Embark on a journey to the heart of healthcare, where we dissect the driving force behind every thriving organization: its culture. Drawing on her executive background and extensive work as a strategic coach, Capstone’s co-founder Sue Tetzlaff and guests will share actionable insights and practical steps for successfully navigating the people side of the business of healthcare. Join weekly to be equipped and inspired to uplevel the culture and unlock the next level of potential in your healt ...
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Capstone Leadership Solutions Podcasts

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Culture Bytes: Lead a Movement. Leave a Legacy.
12:53
12:53
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12:53Send us a Message In this episode of Culture Change RX, Sue Tetzlaff discusses the importance of initiating movements within healthcare organizations to create lasting and impactful change. She emphasizes that true revolutions require more than incremental improvements; they demand a collective effort around a shared purpose. Tetzlaff shares insigh…
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The Experience Initiative: Part 4 – A New Path Forward (Ben Davis, CEO)
27:49
27:49
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27:49Send us a Message In this fourth of a series of planned quarterly episodes on Culture Change RX, host Sue engages with Ben Davis, President and CEO of Glencoe Regional Health, to discuss the ongoing transformational initiatives within his rural healthcare organization. As they mark the completion of the first year of Glencoe’s “Experience Initiativ…
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Culture Bytes: The Cultural Bottom Line: Is Your Organization in the Red?
15:07
15:07
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15:07Send us a Message 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 t…
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Culture Bytes: Lessons from Organizations That Get Culture Right
15:28
15:28
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15:28Send us a Message In this episode of Culture Change RX, Sue Tetzlaff explores the long-term nature of culture change within organizations, particularly in healthcare. Using analogies of soup and dye in water, she goes on to emphasize the importance of commitment, competency, and consistency in fostering a positive culture. Tetzlaff outlines four ke…
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Culture Bytes: Avoiding Stagnation and Recklessness: Strategy Execution That Works
16:33
16:33
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16:33Send us a Message In this episode of Culture Change RX, Sue Tetzlaff explores the critical relationship between culture and strategy execution in healthcare organizations. She introduces a strategy execution matrix that categorizes organizations based on their planning and execution capabilities. The discussion emphasizes the importance of aligning…
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Culture Bytes: How Overwhelm Undermines Leadership – and the Way Out
16:40
16:40
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16:40Send us a Message In this solo episode of Culture Change RX, Sue Tetzlaff discusses the importance of effective leadership in healthcare organizations. She emphasizes the need for leaders to focus on proactive leadership activities. By categorizing their time into three buckets—whirlwind, management, and leadership—leaders can better allocate their…
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Culture Bytes: The Key to Progress? Stop Starting Over.
21:45
21:45
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21:45Send us a Message In this solo episode of Culture Change RX, Sue Tetzlaff discusses the importance of cycles in healthcare organizations, emphasizing the need for a structured framework and execution systems to achieve long-term improvement and transformation. She highlights how continuous systems and cycles can lead to sustained growth and better …
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Employee Engagement: Start with Listening, End with Impact (Christin Tenbusch)
29:53
29:53
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29:53Send us a Message 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. Christ…
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Culture Bytes: Change Management That Works: 3 Practical Moves
23:18
23:18
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23:18Send us a Message 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…
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What Crisis Taught Us: Innovation, Engagement, and Grit (Jessica Nuutinen)
27:50
27:50
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27:50Send us a Message 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 par…
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Culture Bytes: The Missing Link to Healthcare Excellence: Behavior Change
22:56
22:56
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22:56Send us a Message 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. …
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Maximize Leadership Training: Tactics You Probably Overlooked (Julie Coneset)
22:56
22:56
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22:56Send us a Message 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 engage…
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Culture Bytes: From 'Too Big' to 'Game-Changing': Rethinking Goal-Setting
15:26
15:26
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15:26Send us a Message 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…
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A Leadership Event That Changed Everything (Tami Chambers)
30:21
30:21
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30:21Send us a Message 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 struc…
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Culture Bytes: Silence, Anonymity, and the Fear of Speaking Up
16:24
16:24
