Current work
When Beds Don't Move
Why hospitals gridlock, and the flow-systems framework for fixing it at the source. The foundation of the Flow Physics library.
Reached #1 on Amazon in Hospital Administration & Care, August 2026.
The Flow Implementation Workbook
The implementation companion to When Beds Don't Move, turning the framework into assessments, exercises, and action plans for your facility.
Flow has physics
Gridlock isn't bad luck. It follows rules, and once you can see them, you can work with them instead of against them.
Bring the framework to your event
Keynotes and workshops on patient flow, support services, and building workforce credentials that actually change behavior.
One idea, four vehicles
Everything I build carries the same conviction: the people who move patients, linen, equipment, and supplies are not "ancillary." They are the circulatory system of the hospital. The books make the case. Impact Training Company trains and certifies the workforce. HealthcareTransporter.com gives the profession a public home. The speaking carries the argument into rooms where flow decisions get made. And at home, being a father is where the whole philosophy gets tested, because "from potential to performance" has to work at the kitchen table before it can work in a hospital corridor.
"Most training teaches the what. Behavior changes when you also teach the why and the how."
Impact Training Company
The company behind online HPT training, hospital-based CHT certification, CHTI instructor training, and CPTMP development, the Choices behavioral curriculum, and 40+ workforce development titles.
Impact Training Online
Self-paced courses and eligible participant exams, available 24/7 to individuals and teams. CHT certification also requires the hospital pathway and competency validation.
HealthcareTransporter.com
A public home for the healthcare transport profession: career resources, the credential story, and the case that this is a profession, not a stopover.
Ruck-Shockey Associates
Where the Flow Physics framework meets hospital operations in the field: patient flow and support services consulting, assessment to implementation.
NAHTM
The National Association of Healthcare Transport Management, the association partner behind the CHT credential pathway and the profession's national community.
The Flow Physics Library
When Beds Don't Move, the Flow Implementation Workbook, and the Engine Companion series: the argument in print.
In their words
"His ability to connect operational efficiency with patient outcomes is what sets him apart."
Antoinette "Toni" Watkins, MS, RDN
System Director, Food, Nutrition & EVS, Riverside Health System, from the foreword to When Beds Don't Move
"Impact Training's Certified Healthcare Transporter Program is perfect for entry-level employees who may not have attended college to gain the level of education and skills required to be successful in today's workforce."
Chester Wortham
Director of Patient Transport, The Johns Hopkins Hospital
"Impact Training's certification has changed my life."
Brandon Hardison
Patient Transport Supervisor, Orlando Health
"I always credit Donald with saving my career by allowing me to work alongside him and see what he brought to the table. I credit him with my 24 continuous years in this field."
Joe Ward
Director of Environmental Services
"I'm living proof that following his template has given me longevity in this career. The best homage I can pay him is paying it forward. What he did for me, I've done for others."
Joe Ward
Director of Environmental Services
Start with the 7-Engine Map
The one-page diagnostic I use on day one of every hospital assessment: seven engines, the signal to watch for each, and the question to ask when it drifts. One page. Free. No pitch.