to main content Robust Process Improvement® | The Joint Commission


Robust Process Improvement® (RPI®) is a set of strategies, tools, methods, and training programs for improving business processes. It is a blended approach that incorporates lean, six sigma, and change management to increase the efficiency of business processes and the quality of our products and services.

  • LEAN = increase customer value by eliminating waste and creating flow throughout the value stream
  • SIX SIGMA = statistical model that measures a process in terms of defects
  • CHANGE MANAGEMENT = actions used to prepare an organization to seek, commit to, and accept change


The RPI Department at The Joint Commission is composed of RPI Master Black Belts, Black Belts, and Senior Change Management Leaders. This team trains and mentors enterprise staff on the application of RPI tools and methods, while also leading improvement projects of their own.


RPI is used internally at The Joint Commission to increase our capacity for improvement and quality. An improvement mindset is at the core of our company culture. Interactions with our customers are reflective of the RPI methodology.

Since 2008, over 1000 central office and field staff have been trained as either an RPI Yellow Belt, Green Belt, Black Belt, or Change Agent, resulting in over 1600 process improvement efforts completed using our methodology:

  • 150 plus Change Agents
  • 100 plus Green Belts
  • 1000 plus Yellow Belts
  • 10 plus Black Belts

Which includes 500 plus RPI certified Field Staff.


For more information on how RPI can help your organization, please visit the Center for Transforming Healthcare.