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16:24Send us a Message 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 epi…
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From Event to Execution: Making Leadership Learning Count (Courtney Kloehn)
29:04
29:04
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29:04Send us a Message In this episode, Sue and Courtney discuss the importance of team learning and networking at events like Capstone’s annual Healthcare Executive Forum. They explore how attending such events can lead to actionable takeaways, enhance camaraderie among executives, and provide valuable networking opportunities. The conversation emphasi…
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Connecting Employees with Our Brand Promise (Amy Yaeger)
31:53
31:53
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31:53Send us a Message In this episode, Sue and Amy Yaeger, Director of Strategic Marketing and Business Development at Astera Health, discuss the importance of connecting brand promises to employee experiences across the employee lifecycle. They explore various strategies for onboarding, employee engagement, and communication, emphasizing the need for …
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Culture Bytes: Leading Change: Communication, Training, and Campaigning
23:36
23:36
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23:36Send us a Message Want to improve your organization? Effective communication, training, campaigning, and meetings can help. Great organizations define and implement effective communication strategies. Clarity around key terms enhances communication efforts. Training is distinct from communication and focuses on skill development. Campaigns support …
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Stay or Stray? How Total Rewards Impact Retention (Carol Breen)
35:47
35:47
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35:47Send us a Message In this episode, Carol Breen, founder and principal of Sedona Partners, a human resources and rewards consulting firm, and show host, Sue Tetzlaff, discuss the concept of “Total Rewards” in the workplace. They explore the framework of Total Rewards, which includes compensation, benefits, learning and development, and organizationa…
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Culture Bytes: From Average to Exceptional: Building a Strong Core in Healthcare
20:06
20:06
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20:06Send us a Message In this solo episode of Culture Change RX, I discuss the transformative work of Capstone Leadership Solutions in small and rural healthcare organizations. I highlight the significant improvements in employee and patient experiences achieved through a structured approach that focuses on leadership development, employee involvement …
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Authentic Leadership in Action: Lessons from Rural Healthcare (Greg Opseth)
36:02
36:02
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36:02Send us a Message In this episode, Greg Opseth, a former Chief Nursing Officer and now Chief Operating Officer in rural Iowa, shares his insights on the importance of authentic leadership in healthcare, particularly in rural hospitals. Greg shares his experiences and emphasizes the need for a safe and enjoyable work environment. They explore strate…
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Culture Bytes: Building Resilient Teams: The Magic of Well-Being Rituals
19:22
19:22
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19:22Send us a Message In this solo episode of Culture Change RX, Sue Tetzlaff discusses the importance of promoting well-being within healthcare organizations. She emphasizes the need for leadership models that incorporate well-being as a core commitment and introduces the concept of resilience rituals—self-care routines that help individuals maintain …
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The Experience Initiative: Part 3 – A New Path Forward (Ben Davis, CEO)
35:47
35:47
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35:47Send us a Message In this third installment of our quarterly series, I catch up with Ben Davis, President and CEO of Glencoe Regional Health, to check in on The Experience Initiative—a transformative effort aimed at improving patient access and elevating experiences for patients, residents, and employees. Ben shares how employee-driven teams are dr…
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Culture Bytes: Ditch the Drag - Make Executive Meetings Work for You
14:33
14:33
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14:33Send us a Message In this episode of Culture Change RX, Sue Tetzlaff discusses the importance of shaping up weekly executive team meetings to enhance collaboration, decision-making, and organizational progress. Drawing from over 30 years of healthcare executive experience, she emphasizes the need for a clear purpose, strategic agenda, and continuou…
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1-on-1s Done Right: Build Culture, Performance & Relationships (Dr. Rob Lion)
40:16
40:16
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40:16Send us a Message In this episode of Culture Change RX, Sue Tetzlaff and Rob Lion discuss the significance of one-on-one conversations in fostering a positive workplace culture. They explore how these interactions can enhance relationships, provide valuable feedback, and ultimately improve individual and organizational performance. Rob shares his i…
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How Attitude and Words Create Ripple Effects in Healthcare Culture
33:21
33:21
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33:21Send us a Message Episode Insights and Takeaways: Empathetic leadership is essential for employee engagement. Recognition can energize staff and improve morale. The person you report to significantly affects your work experience. Listening to employees is vital for organizational success. Building connections with staff enhances teamwork. Thank you…
