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 organization.

  1. The Why Behind the Work (Greg Opseth)

    2d ago

    The Why Behind the Work (Greg Opseth)

    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 anchoring ourselves in our “why” — especially during seasons of stress, complexity, and leadership fatigue. Greg also shares powerful personal stories about becoming a nurse, entering leadership, and creating meaningful culture through simple but intentional leadership practices — including asking caregivers to reconnect with and share their “why.” Resources mentioned in this episode: Watch D.O.G.S. — a national program supporting student success: https://dadsofgreatstudents.com/Connect with Greg: Greg@CapstoneLeadership.netLinkedIn: https://www.linkedin.com/in/greg-o-a80384171/ Coming soon from Capstone: August 11, 2026 | 12p Virtual Webinar: 5-Step Process for Nursing Excellence https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg September 15-16, 2026 | 8:30am - 12:30pm Virtual Nursing Bundle Boot Camp — evidence-based practices and transformational nursing leadership We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong. For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything. When you’re ready to take your culture to the next level, here are three ways I can help you: 1. Listen to the Culture Change RX Podcast Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy. 2. Subscribe to our Email Newsletter Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 3. Break through to the next level of greatness in your organization with help from my team and me. When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives. You can email me at info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

    33 min
  2. Culture Bytes: You May Already Have the Time and Money to Transform Your Organization

    Jun 24

    Culture Bytes: You May Already Have the Time and Money to Transform Your Organization

    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 transformation should not be designed as an “add-on” to already overwhelmed leaders and teams. Rather, transformational work should replace ineffective activities, outdated systems, and resource allocations that are not producing meaningful results. And Sue offers up some questions to ponder: What are we spending time on today that is not actually moving the needle?What are we spending money on today that is not actually moving the needle?What would happen if we stopped doing those things and replaced them with proven systems and approaches?Interested in exploring what a time-neutral and budget-neutral transformation approach could look like for your healthcare organization? Schedule a complimentary discovery call series with the Capstone team: CapstoneLeadership.net/Contact-Us -- Or email:  info@capstoneleadership.net We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong. For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything. When you’re ready to take your culture to the next level, here are three ways I can help you: 1. Listen to the Culture Change RX Podcast Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy. 2. Subscribe to our Email Newsletter Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 3. Break through to the next level of greatness in your organization with help from my team and me. When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives. You can email me at info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

    37 min
  3. AI Innovations That Improve Patient Care (Darrell Bodner)

    Jun 17

    AI Innovations That Improve Patient Care (Darrell Bodner)

    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 teamwork to improve patient care, reduce harm, strengthen workflows, and support healthcare providers. This episode provides a hopeful and practical look at how rural healthcare organizations can use innovation and collaboration to create safer systems, stronger cultures, and better patient outcomes. We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong. For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything. When you’re ready to take your culture to the next level, here are three ways I can help you: 1. Listen to the Culture Change RX Podcast Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy. 2. Subscribe to our Email Newsletter Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 3. Break through to the next level of greatness in your organization with help from my team and me. When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives. You can email me at info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

    33 min
  4. Culture Bytes: Improvement Is Not the Same as Sustainability

    Jun 10

    Culture Bytes: Improvement Is Not the Same as Sustainability

    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 experience with braces, Sue illustrates how visible progress can happen relatively quickly - but permanent, sustainable change requires more time, consistency, and structure. We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong. For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything. When you’re ready to take your culture to the next level, here are three ways I can help you: 1. Listen to the Culture Change RX Podcast Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy. 2. Subscribe to our Email Newsletter Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 3. Break through to the next level of greatness in your organization with help from my team and me. When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives. You can email me at info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

    25 min
  5. Retention Starts with Recruitment (Julie Coneset)

    Jun 3

    Retention Starts with Recruitment (Julie Coneset)

