Culture Change RX

Culture Bytes: Isolated Success Won’t Save Your Hospital

Sue Tetzlaff Season 2 Episode 87

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In this episode of Culture Change RX, Capstone’s Cofounder & CEO Sue Tetzlaff unpacks a common pattern in healthcare organizations: one leader or department excelling while the rest of the hospital struggles to keep up. These bright spots, while encouraging, are often fragile and siloed. Sue contrasts this episodic excellence with the power of systemic success—when every leader, every team, and every department is aligned and performing at high levels.


Episodic excellence feels good in the moment but is fragile and unsustainable.

  • Relying on a single standout leader or department creates imbalance and single points of failure.
  • True culture change happens when success spreads across all leaders, departments, and teams.
  • Tactics that can move organizations from isolated wins to systemic success:
    1. Adopt a unified leadership model.
    2. Create structures to spread best practices.
    3. Hard-wire accountability to organization-wide outcomes.
  • Systemic success compounds: engagement boosts patient experience, which improves financial performance.


She shares the root causes of isolated excellence, the risks it creates, and practical strategies for leaders to spread success organization-wide. From adopting a common leadership model to creating accountability structures that reinforce shared goals, Sue highlights how to build resilience, agility, and lasting results.


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

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
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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 info@capstoneleadership.net and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.