Culture Change RX

Hosted by Capstone Leadership Solutions

Business Management Education

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Episodes

131

Latest episode

Aug 2026

Language

EN-US

About the show

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 healthcare organization.

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August 19, 2026Episode 13216 min

Culture Bytes: Why Small Hospitals Can Become Healthcare's Preferred Place to Work

Send us a Message In this solo Culture Byte episode of Culture Change RX, Sue Tetzlaff challenges the conventional narrative and shares why rural hospitals may actually have one of healthcare's greatest competitive advantages: the ability to become the preferred place to work. Drawing on more than 30 years in rural healthcare—including 14 years partnering with rural hospitals across the country—Sue explains why smaller organizations are uniquely positioned to create cultures where employees feel known, trusted, valued, and deeply connected to their work. She explores why becoming an employer of choice isn't simply a workforce initiative—it's a long-term strategy for organizational vitality. Because when people genuinely want to work at your hospital... Everything else becomes easier. [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

August 5, 2026Episode 13014 min

Culture Bytes: Escaping the Three Patterns That Hold Hospitals Back

Send us a Message In this short solo Culture Byte episode of Culture Change RX , Sue reveals the three patterns behind why so many healthcare organizations work incredibly hard to improve...yet still struggle to achieve consistent, award-winning excellence. After spending two decades as a healthcare executive and more than fourteen years partnering with dozens of rural hospitals across the country, Sue Tetzlaff has noticed the same three patterns appearing over and over again. If your organization has invested in leadership development, patient experience, employee engagement, quality improvement, or culture initiatives—but still feels like the results aren't consistent or sustainable—this episode will likely feel very familiar. More importantly, it offers a new way to think about moving from isolated improvement to organizational excellence. [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

July 29, 2026Episode 12931 min

Connecting Rural Hospitals to the Right Innovations (Mark Allen)

Send us a Message In this episode of Culture Change RX , Sue welcomes Mark Allen, founder of Rural Health Engine, for a conversation about innovation, technology, and the future of rural healthcare. Mark shares how his journey—from growing up in rural Missouri, to serving in the U.S. Coast Guard, to helping innovative technology companies—ultimately led him to create Rural Health Engine, a nonprofit dedicated to connecting rural hospitals with practical, affordable innovations. Rather than selling products, Mark sees his role as helping rural healthcare leaders discover what's already available and determine which innovations truly fit their organization's needs. The conversation explores why innovation isn't just about adopting artificial intelligence or new software. It's about asking better questions, thinking differently, and recognizing that doing nothing may be the greatest risk of all. To learn more about Rural Health Engine, complete the Innovation Readiness Assessment, or connect with Mark Allen: Website: Rural Health Engine Email: allen@ruralhealthengine.org [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

July 22, 2026Episode 12823 min

Culture Bytes: Strategy Development: Four Areas of Untapped Potential

Send us a Message In this solo Culture Byte episode of Culture Change RX , I share a strategy development insight from Capstone Leadership Solutions' recent Healthcare Executive Forum: Identifying and Unlocking Untapped Potential. Drawing from years as a rural healthcare executive and my work with hospitals across the country, I challenge leaders to stop asking, "What should we add next?" and instead begin asking: "What's already inside our organization that we're not fully using?" I dig into why many rural hospitals overlook opportunities that already exist—in their patient experience, employee experience, market, operational capacity, and frontline employees—and why unlocking these opportunities is often faster, less expensive, and far less risky than launching something new. If your organization is preparing its next strategic plan or searching for meaningful growth despite limited resources, this episode offers a practical framework for discovering the opportunities already sitting beneath your feet. [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

July 15, 2026Episode 12742 min

Why Rural Hospitals Must Define Their Unique Value (Doug Morse)

Send us a Message In this episode of Culture Change RX , Sue welcomes back Doug Morse, Principal of Strategic Planning at Capstone Leadership Solutions, for a conversation about a different approach to strategy. Rather than trying to be slightly better than the hospital down the road, Doug challenges organizations to ask a much bigger question: What unique value can only your organization provide? Together, Sue and Doug explore why differentiation isn't enough, why rural hospitals must identify their unique value, and how strategic clarity creates the focus, alignment, and momentum needed for long-term success. The conversation also introduces one of Doug's most powerful questions: "What are you willing to promise your patients?" For leaders feeling overwhelmed by competing priorities, long to-do lists, and initiative fatigue, this episode offers a refreshing perspective on strategy, execution, and the future of rural healthcare. Doug’s past podcast episodes: Growth and Culture Accelerators: Nimble Planning and Continuous Learning Clarity Over Chaos: Making Strategy Work in Rural Healthcare Connect with Doug: Doug@CapstoneLeadership.net Doug’s LinkedIn [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

