Practice Disrupt

Pat Bramer & Joni Krapes
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A Healthcare Transformation Podcast that provides insight and strategies on a wide variety of practice transformation and process improvement topics. Guests include  primary care colleagues, practice management staff, and healthcare leaders.   We will discuss overcoming barriers to change, process improvement ideas that may spark new ideas for your practice.  Hear innovative ideas that practices are implementing to work smarter not harder to meet the demands of the new healthcare environment.   

Episodes

  1. 04/10/2025

    Implementing Trauma Informed Care

    In this episode, we talk with Meranda Collins RN the RN supervisor for MyMichigan Family Practice in Midland, Michigan.  Meranda completed her ADN at Delta College in 2013, her BSN at Western Governor’s University in 2017 and her MSN in Leadership and Management at Western Governor’s University in 2022. She has been with MyMichigan Medical Center for 11 years. 5 of those spent on the Observation unit and 6 with Family Practice Center. She has worked in several different roles in the clinic from working as direct provider support, telephone triage and for the last 2 years as the RN Supervisor.   Meranda shares her experience implementing the Trauma Informed Care model in their practice and the positive outcomes they have experienced.  We hope you find inspiration and interest in exploring this model.  We would love to hear from you! Please reach out with any topics that you would like to learn more about at practicedisrupt444@gmail.com.

    52 min

  2. 03/05/2025

    Incorporating Advance Care Planning in the Primary Care Practice

    In this episode we talk with Beverly Walters, RN a newly retired Special Projects Care Manager with Oakland Physician Network Services a physician organization in Oakland County Michigan.  Bev devoted 10 years to making end of life planning an integral part of medical office practice.  Bev shares her journey into implementation of Advance Care Planning (ACP) in the primary practice and the dedication to respecting patient's health care choices, including end of life care and honoring those choices.  Bev highlights that the purpose of an ACP conversation is not to create a document, but for the clinician to get to know the patient and what matters most to them regarding their healthcare and future treatments the might affect them. The greatest benefit of the ACP is that it promotes important levels of communication.  In this episode Bev provides resources for practitioners that may be considering implementing Advance Care Planning in their practice:  Advance Care Planning in Everyday Clinical Practice- OPNS Video Series To view the Video Series on the Trinity Health network and claim CME credits, viewers must first create a CME tracker profile. Viewers may have a CME tracker profile if they have claimed credits for Trinity Health programs in the past. To access the videos and create a profile, click on the link below to access the “OnDemand” section of the tracker. Click on the video you want to watch.  You will be instructed to register and provide your password or create a new user profile. cmetracker.net/THLMI/Publisher?page=pubOpen#/enduring   We would love to hear from you! Please reach out with any topics that you would like to learn more about at practicedisrupt444@gmail.com.

    57 min

  3. 09/09/2024

    Integrating Behavioral Health in the Primary Care Practice

    In this episode we talk with 3 behavioral health specialists who support patients with mild anxiety and depression in the primary care practice.  Jennifer Fisher LMSW CAADC supports a pediatric practice, Kimberly Baker, LMSW and Sarah Frederick, LMSW both support adult practices in behavioral health management of their identified patients with anxiety and depression who may have only been managed by medications in the past. They share their experience of impacting patient lives, assisting them to improve their overall health and mental well being.  They discuss their workflows in care management in partnership with the primary care physician and psychiatric consultants to support patients from the primary care practice.  We are honored to share their story.  "When you feel better, you do better."  We would love to hear from you! Please reach out with any topics that you would like to learn more about at practicedisrupt444@gmail.com.

    1h 5m

  4. 08/21/2024

    Michigan Health Improvement Alliance- Creating Partnerships for Change

    In this episode, we talk with Sasha Savage, MD and Mark Kato, DHA.  Sasha Savage, MD is the Chief Health Officer for the Michigan Health Improvement Alliance. He has been a practicing Family Physician for 25 years within the MyMichigan Health System, where he serves as the Medical Director of the Gerstacker Family Practice Center and as Chief of the Primary Care Service Line. Mark Kato, DHA, is the Deputy Health Officer for the Michigan Health Improvement Alliance and has over 16 years of experience in healthcare quality improvement, data analytics, and financial analysis.Together Sasha and Mark co-chair the Patient Safety Task Force within the Michigan Health Alliance working to implement 4 Pillars of ensuring patient safety.  They have partnered with The Leapfrog Group to expand their reach of access to best practices and shared learning.   Come along to learn how their partnership evolved and how alliances can be formed among competitors to achieve better patient outcomes.  We would love to hear from you! Please reach out with any topics that you would like to learn more about at practicedisrupt444@gmail.com.

    57 min

  5. 08/14/2024

    Mid-Michigan Family Practice- Building Highly Functioning Teams

    In this episode, we talk with Sasha Savage, MD, Bonnie Khabir, RN, and Meranda Collins, RN who have grown a highly functioning team in a residency practice in Midland Michigan.  We learn about their journey in process improvement, the impetus for change, the strategies and tools they used to support change and their ongoing efforts to sustain change.  These dynamic healthcare professionals share their lived experience and challenges they have overcome to create a primary care team "dedicated to meeting the physical, emotional and financial needs of their patients."   A truly remarkable practice and care team, we are honored to share their story.  We would love to hear from you! Please reach out with any topics that you would like to learn more about at practicedisrupt444@gmail.com.

    55 min

  6. 07/31/2024

    Dr. Simmer-Vision for Change

    In this episode, we talk with Dr. Tom Simmer.  Dr. Simmer is a former  Sr Vice President and Chief Medical Officer of Blue Cross Blue Shield of Michigan where he oversaw medical policy, professional payment policies and national programs to improve quality, cost and access to medical services. He was inducted into the NMA Hall of Fame in 2021. In 2010 he was honored as a healthcare hero by Crain's Detroit Business. He is a member of the AMA, Michigan State Medical Society and a Fellow of the American College of Physicians.  Dr. Simmer has been integral in leading the charge for practice transformation.  We learn from him his vision for change and his experience leading physicians to engage with him in this work.  We would love to hear from you! Please reach out with any topics that you would like to learn more about at practicedisrupt444@gmail.com.

    52 min
  • 6 Episodes

About

A Healthcare Transformation Podcast that provides insight and strategies on a wide variety of practice transformation and process improvement topics. Guests include  primary care colleagues, practice management staff, and healthcare leaders.   We will discuss overcoming barriers to change, process improvement ideas that may spark new ideas for your practice.  Hear innovative ideas that practices are implementing to work smarter not harder to meet the demands of the new healthcare environment.   

Information

  • Creator
    Pat Bramer & Joni Krapes
  • Years Active
    2024 - 2025
  • Episodes
    6
  • Rating
    Clean
  • Copyright
    © 2025 Practice Disrupt
  • Show Website
    Practice Disrupt