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Infinitum is a transformation management system. It is used to transition a practice toward higher performance levels and sustain these levels once there. Infinitum is a comprehensive methodology based on the Toyota Production System, change management and systems thinking which looks at an organization at three levels: Strategic, Operational, and Tactical. By aligning management systems across these three levels Infinitum assures work performed is aligned with strategy in real time.  

Infinitum is modeled after the Toyota Production System. The video to the left is an illustration from Toyota of the effectiveness of employing these techniques in a healthcare environment.

"In 2018, we commissioned Vermont Program for Quality in Healthcare to conduct an Infinitum analysis comparing our current state and designing our future state of practice processes. Infinitum assisted the practice team in identifying their value generating processes (value streams), issues preventing them from providing value in a streamlines fashion and countermeasures to those issues. We were able to reduce practice load by over 10% by focusing on the patient care value stream."

Kathy, Associates in Primary Care

Unleash the power of your practice and drive more capacity and revenue by integrating the Infinitum Healthcare Transformation System with the processes you’re already using! 

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The practice of medicine has evolved over the last twenty years from a singular profession to one requiring complex organizational systems to enable the delivery of high quality care to a diverse population of patients with ever increasing needs. The Infinitum system was developed to support providers in transforming their practice environments to highly efficient, person-focused, caring environments. This is accomplished by first evaluating then prioritizing needs to address improvements in four main areas of practice focus, or Value Streams:

  • Demand Management

  • Care Delivery

  • Financial Viability

  • Quality Improvement

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Infinitum is centered around the patient and the pathways they take as they navigate the various systems they encounter on their personal health care journeys.

Using a custom designed 3 level assessment method, we evaluate your practice or hospital to identify the optimal sequence of transformation activities.

Then we evaluate the four primary subsystems of a practice for efficacy and balance and devise a comprehensive transformation plan.

Our Infinitum Consultants work with you and your staff to see the value generated to your patients by your current workflows. Systematically reducing non value adding activities then releases previously consumed capacity which can then be deployed in positive ways.

At all stages the option for skills transfer is considered to improve sustainability and spread of improvement culture as your organization continues its transformation journey.

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Infinitum Consultants are well experienced transformation experts that will assist your leaders to promote a consistent day-to-day approach to implementing process improvement across your organization, achieving a sustainable culture of change and collaboration.

A healthcare organization must focus on achieving a positive Return-On-Investment for improvement efforts by minimizing non value-added activities in the patient pathways. Our Infinitum Consultants co- create ROI calculations with you so you have better visibility of effectiveness of deployment of your valuable resources.

Our team of consultants will teach you the tools and methods needed to achieve this level of efficiency, while improving your capacity. These methods will deliver new, non-traditional approaches to reducing waste and improving patient care.

Infinitum Consultants are certified through our Infinitum Certification process, demonstrating predictable levels of competence you can trust.



We took many years of experience training providers and staff in process improvement tools and created a delivery and management system custom designed for the hectic schedules of providers and staff.

Educational modules are designed to transfer only the really necessary components of knowledge needed to improve using the Infinitum methodology. They are delivered online, asynchronously to allow maximum flexibility.

Our online platform allows staff and leadership to access our full catalog of transformation classes at their own pace, wherever they have an internet connection.

Student login credentials are assigned to each student to complete courses, exercises and exams in each course offering.

Students are issued certificates of completion for each course completed.

Infinitum University is also used as the basis of consultant certification, delivering and tracking achievement as prospective consultants, and internal QI professionals progress through their learning.



The Infinitum certification process is designed to certify people and organizations.

People achieving Infinitum certification are able to demonstrate competency in the improvement methods and systems necessary for effective practice or hospital transformation.

Certification is at multiple levels depending on the track the student wishes to take. Infinitum Consultants are certified through this same system, leading to potentially increased employment opportunities.

At the organization level certification involves a three level system, demonstrating distinct, increasing levels of system maturity and competence. Unlike existing certification systems, Infinitum certification means the practice has been evaluated on the way they provide care, with the patient at the center. It means the practice or hospital works on a deeper basis, looking far beyond the “advanced” standards currently in use. We think this has far more value to an organization than an over complicated, administratively burdensome system with limited return on investment.

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Healthcare Transformation is a balancing act between demand and capacity

The purpose of transformation is to balance the primary drivers of a practice. It works by eliminating non-value added activities from workflows and processes, utilizing your staff more wisely. This allows your organization to improve patient safety and care, improve efficiency and capacity while creating a culture of continuous improvement.

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Medical Practice Level

Regulatory and financial demands on private practices are exponentially increasing. The move to Value Based Payment systems in recent years requires a working knowledge of practice operations to ensure care is being delivered in the most efficient manner possible. The ability to work effectively to maximize resources and improve quality of care is magnified with Infinitum.

Infinitum releases capacity, analyze broader issues and how they affect revenue, quality care, and patient satisfaction.

Practice leaders trained in Infinitum involve their people in process improvement which increases employee satisfaction and retention. Motivated employees are often more willing to be flexible in their roles, which is a key element of balancing work. Inherent in the methodology are the concepts of Failure Mode Analysis and Root Cause Analysis. As issues are discovered, analyzed and brought into stability, employees benefit from a safer work environment where risks have been systematically reduced.

Adoption of Infinitum methodology results in improved processes and outcomes, reduced cost, and increased satisfaction among patients, providers and staff.

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Health System Level

Infinitum whole health enterprise is a process that analyzes the entire business through custom assessment methods centered around system thinking and process relationships.

Infinitum creates standardized processes where appropriate to predict and systematize the quality of care delivered. When implemented in the correct sequence, this results in large scale improvements through scaled, cross functional solutions.

When implemented at the health system level, the 3 level structure of Infinitum really delivers radical benefits. Working to align with strategy is built in to Infinitum at all levels by design, so management and leadership become simpler and more effective.

Health systems benefit through improved patient care, financial and employee satisfaction metrics, allowing them to provide care to more patients within the financial boundaries imposed by value based care reimbursement systems.

At the board level, Infinitum results in a highly engaged stakeholder culture, as the language of performance reporting transforms to more closely reflect true performance in domains that truly matter.

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Accountable Care Organization Level

Accountable Care Organizations (ACO’s) serve as coordinating bodies for large numbers of members working in a value based reimbursement model, aggregating payments based on metrics implemented across the ACO membership.

Healthcare is transitioning to value-based reimbursement, so organizations have a pressing need to fine-tune processes and work waste out of the system.

Infinitum leads to measurable outcomes and savings through data driven decision making.

Infinitum results in health system continuity, efficiency, like processes and positive outcomes.

Infinitum reduces variation in delivery of care across the system.

Patient benefits come from a joint focus on improving the work life for medical providers and hospital staff, improving processes to prevent systemic errors, reducing stress levels, and reducing waste so that hospital personnel have more time to focus on patient care.

The Infinitum management system provides a framework for defining an ACO's purpose and decision-making to reflect the needs of all stakeholders. The lean framework of engaging stakeholders in the co-creation of the ACO's product-service strategy.