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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In this episode, we’re joined by Dr. Sarah Smith—family physician, charting coach, and host of the Sustainable Clinician Podcast—for a crossover conversation on how clinicians can get their charting and in-basket work done today, not tonight.

After years of taking work home and feeling the strain of burnout, Sarah rethought how clinical work gets done. Now, she helps clinicians break free from after-hours documentation and build more sustainable habits.

We explore what keeps clinicians stuck, what sustainable clinicians do differently, and how to take back control—one note at a time.

Guest: Sarah Smith, MD

Host: Amanda Laramie

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