Mike has more than 35 years of transformative health care leadership experience. He guides health care organizations, from major health systems to large medical group affiliations, through the implementation of lean principles via the Toyota Management System. Mike has designed and led groundbreaking applications of lean management, improving critical functions in emergency and operating rooms, labs, revenue cycle, supply chain, clinics, inpatient flow, administrative support, human resources, medical records, group practice management, and credentialing and clinical research. Results have included improved patient safety, reduced lead times, and associated costs.

Mike served as co-founder and principal at Rona Consulting Group (RCG) until it combined with Moss Adams in 2017. RCG’s founders were early adopters of the Toyota Management System in the health care setting. His prior leadership experience includes serving as president of Virginia Mason Medical Center in Seattle, where he oversaw and directed all management aspects of the medical center. Under Mike’s leadership, Virginia Mason Medical Center became the first major medical facility to adopt the concepts of lean manufacturing and translate them into a health care setting. Mike is certified in lean through the Shingijutsu Corporation, and has participated in nine Gemba Kaizen study trips to Japan.

Professional Affiliations

  • Associate Professor, University of Washington School of Public Health
  • Emeritus Board Member, Med25
  • Emeritus Board Member, Robert Vasen Foundation
  • Former Chairman, LifeCenter Northwest
  • Past Chairman and Member, Seattle Downtown Association
  • Past Chairman and Member, Washington State Hospital Association


  • BA, psychology, Whitman College
  • MHA, University of Washington