James Er Ralston is a vice president at Juran Institute specializing in business process excellence, strategic and tactical business planning, lean and Six Sigma improvement methodologies, and the Baldrige Criteria for Performance Excellence. Ralston has more than 30 years experience in numerous operations and quality leadership interventions across a broad spectrum of sectors including healthcare, manufacturing, and service. As a Juran trainer, coach, and consultant, Ralston has worked with hundreds of teams on using advanced performance management systems to achieve strategic goals and objectives.