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Culture Bytes: Doing It Well. Doing It Often. How Real Change Happens

Author
Sue Tetzlaff
Published
Wed 25 Jun 2025
Episode Link
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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/


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.

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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 [email protected] and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

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