Who we are


  • Complex problems stretch us to transform.
  • Transformation’s blueprint? Understanding.
  • Understanding arises from collaboration.
  • Collaboration unites disciplines.
  • Transparency yields relationship.
  • People are the heart of systems.
We craft solutions based on comprehensive insight into your context, your people, your data. And we stay to see them through.

Collaborate. Adapt. Improve. Solve.

About Laura Vredeveld, MA-LLP

Laura brings a broad range of experiences as an effective administrator, quality improvement coordinator and counseling psychologist to TBD Solutions LLC. As the Director of The Standards Group, Laura is instrumental in creating statewide consensus standards for the public behavioral health system. She has built upon countless successes through her expert use of project management and formal process development methodology, facilitating teams, bringing out people’s best ideas, and honing a razor sharp focus on macro- and microsystems.

About Josh Hagedorn, MA

Josh led the development of informatics and analytics services for over 20,000 individuals with behavioral disorders, developmental disabilities, traumatic brain injury, and other chronic conditions. He has led teams to develop data collection design, enterprise-wide business intelligence dashboards, focused analyses of clinical and operational data, public data analysis, quality measures, and other activities to support decision making. Beyond collaborating with clinicians and quality leaders, Josh has engaged in statewide and national efforts to address physical and mental health needs in their social and economic context.

About Sarah Bowman, LMSW

Sarah Bowman has infused the private and public behavioral health system with positive energy and a commitment to excellence for over 16 years. Her strong leadership, utilization of data-driven decision making, and focus on outcomes measurement has helped her to build or transform numerous behavioral health programs and services. She has a passion for serving others and has done so in a variety of roles such as case manager, therapist, and administrator. Sarah's areas of expertise include evidence-based family therapy, integrated behavioral healthcare, and organizational communication. She is a dynamic presenter and trainer. Sarah has an excellent track record for building high performing, strengths-based teams.

About Travis Atkinson, MA-LPC

For the past 10 years, Travis has worked in both clinical and managerial roles in behavioral health. Through these experiences, he espouses the value of a healthy and functioning behavioral health care system, the power of data to drive decision‐making, and the importance of asking the right questions. While maintaining a broad vision for excellence and leadership, Travis has sought out best practices for behavioral health care services through research and connecting with fellow providers at a local and national level. He is as an excellent training instructor, coach, meeting facilitator, and conference presenter.

About Derek DeLange, MBA

As a seasoned business analyst and technology leader, Derek’s professional career experience has spanned many areas of information technology across multiple industries. More recently, he led the information technology department for a Michigan behavioral health service provider through several strategic initiatives ranging from the implementation of a new electronic health record system to an IT disaster recovery solution. Derek has participated in a number of state workgroups, including the CIO forum originally started by Jason. In addition to his work in the human services industry, Derek has provided to some of West Michigan’s premier financial institutions business/systems analysis services catered specifically to mortgage banking technology.

About Jason Radmacher, MBA

Blending compassion with executive leadership, Jason’s career is hallmarked by relationships with people and technology. As the Chief Information Officer of a $120-million behavioral health organization, Jason led the formation of the CIO Forum for Michigan’s Community Mental Health system to improve information quality, data exchange, and performance measurement systems. He has provided collaborative solutions in integrated care settings in Michigan and New York by assisting state government, regional health plans, and both public and private behavioral healthcare organizations. His leadership was honed in the crucible of military command though his 27 years of proud service in the United States Air Force and Air National Guard. Jason’s experiences in solution-provision span healthcare, insurance, manufacturing, and scientific/environmental management firms.

Dr Stewart

About Dr. Ken Stewart, DO

Dr. Stewart brings a passion for systems change to improve patient lives as the Chief Medical Officer for TBD Solutions. During his 20+ years in medical practice, most of which as an emergency medicine physician, Ken has had a front-row seat to the fragmentation caused by siloed payment & treatment systems that force the indigent to the only place they are assured of care: The emergency department. As an innovator, he lead efforts to improve integration of medical documentation and practice using a nationally known EMR. His experiences in medical leadership include: Assistant Medical Director/Medical Director of a level-II trauma hospital, Joplin Missouri. Emergency Medical Services director, Barry County EMS, Michigan. Flight Physician for AeroMed helicopter critical care transport service. Ken did his residency training, at Metropolitan Hospital in Grand Rapids Michigan, and was a Flight Surgeon in the United States Air Force.