What happens when an organization grows faster than its leadership structure?

Wayne Memorial Community Health Centers CEO Terri Lacey joins Amanda to talk candidly about growing from two sites to 22—and recognizing that roles, reporting relationships, and decision-making needed to evolve along with the organization.

Terri shares what it took to rethink the org chart, get leaders focused on their “Main Thing,” create greater clarity and shared accountability, and navigate the uncomfortable conversations that come with organizational change.

If your organization has grown, changed, or simply outgrown the way it has always done things, this episode is for you.

Books Mentioned in this Episode:

Monday Morning Leadership by David Cottrell

Mastering Leadership the Coleman Way by Melissa Stratman

Guest: Terri Lacey, CEO

Host: Amanda Laramie

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Following the Midterm Elections, policy changes are scheduled to go into effect—and for community health centers, preparing for Medicaid coverage changes can’t wait until December.

In this episode of the Coleman Associates Innovation Podcast, COO Allison Dubois and CEO Gralyn Jacques join Amanda to talk about what health centers can do now to help eligible patients stay covered while preparing for the operational and financial impact ahead.

In this episode, we'll talk about identifying patients most at risk of losing coverage, using determination and renewal dates to target outreach, leveraging technology and data to support coverage workflow, preparing staff and workflows before changes take effect, and modeling the potential financial impact on your health center

Is your health center Coverage Ready for 2027?

Guests: Allison Dubois, Executive VP & COO & Gralyn Jacques, MBA, CEO

Host: Amanda Laramie

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The Human Factors Episode

In this episode, Amanda talks with Laura Barg-Walkow, PhD, a Human Factors Engineer on the Patient Safety Team at Children’s Hospital Colorado, about designing healthcare systems around how people actually work—not how we wish they would work.

Laura shares why errors and workarounds are often signs of system design problems, not individual failure. Together, she and Amanda explore the connection between human factors engineering and Coleman Associates’ DPI™ approach, including the importance of observing real work, understanding why decisions make sense in the moment, and removing the friction that affects patients and staff.

They discuss:

• Why “try harder” and “retrain” rarely solve underlying problems
• What workarounds reveal about broken processes
• The difference between work as imagined and work as actually performed
• How observation can uncover challenges that interviews alone may miss
• How to balance standardization with flexibility
• Why better flow is about removing friction—not making people work faster

It’s a conversation about replacing blame with curiosity and creating safer, more efficient, and more person-centered healthcare systems.

Guest: Dr. Laura Barg-Walkow

Host: Amanda Laramie

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