Mark is a residency trained, board certified Emergency Physician with over 25 years of clinical experience. After 20 years in a single hospital group, he has been doing independent emergency medicine practice for the past 7 years in the community setting in emergency departments ranging from 5000- 75,000 annual visits and has experience in hospitals, Indian Health Service facilities, office practices, and EMS services. His initial immersion into Lean came in 2008 while living and working in Taupo, New Zealand, where he had the opportunity to test Lean methodology while leading implementation efforts at the hospital there. After returning to the US, he continued to apply these concepts in emergency departments, hospitals, clinics, and regional collaborations, with a particular focus on how this can inform individual work. Observing the successes, as well as the trials and tribulations, led Mark to delve further into why this stuff works. His soon to be released book, Free the Brain: Overcoming the Struggle People and Organizations Have With Change, takes a look at what neuroscience research says about how the brain operates and provides some real insight into why organizations do, or don’t, function so well. In addition to supporting hospitals in their efforts to improve their delivery of quality patient care, his particular interests include the application of Lean principles to medical decision making and to individual work. He was included in A Factory of One, by Dan Markovitz, the 2012 Shingo prize winning book on this topic. Mark has written extensively about what it really takes to engage people in change efforts and has presented internationally on these topics. His experience includes EMR development and implementation, facility design, regional health delivery, and the interface between different hospital departments as well as between different organizations.