...

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21:38

Culture Bytes: The Power Of A Predictable...

Culture Change RX ·

2026/09/09

Send us a Message Most communication breakdowns aren't communication problems. They're system problems. In this Culture Byte episode, Sue Tetzlaff breaks down the difference between push and pull communication, and why so many teams stay stuck waiting for information instead of actively seeking it. She unpacks how a simple, predictable communication rhythm changes the experience for everyone involved: when people know what's coming, how they'll receive it, and when to expect it, they stop wa...

en-us

36:26

Is Your Onboarding Process Helping—or...

Culture Change RX ·

2026/09/02

Send us a Message In this episode of Culture Change RX, Sue Tetzlaff is joined by Capstone Transformational Coach Julie Coneset to explore one of the most overlooked drivers of employee retention: the onboarding experience. Drawing on nearly three decades of rural healthcare HR leadership and firsthand experience leading organizational transformation, Julie shares why onboarding extends far beyond paperwork, policies, and orientation checklists. Together, Sue and Julie discuss how organiza...

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33:15

How High-Performing Nursing Teams Prevent Excellence...

Culture Change RX ·

2026/08/26

Send us a Message In this episode of Culture Change RX, Sue Tetzlaff welcomes Theresa Hollinger, Chief Nursing Officer at Grant Regional Health Center, to discuss how Grant has sustained nursing excellence through intentional refinement of its “nursing bundle.” Although the Nursing Bundle has been embedded in Grant's culture for years, Theresa explains why her team recently chose to pause, reassess, and strengthen their approach following a couple patient safety events. Rather than abandoning...

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16:30

Culture Bytes: Why Small Hospitals Can Become...

Culture Change RX ·

2026/08/19

Send us a Message 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 smaller organizations are uniquely positioned to create cultures where employees ...

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14:43

Culture Bytes: Escaping the Three Patterns That Hold...

Culture Change RX ·

2026/08/05

Send us a Message 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 three patterns appearing over and over again. If your organiza...

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31:20

Connecting Rural Hospitals to the Right Innovations...

Culture Change RX ·

2026/07/29

Send us a Message 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 rural hospitals with practical, affordable innovations. Rather than sel...

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23:44

Culture Bytes: Strategy Development: Four Areas of...

Culture Change RX ·

2026/07/22

Send us a Message 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's already inside our organization that we're not fully using?" I dig...

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42:54

Why Rural Hospitals Must Define Their Unique Value...

Culture Change RX ·

2026/07/15

Send us a Message 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 differentiation isn't enough, why rural hospitals must identif...

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21:01

Culture Bytes: From Whack-a-Mole to Strategic Momentum

Culture Change RX ·

2026/07/08

Send us a Message 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 healthcare organizations move beyond reactive “whack-a-mole” improvement efforts an...

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33:42

The Why Behind the Work (Greg Opseth)

Culture Change RX ·

2026/07/01

Send us a Message 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 reflections on “the power of the pause” and the importance of anchor...

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37:12

Culture Bytes: You May Already Have the Time and...

Culture Change RX ·

2026/06/24

Send us a Message 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 resources. Instead, she introduces a different perspective: A successful trans...

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33:14

AI Innovations That Improve Patient Care (Darrell...

Culture Change RX ·

2026/06/17

Send us a Message 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 — is leveraging AI, technology, leadership, and cross-functional teamwor...

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25:03

Culture Bytes: Improvement Is Not the Same as...

Culture Change RX ·

2026/06/10

Send us a Message 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 culture. Using a powerful analogy about her own orthodontic experi...

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47:18

Retention Starts with Recruitment (Julie Coneset)

Culture Change RX ·

2026/06/03

Send us a Message 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 right people. Julie brings decades of experience in rural healthcare huma...

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23:49

Culture Bytes: From "I Have To" to "I Get To": The...

Culture Change RX ·

2026/05/27

Send us a Message 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 — and leaders who either thrive or burn out based on their connection to purpose and...

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39:04

Practical Lessons From A Rural Hospital’s Patient...

Culture Change RX ·

2026/05/20

Send us a Message 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-driven team structure - and the powerful impact it has had on eng...

en-us

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