Culture Change RX

Culture Bytes: The Cultural Bottom Line: Is Your Organization in the Red?


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In this episode of Culture Change RX, Sue Tetzlaff explores the concept of being 'in the red' culturally within healthcare organizations, drawing parallels to financial health. She discusses key indicators of cultural health, the impact of employee disengagement, and the necessary components of a cultural turnaround. Emphasizing the importance of strong leadership and long-term commitment, Tetzlaff encourages organizations to assess their cultural status and take action to foster a thriving workplace environment.

  • Data is essential for understanding cultural health and guiding improvements.
  • Key indicators of cultural health include turnover rates and employee engagement scores.
  • Active disengagement costs the U.S. economy significantly.
  • Culturally in the red feels like negativity and disconnection.
  • Cultural recoveries require strong leadership and clear diagnosis.
  • Organizations should assess their cultural status regularly.
  • A healthy culture attracts talent and improves patient care.


Need help improving the culture, performance, and results of your healthcare organization? If so, let’s talk:  https://www.capstoneleadership.net/contact-us


Are we connected yet on LinkedIn? https://www.linkedin.com/in/suetetzlaff/


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.
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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.

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Culture Change RXBy Capstone Leadership Solutions