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Culture Bytes: Build a Leadership Improvement Strategy: 3 Targeted Tiers
21:31
21:31
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21:31Send us a Message In this episode of Culture Change RX, Sue Tetzlaff discusses the importance of continuous quality improvement (CQI) in leadership, drawing from her extensive experience in healthcare leadership and improvement. She outlines three tiers of leadership improvement focus: individual leaders, senior leadership teams, and the entire lea…
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How Rural Hospitals Build Leaders and Approach Change
31:49
31:49
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31:49Send us a Message In this episode, Shelby Guevara, a Chief Nursing Officer in rural Iowa, shares her insights on leadership in healthcare, particularly in rural hospital settings. She discusses the importance of building trust and empathy among leaders, engaging frontline staff in decision-making, and the significance of understanding one's purpose…
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Culture Bytes: Insider Insights into Capstone's Culture Transformation Success
30:32
30:32
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30:32Send us a Message In this Solo Byte episode of Culture Change RX, Sue Tetzlaff provides a behind-the-scenes look at the activities and timeline of organization-wide transformations. In particular, Sue discusses the approach of Capstone Leadership Solutions in transforming organizational culture within healthcare settings, all targeted on long term …
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Make Your Strategy Visible and Effective – Here’s How
34:15
34:15
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34:15Send us a Message In this episode of Culture Change RX, host Sue Tetzlaff speaks with Jason Douglas, founding partner at Frontier Strategy Partners, about his extensive experience in rural healthcare. They discuss the importance of culture in healthcare organizations, the implementation of lean management practices, and the development of a True No…
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Culture Bytes: Crushing Silos: One Tactic Every Leader Needs to Know
18:21
18:21
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18:21Send us a Message In this Solo Byte episode of Culture Change RX, Sue Tetzlaff overviews the what, why, and how of a tactic for breaking down silos and building collaboration between departments in a healthcare organization. Sue explores the negative impacts of departmental silos on efficiency and patient care, and emphasizes the need for collabora…
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How Employee Teams Improve Patient Satisfaction
39:13
39:13
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39:13Send us a Message In this episode of Culture Change RX, Sue Tetzlaff and Capstone Coach Kevin Stranberg discuss the importance of employee-driven teams in enhancing patient experience in healthcare. They explore how data can be tied to patient experiences, the role of leadership in fostering a positive work environment, and the significance of comm…
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The Art of Meaningful Employee Evaluations
32:41
32:41
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32:41Send us a Message In this episode, Sue engages in conversation with another member of Capstone’s coaching team, Julie Coneset. They discuss the intricacies of performance appraisals and the importance of transforming them from mere tasks into meaningful leadership practices. They explore the significance of preparation and planning, creating valuab…
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Company Values: How a Purple Wall Changed Everything
38:54
38:54
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38:54Send us a Message In this episode, Sue engages in conversation with Matt Streeter, Chief Financial Officer for North Country Healthcare (NCH), and interim President/CEO of NCH affiliate Weeks Medical Center, to discuss the critical role of mission, vision, and values in cultural transformation within rural healthcare. They explore how these element…
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Culture Bytes: Confidence in Senior Leadership is Critical
21:25
21:25
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21:25Send us a Message In this Solo Byte episode of Culture Change RX, Sue Tetzlaff discusses the importance and impact of trust and confidence in an organization’s senior leadership. The episode explores the complexities of trust, its foundations, and how it can be built and maintained through consistent actions and relationships. Sue emphasizes that t…
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Send us a Message In this episode, Capstone transformational coaches Sue Tetzlaff and Courtney Kloehn delve into the complexities of giving and receiving feedback, particularly in healthcare settings. They discuss the importance of authenticity, trust, and continuous improvement in feedback dynamics. The conversation emphasizes the need for leaders…
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Culture Bytes: A Feedback-Rich Work Environment
21:02
21:02
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21:02Send us a Message In this Solo Byte episode of Culture Change RX, Sue Tetzlaff discusses the importance of feedback in healthcare organizations, emphasizing its role as a superpower that enhances individual and organizational performance. She outlines the necessity of creating a feedback culture where giving and receiving feedback is normalized and…
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Part 2 - The Experience Initiative: A New Path Forward with CEO Ben Davis
36:56
36:56
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36:56Send us a Message In this second of a series of planned quarterly episodes on Culture Change RX, host Sue engages with Ben Davis, President and CEO of Glencoe Regional Health, to discuss the ongoing transformational initiatives within his organization. They explore the challenges and successes of implementing structured teams, the importance of dat…
