Episodios

  • Employee Engagement: Start with Listening, End with Impact (Christin Tenbusch)
    Apr 30 2025

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    Culture Change RX host Sue Tetzlaff converses with guest Christen Tenbusch of Covenant Healthcare about employee engagement examples and impact. They discuss the evolution of employee experience and patient experience, the empowerment of staff through focus groups, and the significance of creating a safe space for dialogue. Christin shares insights on flipping the hierarchy to empower staff, the impact of language in leadership, and the challenges of recruitment and retention in the healthcare sector. The conversation also touches on effective onboarding strategies and the necessity of engaging the C-suite in these initiatives to foster a positive organizational culture.


    • Engaging employees is crucial for improving patient experience.
    • Focus groups empower staff and enhance their engagement.
    • Creating a safe space for dialogue fosters trust and communication.
    • Flipping the hierarchy allows frontline staff to guide decisions.
    • Language matters; changing terms can improve buy-in from staff.
    • Behavior standards that are employee created are met with better acceptance.
    • Growth and development opportunities are essential for retention.
    • Recruitment challenges persist, especially in nursing and entry-level positions.
    • Onboarding processes that include a phased approach can meet each new employees' unique needs.


    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

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    32 m
  • Culture Bytes: Change Management That Works: 3 Practical Moves
    Apr 23 2025

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    In this solo episode of Culture Change RX, Sue Tetzlaff discusses the complexities of leading change within healthcare organizations. She emphasizes the importance of understanding resistance, effective communication, and the need for a structured approach to change management. Sue shares practical tactics for leaders to implement, including anticipating resistance, communicating the reasons behind changes, and the necessity of studying and adjusting post-implementation. The conversation highlights the significance of creating an agile culture to combat change fatigue and achieve high reliability in healthcare settings.

    • Leading change is a core leadership practice
    • Resistance is a natural part of the change process.
    • Anticipate and prepare for resistance to change.
    • Effective communication includes addressing the why behind changes.
    • Celebrate successes and learn from those who adapt well to change.
    • The “study and adjust” phase is crucial for successful change implementation.
    • Creating an agile culture helps reduce change resistance and fatigue.


    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/


    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

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    25 m
  • What Crisis Taught Us: Innovation, Engagement, and Grit (Jessica Nuutinen)
    Apr 16 2025

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    In this episode of Culture Change RX, Sue and Jess Nuutinen discuss the impact of crises on healthcare innovation, particularly during the COVID-19 pandemic. Jess shares her experiences as a nurse and leader, highlighting the importance of adaptability, teamwork, and community support in navigating challenges. They explore how partnerships and innovative solutions emerged from necessity, and the ongoing need for healthcare to embrace change, engage staff, and improve patient care.

    • Innovation often arises from necessity during crises.
    • Partnerships with local organizations can enhance healthcare delivery.
    • Rapid changes in healthcare require effective communication and teamwork.
    • Staff engagement is crucial for successful implementation of new practices.
    • Sustaining innovations post-crisis and post-change is essential for future success.
    • Leadership plays a vital role in fostering a culture of innovation and engagement.
    • Rural healthcare faces unique challenges that require tailored solutions.


    Connect with Jess Nuutinen:

    • By email
    • On LinkedIn
    • At Frontier Strategy Partners
    • Blog (shared governance)


    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    Más Menos
    30 m
  • Culture Bytes: The Missing Link to Healthcare Excellence: Behavior Change
    Apr 9 2025

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    In this solo episode of Culture Change RX, Sue Tetzlaff discusses the critical role of behaviors in workplace culture, particularly within healthcare organizations. She shares insights from her experiences facilitating discussions on creating a 'utopia' in healthcare, emphasizing that behavior change is essential yet challenging. The episode outlines the importance of establishing clear behavior standards and offers practical strategies for maintaining these standards within organizations, including commitment events, campaigns, giving and receiving feedback, and hiring practices.

    • Behaviors are crucial for transforming organizations.
    • Creating a utopia in healthcare requires clear behavior standards.
    • Behavior change is the hardest aspect of organizational change.
    • Establishing behavior standards is best done by an empowered team of employees.
    • Behavior standards should be written positively, focusing on what to do.
    • Align behavior standards with the organization's mission, mission, values and top strategic priorities (such as the Patient Experience).
    • Commitment events can mark a new beginning for behavior standards.
    • A feedback culture is essential for maintaining behavior standards.
    • Visual, verbal or virtual “campaigns” help to keep behavior standards top-of-mind.
    • Hiring for behavior can enhance the future of the organization’s culture.


