Culture Change RX

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In this episode of Culture Change RX, Sue Tetzlaff discusses the impacts of financial uncertainty on workplace culture, particularly in healthcare organizations. She emphasizes the importance of trust in leadership, employee engagement, and the need for transparency and education to navigate financial challenges. Tetzlaff shares strategies for overcoming these challenges, including the implementation of systems like goal cycles and employee-driven teams, to foster a healthier organizational culture and improve financial outcomes.

• Financial challenges are often top of mind for employees.
• Trust in leadership is essential during times of uncertainty, crisis, or challenges.
• Engaging employees can lead to innovative solutions for financial issues.
• Transparency about financial situations fosters a healthier culture.
• Education is crucial for both leaders and employees in finance.
• A sense of urgency can unite teams during crises.
• Systems like goal cycles can help organizations overcome financial challenges.
• Effective communication is key to the betterment of employee morale.
• When leaders engage employees in helping to overcome challenges, this serves to foster the sense of loyalty and commitment.

If you want to go deeper on building trust during tough times, check out these related episodes:

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

Building a new healthcare system isn’t just about construction—it’s about forward-thinking, people-centered transformation that fulfills a deep commitment to excellence in caring for the community.

In this episode of Culture Change Rx, Sue Tetzlaff interviews Theresa Sullivan, CEO of Samaritan Healthcare in Moses Lake, Washington, about the transformative journey of building a new healthcare system. They discuss the importance of community engagement, strategic planning, and the involvement of healthcare professionals in creating a healthcare environment that prioritizes patient experience and service excellence. Theresa shares insights on their holistic approach to the construction process, the significance of listening to the community and healthcare professionals, and the vision for a cohesive healthcare system that extends beyond the new building.

• Align strategic plans with community needs and input.
• Employee engagement is key to a successful transition.
• Creating a cohesive healthcare system involves all facilities and staff.
• Service excellence is a priority in the new healthcare vision.
• Leadership development is essential for organizational growth.
• Celebrating milestones fosters a positive organizational culture.
• Listening to values and feedback shapes the healthcare environment.

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

In this episode of Culture Change RX, Sue Tetzlaff discusses the critical aspects of transforming toxic workplace cultures, emphasizing the importance of local leadership, team dynamics, and individual behaviors. She outlines strategies for addressing toxic cultures, including the role of leadership in modeling positive behaviors, the shifting of team dynamics, and the necessity of addressing individual toxic behaviors. The episode culminates in a call to action for front-line leaders to take responsibility for their important role in creating a thriving workplace culture.

• Leadership is local and has a direct impact on the team culture.
• Toxic cultures can often be traced back to leadership behaviors.
• Team dynamics play a crucial role in workplace culture.
• Rituals and routines can either enhance or detract from team culture.
• The cost of keeping a toxic employee can outweigh the cost of replacing them.
• A five-point correction conversation can help address chronic, persistent toxic behaviors.
• Change requires commitment from both the leader and team members.
• Creating a thriving culture doesn't require new resources, just a commitment to change.

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

A positive organizational culture is reflected in employee interactions with the community.

In this episode of Culture Change RX, Sue Tetzlaff speaks with Sara Giles, the marketing director at Schoolcraft Memorial Hospital, about the evolution of community engagement and employee relations within the organization. They discuss the importance of building relationships, the impact of employee contributions, and the strategic alignment of community events with local needs. Sara shares insights on the SMH Cares program, which incentivizes employee participation in community initiatives, and highlights the hospital's commitment to fostering a positive organizational culture. The conversation culminates in a celebration of the hospital's 75th anniversary and its ongoing commitment to engaging with the community. 

• Community engagement is essential for building trust and market share.
• Employee involvement in community initiatives enhances job satisfaction and retention.
• The best hospital ambassadors are your people.
• The SMH Cares program rewards employees for their community service efforts.
• Strategic planning is crucial for aligning community events with local needs.
• Building relationships with community partners is key to successful engagement.
• Celebrating milestones, like the 75th anniversary, strengthens community ties.
• Innovative events can revitalize traditional community engagement efforts.
• Engaging employees in community marketing is proving to be more effective than traditional advertising.

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

Senior leadership team dysfunction in one or more of five specific areas can undermine the success and speed of leading organization-wide improvement and growth initiatives.

In this episode, Sue Tetzlaff and Courtney Kloehn discuss the critical importance of strengthening senior leadership teams within healthcare organizations. They explore the common dysfunctions that can hinder effective leadership and provide actionable tactics for improvement. The conversation emphasizes the need for cohesive teamwork, strategic focus, and continuous development to foster a positive organizational culture. Key categories for leadership improvement are identified, along with practical steps for ongoing enhancement of team dynamics.