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Culture Bytes: Exploring Failure - The Good, The Bad, and The Ugly
27:46
27:46
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27:46Send us a Message In this Solo Byte episode, Sue Tetzlaff discusses the impact of failure on future progress and workplace culture in the workplace in the context of organizations striving to achieve big goals. She explores the idea of “intelligent failure,” as coined by Amy Edmondson, where undesired results occur in new territory. Sue emphasizes …
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Culture Bytes: Introduce with Impact - Managing Up
18:14
18:14
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18:14Send us a Message In this Solo Byte episode, Sue Tetzlaff discusses a communication tactic, “managing up,” that has a positive impact on both the employee experience and patient experience. Managing up is a communication tactic where your introduction positions others or other organizations, people, or services in a positive light to increase confi…
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Culture Bytes: Building Engaged Teams and Committees
24:51
24:51
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24:51Send us a Message In this Culture Byte episode, Sue Tetzlaff discusses how to utilize teams as a way to foster employee engagement. She emphasizes the importance of creating teams with a compelling purpose and empowering them to fulfill that purpose. Sue also highlights the benefits of utilizing a team structure in organizations, where teams are al…
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Culture Bytes: Unpacking Workplace Negativity: Strategies for Change
24:21
24:21
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24:21Send us a Message In this episode, Sue Tetzlaff discusses the impact of positivity and negativity in the workplace. She explains that negativity is natural and ingrained in our brains as a way to protect us, but it can be problematic in relationships, teams, and workplace cultures. Sue emphasizes the need to balance negativity with intentional acts…
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Culture Bytes: Unpacking "Flavor-of-the-Month" Change Failures
23:23
23:23
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23:23Send us a Message In this Culture Byte solo episode, Sue discusses the all-to-common phenomenon described as “flavor-of-the-month” which are, in essence, failed change initiatives. She acknowledges that humans are resistant to change, even when they recognize the benefits. Sue explains the concept of diffusion and the need for a majority of employe…
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Send us a Message In this episode, Sue and Jeff Standridge, an expert in organizational behavior and leadership, engage in discussion about the key aspects of a strong culture. Standridge outlines six elements of a culture of excellence: strong leadership, clarity and focus, engaged and committed teammates, empowering communication, 100% accountabi…
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Culture Bytes: Many leaders aren’t really leading
27:08
27:08
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27:08Send us a Message In this Culture Byte solo episode, Sue discusses the concept of the leadership bundle and its importance in the organization's future success. She explains that leadership is about activities that make something better for the future and recommends defining and practicing a bundle of core leadership tactics. Sue emphasizes the nee…
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Send us a Message In this episode, Sue and Julia Green discuss Access Community Health Center’s successful efforts to retain, develop, and recruit medical support staff. Julia discusses the adoptions of the TeamSTEPPS framework for improving communication and teamwork. They also talk about the importance of behavioral-based interviewing, onboarding…
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Culture Bytes: Friendly Faces, Friendly Places: Caring Starts in the Hallway
18:02
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18:02Send us a Message In this Culture Byte solo episode, Sue discusses the importance of hallway hospitality as one of the recommended 12 positive communication standards to be adopted by healthcare organizations. Hallway hospitality is the simple act of saying hi in the hallway and creating a friendly and caring atmosphere. Sue emphasizes the impact o…
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Send us a Message In this episode, Sue converses with Julie Coneset, a Capstone Transformational Coach on the topic of organization-wide employee development efforts. Julie shares her experience of leading the employee training team at a community hospital and the importance of employee involvement in orchestrating these training initiatives. They …
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Culture Bytes: 4 Categories of Silo Busting Actions
18:23
18:23
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18:23Send us a Message In this Culture Byte solo episode, Sue discusses the concept of silos within organizations. Silos are groups within an organization that are focused inward and loyal to their own rather than the organization as a whole. Silos can exist between different departments or divisions, hierarchical levels, generations, geographical locat…
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Investing in Leaders: A Pathway to Organizational Excellence
36:29
36:29
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36:29Send us a Message In this episode, Sue interviews Michelle Franklin, the CEO of Sullivan County Community Hospital, about their journey to developing leaders in their organization. Michelle shares how they started their leadership development efforts in earnest after experiencing disappointing employee engagement survey results. They implemented le…
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