Thomas L. Jackson
Managing Director


Tom has more than 30 years of experience in lean management. He has helped numerous global companies implement the Toyota Management System to improve cost, quality, delivery, and overall organizational health. A recognized authority on hoshin kanri (strategic deployment) and lean business systems, Tom’s expertise is based on the method of policy management that combines the balanced scorecard, evidence-based problem solving, and leadership development. He’s knowledgeable in the A3 and PDCA (plan-do-check-act) process pioneered at Toyota, and implements lean production, lean management, total quality, and total productive maintenance in organizations—both large and small—in health care and other industries.

Tom 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. He is a student of Ryuji Fukuda and Iwau Kobayashi, and has authored several books on lean production. In addition, he’s an editor of the Lean Tools for Healthcare series from Productivity Press, and his book Hoshin Kanri for the Lean Enterprise received a Shingo Prize for Excellence in Research.

Selected Publications

  • "Just-in-Time for Healthcare" (CRC Press, 2017)
  • "The Lean Healthcare Dictionary: An Illustrated Guide to Using the Language of Lean Management in Healthcare" (Productivity Press, 2015)
  • "Mistake-proofing for Lean Healthcare" (Productivity Press, 2015)
  • "Mapping Clinical Value Streams" (Productivity Press, 2013)
  • "Kaizen Workshops for Lean Healthcare" (Productivity Press, 2012)
  • "Standard Work for Lean Healthcare" (Productivity Press, 2012)
  • "5S for Lean Healthcare" (Productivity Press, 2009)
  • "Hoshin Kanri for the Lean Enterprise" (Productivity Press, 2006)

Professional Affiliations

  • Member, American Economic Association
  • Member, American Quality Society
  • Member, Healthcare Financial Management Association


  • BA, Indiana University
  • JD, Indiana University School of Law
  • MBA, business economics, Indiana University Graduate School of Business
  • PhD, Indiana University Graduate School of Business