Beyond the Shortage: Building Equitable Speech-Language Services in Schools with Laci Hathcock from Denver Public Schools
Workforce shortages are forcing school districts across the country to rethink how they deliver speech-language and related services. In this episode of Elevate Care, host Kerry Perez talks with Laci Hathcock, M.S., CCC-SLP, Manager of the Speech/Language Department at Denver Public Schools, and Kristin Preuss, M.A., CCC-SLP, Senior Director of Teletherapy at AMN Healthcare, about what it really takes to deliver equitable care when demand outpaces supply. Laci shares how Denver Public Schools builds equity into every layer of its program, from workload calculators to individualized IEPs to a senior-lead coaching structure that supports contract and direct-hire clinicians alike. Kristin brings the national perspective, explaining why teletherapy has become a vital tool for closing service gaps and what districts need in place to make virtual care succeed. Together, they offer a candid, practical look at how equity, workforce strategy, and quality care intersect in today's schools. Learn more about School Staffing Solutions Key Takeaways · Equitable access means individualized goals and flexible service models, not a one-size-fits-all approach. · A senior-lead coaching structure helps school districts maintain consistent quality across contract and direct-hire clinicians. · Contract clinicians, especially travelers, bring valuable cross-district knowledge of student rights and best practices. · Teletherapy works best when paired with the right technology, trained support staff, and buy-in from on-site teams. · Treating all clinicians as part of the school community, regardless of employment type, improves retention and continuity of care for students. · Strong staffing partnerships rely on open communication, flexibility, and a willingness to problem-solve together. Chapters 00:00 – Introduction to equitable access in schools 01:11 – Meet Laci Hathcock and Kristin Preuss 04:22 – Defining equity within Denver Public Schools 07:47 – How a senior-lead structure supports quality care 10:07 – Why shortages affect rural and metro districts alike 15:03 – The evolving role of contract clinicians 18:03 – What to look for in a staffing partner 22:46 – Why consistent support matters for all clinicians 24;54 – Teletherapy as a tool for equity 32:04 – What makes virtual service delivery succeed 34:26 – Final advice for school leaders Meet the Guests Laci Hathcock, M.S., CCC-SLP is the Manager of the Speech/Language Department at Denver Public Schools, where she has worked since 2008, starting as a school-based speech therapist before moving into administration four years ago. She leads staffing, professional development, and student support efforts for one of the country's largest school districts, with a focus on equitable access, clinician support, and sustainable workforce systems. Kristin Preuss, M.A., CCC-SLP is the Senior Director of Teletherapy at AMN Healthcare. A speech-language pathologist since 2000, she transitioned into teletherapy in 2012, long before it became a mainstream service model, and has since worked with school districts nationwide to build flexible, sustainable related-service programs. Access the 2026 Healthcare Workforce Outlook Survey Download the full report to explore what these findings mean for retention, staffing, care quality, and workforce strategy. Explore Solutions for Smarter Workforce Management We're proudly sponsored by AMN Healthcare , the leader in healthcare staffing and workforce solutions. Explore their services at AMN Healthcare. Learn how AMN Healthcare's workforce flexibility technology helps health systems cut costs and improve efficiency. Click here to explore the case study and discover smarter ways to manage your resources! Discover how WorkWise is redefining workforce management for healthcare. Visit workwise.amnhealthcare.com to learn more. About The Show: Elevate Care delves into the latest trends, thinking, and best practices shaping the landscape of healthcare. From total talent management to solutions and strategies to expand the reach of care, we discuss methods to enable high quality, flexible workforce and care delivery. We will discuss the latest advancements in technology, the impact of emerging models and settings, physical and virtual, and address strategies to identify and obtain an optimal workforce mix. Tune in to gain valuable insights from thought leaders focused on improving healthcare quality, workforce well-being, and patient outcomes. Learn more about the show here . Find Us On: Website YouTube Spotify Apple Instagram LinkedIn X Facebook Powered by AMN Healthcare Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.