• How senior leadership teams function collaboratively is crucial for stewarding successful organization-wide change initiatives.
• Diverse perspectives in leadership discussions strengthen decision-making.
• Empathy and understanding among team members enhance collaboration.
• Regularly scheduled meetings should focus on strategic rather than operational issues.
• Leadership practices must be role-modeled by executives to be effective.
• Building trust is essential for effective team dynamics.
• Facilitated conversations can help identify areas for improvement.
• Continuous monitoring of leadership effectiveness is necessary for growth.
• Creating a fun and engaging environment can enhance team collaboration.

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

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 Framework. 

Are we connected yet on LinkedIn? 

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

Leverage the leadership practice of rounding to strengthen psychological safety, just culture, and high reliability.

In this episode, Sue Tetzlaff discusses the importance of high reliability, just culture, and psychological safety in healthcare leadership. She emphasizes the significance of strengthening relationships through rounding, effective questioning, and the need for follow-up to build trust within teams. The conversation highlights practical options for leaders to engage with their employees in conversations about the culture of safety and high reliability.

Access the resource document (3 Options for Psychological-Safety related Rounding Questions) referenced in this episode.

• Rounding is a proactive approach to leadership.
• Effective rounding can elevate psychological safety.
• Local leadership significantly impacts organizational culture.
• One option for rounding questions: Use employee surveys to inform rounding discussions.
• Another option for rounding questions: Amy Edmondson’s psychological safety assessment questions are adapted into a set of seven possible rounding questions.
• A third option for rounding questions:  When the environment and/or relationship warrants it, specific “low-trust” rounding questions will be more appropriate for leaders to ask.
• Follow-up is key to building trust in relationships.

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 Framework. 

Are we connected yet on LinkedIn? 

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

In this episode, Sue Tetzlaff discusses the challenges and strategies for leadership in healthcare organizations, emphasizing the importance of moving beyond the status quo to foster growth and community impact. She introduces two contrasting formulas for organizational success: the fading formula, which leads to deterioration, and the rocket fuel formula, which focuses on investing in people, service, and quality to drive growth. Tetzlaff shares her experiences and insights on strategic planning and execution, urging leaders to prioritize foundational pillars for sustainable improvement.

The strategic formula you follow matters: the “Fading Formula” leads to burnout and stagnation, while the “Rocket Fuel Formula” powers lasting improvement and faster growth.

The 2-minute video clip referenced in this episode:  https://vimeo.com/1096998506?share=copy

• A flawed strategy formula can quietly erode even the best organizations—deteriorating culture, overstretching people, and stressing systems.
• The fading formula stresses people and deteriorates quality, leading to organizational decline versus the intended positive growth.
• The rocket fuel formula emphasizes a priority investment in core pillars which represents the core mission of the organization - high quality services. 
• Successful healthcare organizations prioritize people, service, and quality.
• Strategic plans must be built on effective formulas for success.
• Expert guidance can enhance strategic planning and execution.
• Strengthening healthcare organizations positively impacts communities.

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/

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

In this episode, Sue Tetzlaff discusses the importance of trust in senior leadership, particularly in the healthcare sector. She outlines two main categories of trust-building activities: everyday actions and responses during challenging times. She provides real life examples and practical takeaways for leaders related to strengthening trust and teamwork, even in the face of uncertainty and fear.

• There are two categories of trust-building activities in leadership: our everyday actions and our responses to episodic crises.
• Our day-to-day trust-building activities should not be neglected during times of crises.
• Trust can be diminished - or strengthened - during challenging times.
• Fear is a major contributor to silo creation, working against our heightened need for teamwork and collaboration.
• Leaders must anchor their teams during uncertainty by remaining calm and connected.
• Acknowledging threats while reinforcing stability is crucial for maintaining trust.
• Visibility and accessibility of leaders are essential during challenging times.
• Reminding teams of their past resilience can strengthen trust and teamwork.

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/

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.

Send us a Message

In this episode of Culture Change, Sue Tetzlaff emphasizes that efforts to elevate both competency and consistency are crucial for effective culture change and improvement. Competency relates to the quality and standards of practice, while consistency pertains to the frequency and application of those practices. The conversation explores how there are differences in how improvement teams and/or leaders approach increasing competency versus how they approach gaining more consistency. Ultimately, by focusing on both competency and consistency, an organization is aiming for a culture of continuous improvements that can be both measured and felt.

• Culture is how we do things around here which implies both competency and consistency in those “chosen things.”
• Competency relates to the quality of practice.
• Consistency is about the frequency of practice.
• A starting point is defining what it means to be both competent (how) and consistent (how often) in each required practice or standard.
• Understanding the 'why' behind practices enhances efforts to achieve both competency and consistency.
• Training, mentoring, and coaching are key to elevating competency.
• Accountability tactics are key to gaining and maintaining consistency.
• The long game in culture change requires sustained efforts focused on both competency and consistency of “how we do things around here.”

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/

The Virtual Patient Experience Boot Camp is designed for healthcare leaders and team members involved in patient experience improvement, communication, quality, culture, and organizational change, including:

• CEOs, COOs, and CNOs
• Patient experience leaders and improvement team members
• Nursing and department directors and s

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.