DiscoverCulture Change RXCulture Bytes: From 'Too Big' to 'Game-Changing': Rethinking Goal-Setting
Culture Bytes: From 'Too Big' to 'Game-Changing': Rethinking Goal-Setting

Culture Bytes: From 'Too Big' to 'Game-Changing': Rethinking Goal-Setting

Update: 2025-03-26
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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 the upcoming Healthcare Executive Forum, where healthcare leaders will explore strategies for achieving high reliability and continuous improvement.

  • Setting ambitious goals can drive organizational improvement.
  • Leaders and employees can often feel that big goals are impossible goals and a set up for failure.
  • Setting ambitious goals can lead to significant performance gains.
  • Celebrating the positive gains is important, even when goals are missed.
  • Goal systems are crucial for continuous improvement.
  • High reliability benefits patients, employees, and communities.


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/



We’re stepping forward in a bigger way—growing our team of rural healthcare experts, growing our capabilities by adding a strategic planning division … all of this so we can expand our ability to help even more rural hospitals and other small healthcare organizations in 2026. … We’d love to explore how we can support your organization in being the provider- and employer-of-choice so you can keep care local and margins strong! Learn more at CaptoneLeadership.net


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.

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Culture Bytes: From 'Too Big' to 'Game-Changing': Rethinking Goal-Setting

Culture Bytes: From 'Too Big' to 'Game-Changing': Rethinking Goal-Setting

Sue Tetzlaff