Who We Are

Bob Luttman is a well known healthcare improvement consultant, lecturer, and trainer. Before starting RLA in 1995 he was Director of Management Engineering at Brigham and Women’s Hospital in Boston for many years. Now he directs and manages consulting, training, and lecturing endeavors that create value added solutions for clients around the world.

The author of How to Design Clinical Pathways Variance Systems for Continuous Improvement, Bob is especially noted for his melding of pathways, the revolutionary Gateway variance concept, and continuous improvement into the Next Generation Quality system. As a certified examiner and senior examiner for the Massachusetts Quality Award, Bob has also been instrumental in applying the Baldrige criteria to healthcare.


The Center for Case Management (clinical pathways and variance analysis). The Center invented clinical pathways and continues to innovate in pathways, variance management systems, case management, and performance measurement. Their CareMap© services and technologies are the best pathways materials available in the world. Our pathways and variance systems services are available through the Center and we continue to collaborate with them in developing new services and methodologies.

Corporate Renaissance. (Re-engineering and Knowledge Management) Global process re-engineering and knowledge management experts. Work in a variety of industry including managed care, healthcare, and telecommunications. Visit theirweb site to learn more about their practice areas and join their business systems architecture forum.

Comparative Management Associates (Speed Benchmarking¬©). CMA is a leader in creating innovative benchmarking practices. If you are tired of meaningless infrequent benchmarking reports that don’t tell you what the best in class do or how they do it, then SpeedBenchmarking is for you. We have worked with CMA to develop Emergency Department and Acute Hospital patient flow simulation models as well.

New Frontiers Consulting Associates (organizational development / team building consulting, facilitator training, team building training, customer service). An experienced organizational development consulting, training, and coaching organization with experience in healthcare and higher education.