What’s possible in the first few weeks of true transformation work? This episode answers that question with clarity—and proof.

In this episode of the Coleman Associates Innovation Podcast, Amanda sits down with a powerhouse frontline team from a rural clinic in North Carolina that is already seeing remarkable results through the DPI™ (Dramatic Performance Improvement) Collaborative. In just two months, this small but mighty team has:

• Reduced No-Show rates consistently for 7 straight weeks
• Increased productivity by 27% at the time this was recorded. Since then, the average increase is 33% from baseline.
• Decreased cycle times overall by over 25%

And they’re just getting started.

You’ll hear directly from the people doing the work every day—provider Ashley, nurse Maddie (Madison), PSR Vanessa, and Peer Support Specialist Hannah, alongside Coleman coach Gabriel DelMuro. Together, they share what it really takes to turn intention into action, and action into measurable results.

This episode pulls back the curtain on:

• What the early days of DPI™ actually look like on the ground
• The specific challenges this team faced—and how they pushed through them
• How aligning roles across the care team unlocks rapid improvement
• The unexpected wins that come from doing this work the right way

Most importantly, this conversation highlights a powerful truth: you don’t have to wait months—or years—to see meaningful change.

Whether you’re a frontline team member actively in DPI™ or a leader wondering what’s possible in your own organization—especially in rural settings—this episode offers both inspiration and practical takeaways you can act on immediately.

Host: Amanda Laramie

Guests: Ashley, Maddie, Vanessa, Hannah, and Coleman Coach, Gabriel DelMuro

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What does it really take to turn empty appointment slots into a high-performing, fully utilized schedule—and keep it that way?

In this episode, Amanda sits down with three leaders from MLK Community Healthcare, a hospital-based primary care system in South Los Angeles. Five months after they graduated from the DPI™ Collaborative, they share how they didn’t just improve access—they fundamentally transformed how their system meets the demand of their patient community.

The results speak for themselves: cycle times reduced by 31% (from 73 to 50 minutes), productivity increased by 16%, No-Shows dropped from 22% to 15%, and chart completion soared from 53% to 88%. But the real story? Capacity utilization—starting at 66% and climbing as high as 96%—unlocking access without adding more resources.

Now, five months post-graduation, they’re sustaining those gains and continuing to build.

If you’re still struggling with access issues despite having open appointments, this episode will challenge how you think about capacity—and what’s truly possible.

Host: Amanda Laramie

Guests: Chad Vargas, Nyree Ramos, & Julie Castillo

Book shoutouts in this episode: Mastering Leadership, the Coleman Way High Impact Management Program™ by Melissa Stratman.

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In this special redux episode, we’re revisiting one of the most impactful episodes of the Coleman Associates Innovation Podcast: Change is a Game Changer #7.

Featuring Dr. Tim Spurrell, this conversation has surpassed 1,000 downloads—and continues to be the episode we recommend when health centers, especially providers, want a clear picture of how this work comes to life day-to-day.

In a time when burnout remains a defining challenge in healthcare, Dr. Spurrell offers more than perspective—he shares his own personal path forward. By focusing on what was within his control and rethinking how he engaged his team, he found a more sustainable way to practice.

This episode also introduces the core of our “sheep and shepherd” approach: clinicians remain the medical decision-makers, but the responsibility for care is shared across a well-designed, trusted team. The result is care that feels more connected, more manageable, and ultimately more human.

If you’re exploring what meaningful, practical change can look like in your setting, this episode offers a place to begin.

Because when the conditions are right, change doesn’t just happen—it transforms everything.

Hosts: Amanda Laramie & Ryan Jury

Guest: Dr. Timothy Spurrell

Book shoutouts in this episode: Mastering Leadership, the Coleman Way High Impact Management Program™ by Melissa Stratman.

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