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In this episode of Culture Change RX, Sue Tetzlaff discusses the critical issue of misalignment within healthcare organizations. She shares insights from her experience founding Capstone Leadership Solutions and outlines a framework for achieving great strategies. The conversation emphasizes the importance of creating alignment through team structures, effective leadership, and achievement systems, while also addressing the barriers to change. Sue encourages healthcare leaders to adopt this framework to enhance organizational culture and performance and ultimately long term viability and success.

• Misalignment is a significant issue in healthcare organizations.
• Capstone’s framework for achieving great strategies includes an execution emphasis for creating alignment, ownership, and agility.
• Creating alignment involves engaging frontline employees in strategic priorities.
• Leadership systems must be unified to avoid misalignment.
• Achievement systems help in setting and achieving organizational goals.
• Change systems face common barriers that can hinder progress.
• A unified framework can eliminate guesswork in improvement efforts.
• Alignment enhances organizational effectiveness.

Access the past episode, The Formula Behind Your Hospital’s Future: Fading or Rocket Fuel? https://www.buzzsprout.com/2315930/episodes/17479922 referenced in this episode.

Need help improving the culture, performance, and results of your healthcare organization? If so, let’s talk.

Join Capstone Coaches and healthcare leaders from all around the country in our private Facebook group, Fans of the Framewo

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
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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 [email protected] and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.