The Exam Room

Join Dr. Rhiannon Winsor and Dr. Robert Babyar as they envision the health center of 2030, where integrated services, mission-driven staffing, and strong community impact define success. Learn how Adelante is working toward being Arizona's top FQHC, why value-based care remains essential, and how creative partnerships can fuel innovation. This episode is packed with ideas to help leaders plan strategically and inspire their teams.

Dr. Rhiannon Winsor and Dr. Robert Babyar explore strategies for navigating change without losing sight of your mission. Topics include innovative staff communication tools like "Daily Dose," preparing for potential Medicaid changes, and finding the positives in policy shifts. Whether you're managing a rural clinic or a large urban health center, this episode offers inspiration and practical tips for staying mission-focused in uncertain times.

From quality metrics to community engagement, Dr. Rhiannon Winsor and Dr. Robert Babyar discuss how health centers can measure what truly matters. Learn why data alone isn't enough, how to build partnerships that amplify impact, and ways to align your team around a shared definition of success. Packed with real-world insights from Adelante Health Center, this episode is a must-listen for anyone aiming to elevate outcomes in value-based care.

Dr. Rhiannon Winsor and Dr. Robert Babyar dive into what it takes to create a health center culture rooted in mission, collaboration, and community trust. They discuss strategies for staff engagement, leadership development, and avoiding "scope creep" so health centers can stay focused on what matters most, patient care. Whether you're leading an FQHC, part of a care team, or working in healthcare strategy, you'll find practical takeaways to strengthen your organization's culture and impact.

In the final installment of this three-part series, Shaun Romero joins Dr. Winsor to tackle one of the thorniest problems in value-based care: delayed, disconnected data. They explore how FQHCs and ACOs can work together to reduce data latency, improve patient communication, and automate clinical insights. From forecasting trends to texting patients, Shaun offers pragmatic solutions for transforming operational chaos into coordinated care, one dashboard at a time.

What if every patient received value-based care, regardless of their insurance plan? Shaun Romero returns to The Exam Room to unpack the cultural and operational shift needed to make this possible. From challenging the fee-for-service "chassis" to reducing clinician burnout, Shaun and Dr. Winsor explore how standardizing care workflows can improve quality, rebuild trust, and reduce friction for overburdened providers. They discuss the human cost of fragmented care, the importance of relational trust, and the vital role of ACOs in supporting health centers with social determinants of health.

In this episode of The Exam Room, Dr. Rhiannon Winsor sits down with Shaun Romero, co-CEO of Medwest LLC, to explore how frontline innovation and simplified workflows are helping providers thrive in value-based care models. Shaun shares his personal journey, sparked by his wife's experience as a primary care physician, and explains how Medwest is transforming clinical data into actionable insight. Together, they discuss the challenges FQHCs face with data fragmentation, EHR complexity, and reimbursement models, and how automation and ownership of data can bridge the gap between provider intention and patient impact.

In this episode with Claudia Cometa, she and Dr. Rhiannon Winsor explore the emotional and psychological side of healthcare communication, focusing on illness identity, grey space, and how language can either empower or disempower. Claudia shares how to reframe chronic illness, promote patient resilience, and build trust using trauma-informed communication strategies. Ideal for clinicians, health center teams, and anyone working in value-based primary care, this conversation is a guide to healing beyond prescriptions.

Connect with Claudia on LinkedIn: https://www.linkedin.com/in/claudia-cometa-pharmd/

Linked to Avanti Health Consultants: https://www.consultavanti.com/

Buy her book, "Patient, Empower Thyself": https://www.amazon.com/Patient-Empower-Thyself-Claudia-Cometa/dp/1954676891/ref=sr_1_1?crid=8DTPOXIDKY5W&dib=eyJ2IjoiMSJ9.c6i9pJgO5xDqiF95Bmk5va0ElHRVYlMlsyS95bx1wXmIWWp1WcpGjOfvG6pP8K-D1w5pSLTJ1bY5Peil941ftNCtoB6oD_Bg6K-GRhzBWrI.EU8riR0S-uvFLnM4HPuf_yheVLlUl-VhYHNUbi9iqPc&dib_tag=se&keywords=patient+empower+thyself&qid=1753309900&sprefix=patient+empowe%2Caps%2C207&sr=8-1

This episode of The Exam Room focuses on improving the patient experience through simple but powerful changes rooted in customer service and trust-building. Claudia Cometa shares how "unreasonable hospitality" can be a model for transforming care delivery—from warm welcomes to culturally competent staff to designing trauma-informed waiting rooms. We also explore how these changes directly support equity, access, and value-based care delivery.

Connect with Claudia on LinkedIn: https://www.linkedin.com/in/claudia-cometa-pharmd/

Avanti https://www.consultavanti.com/

Claudia Cometa - https://claudiacometa.com/

Buy her book, "Patient, Empower Thyself": https://www.amazon.com/Patient-Empower-Thyself-Claudia-Cometa/dp/1954676891/ref=sr_1_1?crid=8DTPOXIDKY5W&dib=eyJ2IjoiMSJ9.c6i9pJgO5xDqiF95Bmk5va0ElHRVYlMlsyS95bx1wXmIWWp1WcpGjOfvG6pP8K-D1w5pSLTJ1bY5Peil941ftNCtoB6oD_Bg6K-GRhzBWrI.EU8riR0S-uvFLnM4HPuf_yheVLlUl-VhYHNUbi9iqPc&dib_tag=se&keywords=patient+empower+thyself&qid=1753309900&sprefix=patient+empowe%2Caps%2C207&sr=8-1

In this episode, we go inside the broken healthcare system with Claudia Cometa, founder of Avanti Health Consultants. Claudia shares her journey from clinical pharmacist to full-time patient advocate, highlighting what clinicians often don't realize about patient trauma, medical gaslighting, and communication breakdowns. We discuss how empathy, trust, and shared decision-making can bridge the gap and improve outcomes across value-based and primary care models.

Connect with Claudia on LinkedIn: https://www.linkedin.com/in/claudia-cometa-pharmd/

Avanti https://www.consultavanti.com/

Claudia Cometa - https://claudiacometa.com/

Buy her book, "Patient, Empower Thyself": https://www.amazon.com/Patient-Empower-Thyself-Claudia-Cometa/dp/1954676891/ref=sr_1_1?crid=8DTPOXIDKY5W&dib=eyJ2IjoiMSJ9.c6i9pJgO5xDqiF95Bmk5va0ElHRVYlMlsyS95bx1wXmIWWp1WcpGjOfvG6pP8K-D1w5pSLTJ1bY5Peil941ftNCtoB6oD_Bg6K-GRhzBWrI.EU8riR0S-uvFLnM4HPuf_yheVLlUl-VhYHNUbi9iqPc&dib_tag=se&keywords=patient+empower+thyself&qid=1753309900&sprefix=patient+empowe%2Caps%2C207&sr=8-1