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July 23, 2025 13 mins

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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


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Capstone helps rural hospitals be the provider- and employer-of-choice to keep care local and margins strong. Learn more via a complimentary consultation call. Schedule at:  CapstoneLeadership.net/Contact-Us

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