    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/


    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    Más Menos
    25 m
  • Maximize Leadership Training: Tactics You Probably Overlooked (Julie Coneset)
    Apr 2 2025

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    In this episode of Culture Change RX, Sue and Julie Coneset discuss effective strategies for ongoing leadership development in healthcare organizations. Julie shares her extensive experience in creating impactful training programs, emphasizing the importance of mandatory attendance, setting clear expectations, and fostering engagement through relevant and interactive learning experiences. They explore the significance of feedback, creativity in logistics, and the role of internal peer champions in enhancing leadership training. The conversation highlights the importance of establishing a distraction-free learning environment via established ground rules to ensure effective engagement during training sessions.

    • Clear communication to all employees and leaders sets expectations for the accountability to put into place what is learned.
    • Engaging learning experiences enhance retention and application of skills.
    • Training content must align with organizational plans and goals for relevance.
    • Feedback from leaders is crucial for continuous improvement of training events.
    • Creativity in logistics can reduce costs and enhance training effectiveness.
    • Internal leadership development fosters a culture of continuous growth.
    • Internal leaders serving as “subject matter experts” (aka Peer Champions) bring additional perspectives and voices to training sessions.
    • Minimizing distractions during training improves focus and engagement.
    • Establishing ground rules promotes accountability and respect during sessions.


    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    Más Menos
    25 m
  • Culture Bytes: From 'Too Big' to 'Game-Changing': Rethinking Goal-Setting
    Mar 26 2025

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    In this episode of Culture Change RX, I discuss the concept of high reliability in healthcare, emphasizing the importance of setting ambitious goals. The conversation delves into the challenges of goal setting, the significance of a growth mindset, and the systems necessary for fostering high reliability organizations. I highlight the upcoming Healthcare Executive Forum, where healthcare leaders will explore strategies for achieving high reliability and continuous improvement.

    • Setting ambitious goals can drive organizational improvement.
    • Leaders and employees can often feel that big goals are impossible goals and a set up for failure.
    • Setting ambitious goals can lead to significant performance gains.
    • Celebrating the positive gains is important, even when goals are missed.
    • Goal systems are crucial for continuous improvement.
    • High reliability benefits patients, employees, and 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/



    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    Más Menos
    17 m
  • A Leadership Event That Changed Everything (Tami Chambers)
    Mar 19 2025

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    In this episode, Sue and Tami Chambers discuss the transformative journey of leadership development at Grant Regional Health Center. Tami shares her experiences as a first time senior leader and the impact of the two-day leadership immersion program facilitated by Capstone Leadership Solutions. They explore the importance of structured leadership practices and continuous learning. Tami emphasizes the significance of the nine core leadership practices that make up the “leadership bundle” and how they have shaped her approach to leading. Her experience with the leadership bundle practices, and her belief in their value, motivate her to teach these practices to others. The conversation concludes with encouragement for other healthcare organizations to invest in creating their own internal leadership development process.

    • The two-day leadership immersion provided the official start to Grant Regional’s leaders adopting a common and synergistic way of leading.
    • Structured leadership development was lacking at Grant Regional before partnering with Capstone.
    • Teaching others reinforces Tami's own learning and growth.
    • Empathy is crucial in connecting with leadership immersion participants.
    • Continuous learning is necessary for leadership effectiveness.
    • Accountability meetings help reinforce what was learned during leadership development.
    • Investing in leadership development is worth the initial effort.
    • Healthcare organizations should take the leap to enhance their leadership.


    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    Más Menos
    32 m
  • Culture Bytes: Silence, Anonymity, and the Fear of Speaking Up
    Mar 12 2025

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    In this solo episode of Culture Change RX, I discuss the critical concept of psychological safety within healthcare organizations so that employees feel safe to voice their concerns and ideas and freely provide feedback and input. This episode prompts leaders to consider: Are your employees hiding behind anonymity? If so, this episode outlines practical tactics for leaders to foster psychological safety, including embracing both anonymous and identified feedback, responding to feedback effectively, modeling vulnerability, and celebrating employees who speak up. The conversation highlights the journey towards a culture of trust and continuous improvement in healthcare settings - in essence, a culture where employees are safe to “own their voice.”


    • Low response rates in employee surveys can indicate a lack of psychological safety.
    • Anonymity in feedback can reflect a lack of psychological safety.
    • Leaders can model vulnerability to encourage open communication.
    • Celebrating brave voices fosters a culture of safety.
    • Feedback should be acknowledged and acted upon.
    • Creating a safe environment improves patient care and employee satisfaction.
    • High reliability organizations prioritize psychological safety.
    • Trust in leadership grows when employees see tangible outcomes.


    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/


    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)
    High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

    🎟 Event Registration & Details

    Más Menos
    18 m
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