Healthcare Membership Options

Choose Membership Plan

Basic Membership


  • Our basic membership includes access to
  • - our members only Community Forum section,
  • - Video and Classic training materials,
  • - our Newsletters,
  • - Podcasts and
  • - Articles written specifically to address your practice issues.
  • Basic members also have the opportunity to work one on one with Lee in limited Zoom sessions. All sessions are recorded and available to all basic members so we can share the learning generated in the BR community.

Value Membership


  • Our best value membership. Get all the Basic membership benefits, PLUS
  • - a customized "Readiness for Change" project, PLUS
  • - a level 1 Patient Care Value Stream AND
  • - a one hour Zoom meeting EVERY MONTH to help you integrate and align ALL your practice QI initiatives.
  • PCMH, MIPS, ACO, CPC+ initiatives can be duplicative and we help make sense of them all in the wider context of your practice's best direction for stability, balance and growth. These elements get your practice off the ground on a transformation program designed around the BR transformation methodology, created from the results of 30 years of working in organizational transformation and unique in the industry.

Premium Membership


  • Our Premium members receive everything in the Value membership package, PLUS
  • - extra one on one Zoom sessions on specific practice development areas, such as integration of behavioral health, HR issues and Revenue Cycle Management. It is the true custom support solution for strategically aligned QI in your practice. Think of this as your "On Demand Strategic and Operations Support System"

Transformation Club Membership Options


  • Category: Healthcare
  • Published: Tuesday, January 28 2020 14:50
  • Written by Super User
  • Hits: 4249

We believe in the development and dissemination of knowledge in all its forms.

Our work over the last 30 years has allowed us to develop some unique insights into the world of work and business, most of which we incorporate into our daily work with clients. We understand the concepts are difficult to understand and visualize, and do our best to train clients on demand as they incorporate principles into redesigned workflows and quality initiatives. It is because of this we write books, articles and produce podcasts, courses and videos, providing access to the research in as many forms as possible so clients can utilize it as much and as easily as possible. 

We have two books in draft right now:

Managing your Practice by Value Streams is a handbook of around 120 pages designed to give all the knowledge you need to start thinking of your business in terms of levels and value streams. It takes the reader through the initial concepts, then describes optimal pathways for working on your practice to reflect the alignment on patient experience. Focussing on this above all produces some powerful effects. Higher patient satisfaction, reduced waste, reduced burnout and increasing the ability to experience joy in work again. We show you how to visualize workflows by using the patient flow as a backbone using a custom designed mapping technique derived from the original Toyota Production System, but adapted and improved substantially for use in healthcare environments. We show you how to start a transformation and how to engineer your culture with purpose to solidify the gains and achieve true change. This book is estimated for publication by April 2020 and will be available on electronic and paper formats. 

The Model is the result of 30 years of research in organizational design and improvement in multiple sectors. It describes the multi layered structure of organizations, how the layers nest together and how each layer interacts with those above and below it. Each layer has a corresponding set of business processes, each of which have their own Key Performance Indicators (KPI's). We describe a "starter set" of KPI's for you to begin your journey of advanced management of your business.  We describe the role of people at all levels in the business, taking influence from the works of Goldman and Spear, Herzberg and Maslow and constructing a model based upon a solid foundation of respect for people. We show how organizational design differs in traditional and systems thinking perspectives, and how to convert from one to the other. We show you how to manage the business, from all perspectives, so it can deliver the services and products demanded of it as closely to the point of need as possible. 

We will be publishing thought leadership articles regularly, both on this website and on social media platforms such as our LinkedIn and Facebook pages. Twitter is our immediate thought channel, and we will be tweeting very frequently and following many tweet feeds. We will be producing white papers on subjects related to the model and transformation processes and making those available on the website too. 

We're excited to start producing these in February 2020. To get you started, here's a recent article I published on LinkedIn a couple of months back. 

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