Lean Six Sigma • Process Improvement • Operational Systems

I find what costs you money,
build the case in numbers,
and implement the fix.

Process variation and its cost behave the same way whether the environment is healthcare, manufacturing, technology, or small business. The methodology is portable. The results are measurable. The improvement holds.

Free 20-minute call. No pitch, just a straight read on your biggest bottleneck.

Not ready to talk? Earn a free, verifiable Lean Six Sigma White Belt certification.

Process • Precision • Performance
50x
Platform Scale Engagement
500+
Patient Backlog Eliminated
75+
Clinics Served
100%
Executive Proposal Approval Rate
15+
Years Operational Leadership
The Methodology

Built on DMAIC. Applied anywhere.

01
Quantify the Gap
Every engagement starts with verified data, not assumptions. CTQ requirements, baseline defect rates, and measurement system validation before any improvement work begins.
02
Model the Return
Every process gap gets assigned a cost. FMEA, Pareto analysis, and financial models that translate defect rates and cycle time losses into dollar figures leadership can act on.
03
Build Controls That Hold
Improvement without control degrades. KPI governance models, SPC-based monitoring, and accountability structures that sustain gains so the ROI compounds rather than erodes.
Joe Hoffer
Founder & Principal Consultant
About

The credential isn't the differentiator. The execution is.

Most organizations don't have a strategy problem. They have a systems problem. Workflows that were never designed. KPIs nobody owns. Processes that depend entirely on one person who might leave tomorrow.

Joe Hoffer is a certified Lean Six Sigma Black Belt with over 15 years of direct operational leadership experience spanning healthcare, federal programs, and small business. He has managed multi-site operations, held full P&L accountability across $8M to $16M revenue environments, authored federal grant programs, and engineered AI-augmented analytical workflows that deliver Master Black Belt-level output as a solo operator.

Praxis is practical execution. Fortis is the discipline to follow through.

Healthcare Small Business Multi-Site Operations Technology / SaaS Federal Programs Any Industry
Strategic Partners & Tools

We bring the right specialists when the work demands it.

Praxis Fortis operates within a vetted partner network. When an engagement requires capabilities beyond process improvement and operational systems, we bring in trusted specialists rather than stretch beyond our lane.

Strategic Partner / Technology & AI
RidgeTech Solutions
Custom AI Software • Automation • Engineering Discipline

Praxis Fortis partners with RidgeTech to deliver comprehensive People, Process, and Technology audits enhanced with agentic AI analysis and decision-ready reporting. Where Praxis Fortis drives the Lean Six Sigma methodology and operational diagnosis, RidgeTech provides the AI software engineering and automation infrastructure to implement and sustain the improvements at scale.

www.ridgetech.biz
AI Process Improvement Platform
Praxis Fortis Process Auditor
Audit any process. Then make it better.

Describe how your team works and get a thorough maturity audit: the red flags holding the process back and a tiered 30/60/90-day roadmap to fix them. Then draft an improved process, track the changes on an action board, and earn a verifiable Lean Six Sigma certification, all in one workspace.

Launch Process Auditor
What We Do

Engagements built for outcomes, not hours.

Four ways to work together, from a focused first audit to a full enterprise partnership. Every engagement is delivered with the same Lean Six Sigma rigor and AI-augmented depth.

Process Snapshot
from $750

A live working session where I read one of your workflows with you. You walk me through how it really runs, I ask the questions a form never will, and you leave with an expert read of your specific situation and the few fixes that matter most. The judgment a tool cannot give you.

Best for a small business that wants a real expert in the room, not just a report.
Book a discovery call →
Fractional Operations Partner
from $5,000/mo

Ongoing improvement leadership on a retainer: KPI governance, SPC-based monitoring, an accountability cadence, and a standing improvement pipeline. Senior operations capability without a senior operations salary.

Best for a growing organization that needs operational discipline month over month.
Book a discovery call →
Enterprise & Scale Partnership
Value-based

For organizations scaling fast, where the cost of delay shows up directly in revenue. A combined governance and execution partnership, priced to the value at stake and scoped to your growth targets.

Best for a leadership team driving toward a major growth or scale milestone.
Let’s scope it →

Every engagement is scoped to your situation on a short discovery call, and the figures above are starting points. Not sure which fits? Start with a call and we’ll point you to the right one.

Primary
Process Improvement & Operations Consulting

Lean Six Sigma Consulting

Full DMAIC execution across any industry. Root cause analysis, SIPOC, Value Stream Mapping, FMEA scoring, hypothesis traceability, and KPI governance design.

