Are health centers really listening to what patients are saying?

Join Dr. Rhiannon Winsor with guests Kimberly Gonzalez (Manager of Population Health Analytics) and Sam Reinhard (Director of Community Outreach at Sun Life) for a candid conversation about the CAHPS survey — what it is, why it matters, and how to turn survey data into meaningful change.

From identifying hidden patient needs to small shifts in communication that improve satisfaction, this episode explores the real-world impact of listening to the people we serve. Whether you’re in care coordination, operations, or leadership — this is an episode you don’t want to miss.

Topics include:

• What the CAHPS survey really measures
• Why perception matters as much as reality
• Common mistakes health centers make with patient feedback
• How data can (and should) drive smarter decisions

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Dr. Rhiannon Winsor is joined by Tony Rodgers to explore the critical transition from fee-for-service to value-based care. Learn why many health centers are choosing to partner with ACOs, how payment models are evolving, and what this means for patient outcomes, provider incentives, and long-term healthcare sustainability.

In this final episode of the series, The Exam Room brings together Dr. Rhiannon Winsor, Dr. Darlene Melk, and Dr. Shantipriya Siripurapu for a reflective and energizing conversation on the evolution from task-based care to strategies that truly improve outcomes.

The doctors emphasize the power of collaboration across health centers, the importance of shared learning, and why focusing on just one small, achievable goal can spark meaningful change. They also explore the critical role of community insight in delivering equitable care — especially in rural areas — and how primary care continues to transform lives through access, prevention, and compassion.

🩺 Key takeaways:

Choosing one actionable area for quality improvement

The value of peer support and shared best practices

Strengthening care through community connection

Primary care's role in driving equity and innovation

Staying grounded in the mission of “health for all”

This episode is a call to action — and a reminder that change is possible when we do it together.

In this episode of The Exam Room, the conversation gets tactical with real-world strategies to improve outcomes in Medicare Annual Wellness Visits and diabetes management. Dr. Darlene Melk shares how her health center significantly boosted wellness visit completion rates by training medical assistants, removing scheduling barriers, and aligning incentives to drive results. The team also dives into challenges like provider fatigue, Medicare eligibility checks, and how operational leadership helped pave the way for success. Later, the focus turns to diabetes care — exploring how clinical pharmacists, patient education, and targeted outreach to high-risk patients are making an impact. The episode also highlights innovative solutions for cost and medication access, including an internal patient support fund that pairs practical support with compassionate care.

🎯 Key topics include: Increasing Medicare Annual Wellness Visit rates

Reducing barriers through MA engagement and workflow redesign

Managing provider fatigue and Medicare compliance Team-based approaches to diabetes control

Outreach strategies for high-risk patients Addressing cost barriers with internal patient assistance programs

Whether you’re leading operations or working directly with patients, this episode offers powerful insights into how healthcare teams can close care gaps and deliver smarter, more equitable care.

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What does it really mean to “move beyond task completion” in healthcare?

In this episode of The Exam Room, Dr. Rhiannon Winsor is joined by Dr. Darlene Melk and Dr. Shantipriya Siripurapu for a deep dive into the difference between checking boxes and achieving meaningful patient outcomes. Instead of focusing on how many calls or appointments are completed, this conversation shifts toward real results — like completed cancer screenings, improved chronic disease management, and engaged, informed patients.

The discussion covers:

✅The power of patient and caregiver engagement

✅ Making the most of every patient visit

✅ Leveraging technology to improve communication

✅ Using risk stratification for more targeted care

✅ How primary care providers can coordinate across specialties

✅ Why real-time data is essential for driving better outcomes

Whether you're a provider, administrator, or care team member, this episode offers actionable insights to help your team deliver more coordinated, impactful care in a value-based world. 🔔 Subscribe for more conversations that bring the real work of healthcare to life.