Culture Change RX

Culture Bytes: We’ve Always Done It That Way


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In this episode of Culture Change RX, Sue Tetzlaff, cofounder of Capstone Leadership Solutions, discusses the prevalent belief in healthcare that working harder leads to better results. She challenges this notion, emphasizing that sustainable success comes from changing how work is done rather than increasing effort. Sue highlights the importance of understanding what needs to be done differently, fostering competency and consistency in new practices, and the role of systems in facilitating transformation. She also addresses the often need for external support in learning how to implement changes effectively and warns against starting from scratch or reinventing the wheel when seeking improvement.


Key Takeaways

  • The belief that working harder leads to better results is flawed.
  • Sustainable success comes from changing how we work, not how much we work.
  • Better engagement and outcomes require different leadership behaviors.
  • Competency and consistency in new practices is essential for changes in results.
  • External support can significantly aid in the success and speed of organizational transformation.
  • Avoid starting from a blank slate; use proven systems as a foundation for the new way of working.


If you are exploring ways to strengthen execution systems and leadership infrastructure, you can learn more about scheduling a complimentary systems discovery conversation here:
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 [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