    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 human resources and organizational transformation to a candid conversation about what separates strategic hiring from desperation hiring, and why that distinction matters more than most leaders realize. You'll hear practical wisdom on: Why lowering your hiring bar during a staffing shortage almost always costs more than it savesHow behavioral-based interview techniques help you predict fit and performance before day oneWhy peer panel interviews can transform how your team shows up for onboarding — and beyondWhat employer-of-choice organizations do differently when it comes to attracting and selecting candidatesHow your hiring decisions today directly shape your overtime costs, burnout levels, and traveler reliance tomorrow Interested in strengthening retention, culture, leadership, and hiring practices in your organization? Schedule a complimentary discovery call series with the Capstone team at CapstoneLeadership.net/Contact-Us We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong. For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything. When you’re ready to take your culture to the next level, here are three ways I can help you: 1. Listen to the Culture Change RX Podcast Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy. 2. Subscribe to our Email Newsletter Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 3. Break through to the next level of greatness in your organization with help from my team and me. When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives. You can email me at info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

    46 min
  6. Culture Bytes: From "I Have To" to "I Get To": The Shift That Changes Leadership

    May 27

    Culture Bytes: From "I Have To" to "I Get To": The Shift That Changes Leadership

    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 meaning. Sue contrasts transactional leadership (“I have to”) with transformational leadership (“I get to”), highlighting how the same responsibilities can feel either draining or energizing depending on mindset and connection to purpose. This episode is a powerful reminder that leadership isn’t just about what you do — it’s about how you experience the work and the energy you bring to it. If leadership in your organization feels heavy instead of meaningful, Capstone can help. Start with a conversation about how to re-energize your leadership team and strengthen your culture: CapstoneLeadership.net/Contact-Us We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong. For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything. When you’re ready to take your culture to the next level, here are three ways I can help you: 1. Listen to the Culture Change RX Podcast Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy. 2. Subscribe to our Email Newsletter Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 3. Break through to the next level of greatness in your organization with help from my team and me. When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives. You can email me at info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

    24 min
  7. Practical Lessons From A Rural Hospital’s Patient Experience Journey (Chelsea Hoffrichter)

    May 20

    Practical Lessons From A Rural Hospital’s Patient Experience Journey (Chelsea Hoffrichter)

    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 engagement, creativity, ownership, and patient satisfaction scores. Is your healthcare organization needing a well-tested, proven and practical approach to strengthening employee engagement and improving the patient experience? Capstone has a couple options that might be just right for where you are and what you need. Connect with us to explore more: CapstoneLeadership.net/Contact-Us We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong. For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything. When you’re ready to take your culture to the next level, here are three ways I can help you: 1. Listen to the Culture Change RX Podcast Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy. 2. Subscribe to our Email Newsletter Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 3. Break through to the next level of greatness in your organization with help from my team and me. When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives. You can email me at info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

    38 min
  8. Culture Bytes: Rural Health Transformation: Strategic Opportunity or Distraction?

    May 13

    Culture Bytes: Rural Health Transformation: Strategic Opportunity or Distraction?

    Send us a Message 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 without losing strategic focus. With $50 billion in funding, multi-organization collaboratives, and increasing pressure to participate, healthcare leaders are being presented with more opportunities than ever before. But as Sue shares from her decades of experience as a healthcare strategist, not every opportunity is strategic. This episode introduces two key risks organizations must guard against: Strategy Creep — layering new initiatives on top of existing priorities, stretching teams thin and reducing execution qualityStrategy Swap — replacing carefully developed strategic priorities with externally funded initiatives that may not align with the organization’s true needsSue emphasizes that while funding can accelerate strategy, it should never define it. Instead, organizations must stay grounded in their mission, their community’s needs, and their clearly defined strategic priorities. She also shares practical decision filters to help leaders evaluate which opportunities to pursue — and which to pass on — so they can maintain focus, protect their teams, and achieve meaningful, lasting results: Does this directly advance one of our top strategic priorities on our plan?What are we going to need to stop or de-prioritize to make room for this?Do we have the execution systems and capacity to do all of this well?Are we leading our strategy or letting available funding lead us?  Navigating RHT decisions and want a strategic sounding board? Reach out to schedule a call with Sue or Doug at Capstone Leadership Solutions - info@capstoneleadership.net We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong. For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything. When you’re ready to take your culture to the next level, here are three ways I can help you: 1. Listen to the Culture Change RX Podcast Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy. 2. Subscribe to our Email Newsletter Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 3. Break through to the next level of greatness in your organization with help from my team and me. When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives. You can email me at info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

    30 min

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out of 5
5 Ratings

About

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.