Our Work in The Kingdom of Bhutan
Since April 2024, CTI Leadership CEO, Mo Kasti, has been volunteering to help the Government of Bhutan achieve 10X growth while redesigning the government operations and achieving Enlighted Entrepreneurial Bureaucracy.
Take a look through all of the examples of the leadership work and support the CTI Leadership team has been a part of.
Redesign the Bhutan Royal Institute of Management
Redesign the Royal Institute using The Line of Sight
Grateful for the opportunity to serve where it matters most.
April 21, 22, 2025, I had the privilege of volunteering my time to lead a visioning and Line of Sight Strategy alignment session for the Royal Institute of Management (RIM) in Bhutan.
Over two full days, I worked alongside an inspiring group of faculty members, institutional leaders, and board members to co-create a renewed sense of purpose, vision, and alignment. Together, we explored how RIM’s training and teaching efforts can evolve to meet Bhutan’s bold aspiration for a more Enlightened Entrepreneurial Bureaucracy—a government culture rooted in innovation, efficiency, ownership, and service.
What made this experience especially meaningful was witnessing the genuine commitment of every participant to Bhutan’s national transformation. The conversations were rich, hopeful, and deeply strategic—connecting education to public service, and individual growth to institutional impact.
Thank you to the board of RIM and chairperson Tashi Pem for trusting me with this important process. I leave with deep respect and admiration for the work being done to build a future-ready Bhutan.
Facilitating Lean Six Sigma Process Improvement in Bhutan’s Healthcare
April 23, I had the privilege of leading a mini Kaizen workshop and Lean Six Sigma training for the Ministry of Health in Bhutan. Together, we tackled two critical service delays:
Dental services — working alongside the dedicated dental specialists to explore ways to reduce the three-year wait time for orthodontic appointments.
2. Family care walk-in services — addressing delays in seeing a physician when patients arrive without appointments.
Despite the unexpected challenge of losing power in the conference room, the team pressed forward with determination. We mapped the current state, shifted our point of view (POV), and envisioned what could be possible in an ideal, streamlined process with fewer delays.
Most importantly, we didn’t just leave with ideas — we walked away with concrete next steps and specific improvement actions the teams will “try storm” in the coming months to reduce patient wait times.
I am truly proud of this team. Against all resource constraints, they showed the creativity, commitment, and energy to uncover real improvement opportunities. Every additional patient we are able to see sooner I am sure is very grateful.
A heartfelt thank you to the team of providers who participated, Dr. Mimi (Director of National Medical Service) and to the Honorable Secretary of Health for sponsoring this important effort.
Even though my work here is on a volunteer basis, I always walk away feeling like I gain more from the experience than the participants themselves. Grateful and inspired!
Coaching the Ministry of Health in Bhutan
Reflecting on last week visit with the Ministry of Health in Bhutan where I had the privilege to spend time with the Honorable Secretary of Health and all the top leaders of the ministry.
Our discussions covered strategies for strenghting and transforming the health system in the country by focusing on:
1. Process and Quality Improvement: Bringing efficiencies in the current care delivery
2. Reducing Staff and talent turnover by improving classification and incentive programs.
3. Private participation in the care delivery
4. Leveraging Traditional Medicine practices.
I was encouraged by the level of commitment of the leaders to improve the care for their Bhutanese Citizen and I look forward to continue coaching them and to be an agent of change.
Can’t wait to be back in the spring to see the progress made on these key initiatives
Executive Government Leader Training
A 4-Day on-site leadership retreat for 120 Government leaders
In partnership with CTI, RCSC hosted an Executive forum in December 2024 in Bhutan.
The Theme was
High Performing Executive Leadership to Achieve Enlightened Entrepreneurial Bureaucracy and 10X growth.
The speaker was CTI CEO Mo Kasti
The Topics covered:
- Pragmatic Optimism – How constraints are the opportunity to be creative
- What does it mean to be an Executive Leader
- What does it mean to become an Enlighted Entrepreneurial Bureaucracy
- Line of Sight – Annual Planning
- 90 day Action Planning – 90 day line of Sight
- Effective Time management
- Establishing Operating System to drive accountability
- Leading Self- Personality and Communication Styles
- Feedback, Feedforward and coaching for performance
Leading Change and Transformation in Bhutan
Such an amazing country, people, culture and energy.
Amazing to share the stage with Honorable Prime Minister of Bhutan , Tshering Tobgay, who was hands on in some of the sessions and discussions.
We had the opportunity to work, present and coach the honorable ministers and secretaries and their leadership teams of the Bhutan Government.
In one session, we discussed what leaders need to BE and DO to lead their teams on a transformative journey and the 10 leadership lessons to lead others through change and transformation of Bhutan.
Some of these lessons included:
1. Envision and communicate an optimistic future.
2. Constraints- Embrace Current Constraints
3. 20/60/20 – Choose where you spend your time and with whom!
4. CO-Create with a Coalition
5. Over communicate- Humanize the why
6. Focus on Big Rocks- Pick Winnable battles.
etc…
