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"

The Bryan Research Transformation Model

An integrated, holistic organizational model capable of representing levels of existence within the organization.
practice COACHING

Coaching your practice to integrated high performance

Regular coaching produces integrated performance improvement, higher team integration and increased waste reduction.
succession PLANNING

Ensuring your hard life's work carries on when you decide to exit the business

Succession planning is hard. We help you decide on the best way to carry on your business, leaving you with peace of mind and rewards for all your hard work.

We help construct the most effective culture in your organization

Cultural engineering can be one of the most effective ways of preparing an organization for a long term transformation. Click to find out how we do it, and if its right for you.

Transformation Club Membership Options

The Model

  • Category: Publications
  • Published: Tuesday, January 28 2020 15:18
  • Written by Super User
  • Hits: 6549

We have spent the last 30 years working with clients in various roles learning about business and helping bring a different perspective where we can. The result of that accumulated knowledge is what we lovingly refer to as "the Model"

At the top level, this represents the four major subsystems of any business. 

  • Service or Product Creation / Manufacture and Delivery
  • Demand Management
  • New Product / Service Development and QI
  • Financial Viability

Each of these four subsystems need to be in balance with each other, and the overall purpose of the organization for there to be a healthy, harmonious business. 

There are three main levels to a business:

  • The Strategic, or primary level (L1)
  • The Operational or Secondary level (L2)
  • The Tactical or Tertiary level (L3). 

Each of these levels consists of all the activities conducted by an operating business day to day, but they represent them differently. L1 processes are comprised of specific sub sets of L2 processes, which are themselves comprised of specific subsets of L3 processes. Understanding and managing at each level helps simplify the management of an organization and allow clarity of thought and action to drive results aligned with purpose. 

Each business process at any level has a measurement system and associated metric available to enable measurement and subsequent control of the business process. In the BR model, we have a "starter set" of three metrics we designate as KPI's or PI's depending on the relative magnitude and / or importance in the system under scrutiny at the time. 

We have a comparative database of performance levels for each of  these business processes, such that we can benchmark an individual organization performance in a like to like context against all other organizations of similar nature and design. 

Taken together, it's a powerful, holistic, integrated model for understanding and managing an organization. We have found it to be incredibly useful time and time again as we work with clients. Let us work with you to see how it could impact your work and results daily. 

See how your organization can benefit from "the Model". If you'd like to find out more, please call us at (802) 870 3433 or email us at This email address is being protected from spambots. You need JavaScript enabled to view it.

Meet the Team

Lee Bryan

Lee Bryan


Testimonials from our Clients