July 8, 2026Episode 12621 min

Culture Bytes: From Whack-a-Mole to Strategic Momentum

Send us a Message In this episode of Culture Change RX , Sue Tetzlaff explores why many healthcare organizations aren’t lacking effort — they’re lacking integration, sequencing, and coordinated systems. Sue shares why disconnected initiatives often create fragmented energy, initiative fatigue, and temporary improvements that fail to strengthen the organization as a whole. She explains how truly strong and agile healthcare organizations move beyond reactive “whack-a-mole” improvement efforts and instead build reinforcing systems that create sustainable momentum over time. This episode is especially valuable for leaders of small and rural healthcare organizations who are working hard to improve culture, engagement, patient experience, leadership effectiveness, strategy execution, and long-term organizational vitality — but still feel like progress is harder than it should be. [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

July 1, 2026Episode 12533 min

The Why Behind the Work (Greg Opseth)

Send us a Message In this episode of Culture Change RX , Sue Tetzlaff welcomes Greg Opseth, COO of Highland Medical Staffing, Executive Director of the Iowa Nurses Association, and a Capstone Transformational Expert, for a meaningful conversation about the importance of staying grounded in purpose as healthcare leaders. Drawing from insights gained at the Iowa Organization for Nursing Leadership (IONL) conference, Greg shares reflections on “the power of the pause” and the importance of anchoring ourselves in our “why” — especially during seasons of stress, complexity, and leadership fatigue. Greg also shares powerful personal stories about becoming a nurse, entering leadership, and creating meaningful culture through simple but intentional leadership practices — including asking caregivers to reconnect with and share their “why.” Resources mentioned in this episode: Watch D.O.G.S. — a national program supporting student success: https://dadsofgreatstudents.com/ Connect with Greg: Greg@CapstoneLeadership.net LinkedIn: https://www.linkedin.com/in/greg-o-a80384171/ Coming soon from Capstone: August 11, 2026 | 12p Virtual Webinar: 5-Step Process for Nursing Excellence https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg September 15-16, 2026 | 8:30am - 12:30pm Virtual Nursing Bundle Boot Camp — evidence-based practices and transformational nursing leadership [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

June 24, 2026Episode 12437 min

Culture Bytes: You May Already Have the Time and Money to Transform Your Organization

Send us a Message In this episode of Culture Change RX , Sue Tetzlaff explores one of the most common objections healthcare organizations face when considering transformational change: “We don’t have enough time or money.” Drawing from decades of experience leading and supporting transformation in small and rural healthcare organizations, Sue challenges the assumption that meaningful improvement always requires more resources. Instead, she introduces a different perspective: A successful transformation should not be designed as an “add-on” to already overwhelmed leaders and teams. Rather, transformational work should replace ineffective activities, outdated systems, and resource allocations that are not producing meaningful results. And Sue offers up some questions to ponder: What are we spending time on today that is not actually moving the needle? What are we spending money on today that is not actually moving the needle? What would happen if we stopped doing those things and replaced them with proven systems and approaches? Interested in exploring what a time-neutral and budget-neutral transformation approach could look like for your healthcare organization? Schedule a complimentary discovery call series with the Capstone team: CapstoneLeadership.net/Contact-Us -- Or email: info@capstoneleadership.net [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

June 17, 2026Episode 12333 min

AI Innovations That Improve Patient Care (Darrell Bodner)

Send us a Message In this episode of Culture Change RX , Sue Tetzlaff welcomes Darrell Bodnar, Chief Information Officer for North Country Healthcare in New Hampshire, for a fascinating conversation on innovation, artificial intelligence, patient safety, and high reliability in rural healthcare. Darrell shares how North Country Healthcare — an independent rural healthcare system serving the northern third of New Hampshire — is leveraging AI, technology, leadership, and cross-functional teamwork to improve patient care, reduce harm, strengthen workflows, and support healthcare providers. This episode provides a hopeful and practical look at how rural healthcare organizations can use innovation and collaboration to create safer systems, stronger cultures, and better patient outcomes. [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.

June 10, 2026Episode 12225 min

Culture Bytes: Improvement Is Not the Same as Sustainability

Send us a Message In this episode of Culture Change RX , Sue Tetzlaff explores one of the most common - and costly - mistakes organizations make during change efforts: declaring victory too soon. Drawing from John Kotter’s work on organizational change, Sue explains why early improvement is not the same as long-term transformation and why organizations often regress when new behaviors and systems are not fully embedded into the culture. Using a powerful analogy about her own orthodontic experience with braces, Sue illustrates how visible progress can happen relatively quickly - but permanent, sustainable change requires more time, consistency, and structure. [FREE Webinar] A 5-Step Approach to Achieving Nursing Excellence in Rural Hospitals: Aug 11 at Noon ET Many rural hospitals need a proven approach for creating and sustaining nursing excellence. Join Capstone for a special 1-hour webinar where we will overview our proven 5-step approach for achieving nursing care improvements that take hold and last. Register here: https://capstoneleadership-net.zoom.us/meeting/register/gCRrqIc2QeK7mj-1gzIJsg 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 Get practical tips, frameworks, and leadership tools delivered right to your inbox—plus exclusive content you won’t find on the podcast. 📩 Subscribe here 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.