Workflow Optimization

End-to-end workflow analysis, bottleneck identification, throughput improvement, cross-functional process mapping, and standardization for any operational environment.

Operational Audits

Full People, Process, and Technology (PPT) assessments. Workflow, staffing, systems, failure point analysis, risk identification, and a prioritized improvement roadmap.

KPI & Performance Management

KPI Bowler systems, executive dashboards, SPC-based monitoring, productivity tracking, variance analysis, and governance structures your leadership will actually use.

Leadership & Team Systems

Accountability frameworks, escalation workflows, communication structure, and meeting systems that eliminate single-point-of-failure dependencies before they cost you.

AI-Augmented DMAIC Delivery

Custom AI-assisted analytical workflows that execute FMEA scoring, hypothesis traceability, and DMAIC artifact production at MBB-level depth without MBB-level cost.


Secondary
Digital & Data Systems

Custom Website Design & Build

Professional sites with clean code, mobile-responsive layouts, contact form integration, and full deployment support. Built for small businesses and consultants who need a serious web presence without agency pricing.

Operational Dashboards

Custom performance and reporting dashboards that surface the metrics that matter. Built for operational leaders who need real visibility, not just more data.

Excel & Sheets Workflow Tools

Custom spreadsheet systems including staffing models, KPI trackers, scheduling tools, and reporting automations. Functional infrastructure your team will actually adopt and maintain.

Training & Certification

Get certified in Lean Six Sigma. Prove it.

Earn verifiable Lean Six Sigma certificates, signed by a certified Black Belt and confirmable by any employer. Start free and advance at your pace, all inside the Process Auditor.

White Belt
Free

Awareness-level fundamentals: what Six Sigma is, the eight wastes, the DMAIC cycle, and the shared language of process improvement. Earn a verifiable certificate at no cost.

Start free →
Green Belt
$249.95

Lead DMAIC projects: measurement systems analysis, process capability, hypothesis testing, regression, design of experiments, Lean fundamentals, and statistical process control.

Enroll →
How it works

Work through the lessons, pass a timed, randomized exam, and earn a verifiable certificate with a unique number. Anyone can confirm it is genuine on the public verification page. No account required.

Verify a credential ↗

Praxis Fortis is an independent training provider. These courses and certificates are not affiliated with, accredited by, or endorsed by the Council for Six Sigma Certification (CSSC). Certificates are issued by Praxis Fortis and signed by Joe Hoffer, MHA, LBBH, PMEC.

Documented Impact

Results from the field

Every number is sourced from direct operational leadership or contracted engagements. No projections. No hypotheticals.

DMAIC PPT Audit
50x

Health benefits platform scaling 50x. Built the pipeline automation and FTE reallocation model that let the operation absorb that growth without proportional headcount.

Access & Scheduling
60 → 7 days

GI scheduling delay reduced from 60+ days to under 7. 500-patient backlog fully eliminated through end-to-end workflow redesign at a multi-specialty practice.

Cost Reduction
25%

Operational cost reduction across a multi-clinic portfolio using Lean Six Sigma workflow redesign, alongside a 15% improvement in process cycle time. One slice of work spanning 75+ clinics.

Executive Governance
100%

Approval rate on all executive-level ROI proposals for workflow automation, staffing changes, and capital acquisition across multiple organizations.

Federal Programs
13 Sites

Multi-site operations directed across 13 regional facilities, including federal grant authorship and enterprise-wide KPI Bowler deployment.

Army Operations
10,000+

Soldiers served as Clinic NCOIC at E4. SOPs authored that cut per-patient time by 10 minutes and increased clinic throughput by 25%.

How We Work

The Praxis Fortis engagement model

Every engagement follows a structured DMAIC-grounded framework. No guesswork. No recommendations that don't survive contact with your team.

01
Discovery
Scoping call to understand your environment, pain points, and goals. No commitment required.
02
Audit
Deep operational assessment covering workflow, staffing, systems, data, and team structure.
03
Analysis
Root cause analysis, FMEA scoring, and financial modeling to identify highest-impact targets.
04
Roadmap
Prioritized improvement plan with measurable KPIs, ownership assignments, and sequencing.
05
Execute
Hands-on implementation support, workflow deployment, and staff alignment with your team.
06
Sustain
Control phase handoff, SPC monitoring, and optional retainer support to protect the gains.
Get in Touch

Start with a discovery call

Not sure if your situation is the right fit? That's what the discovery call is for. Thirty minutes. No pitch deck. A direct conversation about where your operations stand and what it would take to move them.

Send an inquiry