Er brings more than 30 years of experience in numerous operations and process improvement interventions. He is an accomplished coach, trainer, and consultant, specializing in business process excellence, Lean and Six Sigma improvement methodologies, and the Malcolm Baldrige Excellence Framework.

    Er is the founder of Ralston Excellence, a North Carolina-based training and consulting firm. Over the past several years, he has managed and delivered training and consulting services to clients around the world. He has facilitated several large-scale process improvement transformation initiatives to enable achievement of company strategic goals in multiple industries, including manufacturing, service, and healthcare. Previously, Er held positions as a Master Black Belt with the Juran Institute and with Wake Forest University Baptist Medical Center.

    Er earned a Bachelor of Science degree in Statistics from North Carolina State University and a Master of Business Administration degree in Quantitative Analysis from the University of North Carolina at Greensboro. Er is a Senior Member of the American Society for Quality and a certified Six Sigma Master Black Belt. He served as an Examiner and Senior Examiner for the Malcolm Baldrige National Quality Award Board of Examiners.

    “Er is a very gifted and intelligent mind in the realm of process improvement. His understanding of data, process, and methodology were unparalleled at WFUBMC.”
    Eric Shipton • Director of Data Analytics and Process, Wake Forest Baptist Health
    “I had the opportunity to work with Er on both a space redesign and a major core process redesign and found Er to be extremely knowledgeable, capable, and able to manage varying and often diverging opinions and data. He is very good at helping a group create renewal that is their own. Er applies Lean in a holistic and balanced way, so no matter what the issue or the challenges, you will find balanced and effective solutions.”
    Dr. Nathan Hagstrom • Chair of Pediatrics, Lehigh Valley Health Network
    “Er is a dedicated quality professional whom I have known for many years. He is a good Baldrige thinker and an experienced quality expert who has proven effective at implementing positive change in many industries and organizations.”
    Mike Nichols • Former President, American Society for Quality
    “Er has extensive background in quality, continuous improvement, and statistical analysis. Er has strong personal characteristics, including impeccable honesty and integrity. He is bright, experienced, and analytical in his approach to business.”
    Doug Cross • Former President, Atrium Windows and Doors

    “Er and I worked together for more than 10 years at AMP, Incorporated. Er’s analytical mind and methodical approach to business enabled the company to achieve high levels of performance in quality, customer service, and profitability. Er has always displayed a high degree of integrity, responsibility, and ambition.”

    Robert Bruggeworth • CEO, Qorvo
    “Er is an incredible professional in his field. He comes with experience and knowledge that is invaluable and he delivers performance through exceptional moral and ethical behavior. He has a great ability to convert information into knowledge that anyone can learn from.”
    Doug Johnson • Former Director of Innovation, Presbyterian Healthcare Services


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