Table of Contents

Foreword Preface Chapter 1: Introduction • Evolution of Knowledge from Systems Engineering and lean – to Lean Healthcare Systems Engineering • Book Organization • Is the SE Process a Good Investment of Project Budget? • Classical Systems Engineering “V” Process and the LHSE “V” Process Chapter 2: Lean Healthcare Systems Engineering (LHSE) Process • Background • Analysis of Current State • Design of Future State • Implementation Chapter 3: Tabular Summaries of Lean Enablers for Healthcare Projects • Clinic • Hospital • Emergency Departments • Operating Rooms/Suites • Pharmacies • Imaging Laboratories • Clinical Laboratories • Population Health Appendix References Glossary of Abbreviations

About the Author

Bohdan “Bo” W. Oppenheim is a Professor of Systems Engineering at LMU in Los Angeles. He serves as the Director of the Healthcare Systems Engineering (HSE) Master’s Program, a premiere HSE program in the nation which he created in close partnership with Kaiser Permanente and MIT. Oppenheim is the author of four books, authored and co-authored chapters in six books and published 30 journal papers. He was honored with three Shingo Awards, INCOSE Product of the Year Award, the INCOSE Fellowship, and over $2 million in external grants. He works closely with major healthcare institutions in Southern California improving healthcare processes.

Reviews

"Every day that our health care systems malfunction, there is a huge opportunity cost in terms of money, mortality, morbidity, on-going health disparities, and patient frustration. I believe that this book has a huge potential to solve many problems using less resources and less time." Michael Kanter, MD., CPPS, Professor and Chair of Clinical Science; Kaiser Permanente Bernard J. Tyson School of Medicine; former Regional Medical Director of Quality & Clinical Analysis, Kaiser Permanente"The American healthcare system is replete with paradoxes. The system has an abundance of resources, outstanding medical centers and extraordinarily well-trained doctors and other health care professionals. Yes, despite the high costs the results are inconsistent resulting from waste and inefficiency. In this book Professor Oppenheim outlines the Lean Healthcare Systems Engineering methodology which, properly implemented can reduce waste and create a more reliable healthcare system. With this methodology the future for American healthcare is bright. Brilliant!"Howard Fullman, MD, FACP, GACG, AGAF, Medical Director and Chief of Staff Emeritus, Kaiser Permanente, West Los Angeles"The very complex and fragmented US healthcare system continues to challenge us to meet the needs of patients and providers for care that is affordable and of consistent high quality. Dr. Oppenheim’s book on Lean Healthcare Systems Engineering (LHSE) offers a straightforward rigorously applied methodology that serves as a very effective approach toward achieving measurable and impactful improvements in the efficiency and quality of care. I can confidently recommend his book based on my personal experience as a physician leader who has successfully employed LHSE and its Lean enablers to improve healthcare delivery in a variety of clinical settings." F. Ronald Feinstein, DMD, MD, FACS, Clinical Professor of Surgery Keck School of Medicine of USC; Assistant Area Medical Director and Physician Manager Surgical and Support Services Emeritus Kaiser-WLA; Regional Chief of Plastic Surgery Emeritus Southern California Permanente Medical Group "The book and author’s thoughtful and robust insights are the perfect prescription for anyone with a serious desire to remedy the complex, fragmented, and broken healthcare delivery system. The technical details and real-life examples provide a much needed road map for the journey from theory to actual and attainable, practical improvement." Gail Lindsay, RN, MA, SCAL Region Chief Quality Officer, Providence St. Joseph"Based on my own experience, both as a practicing Chief of Pediatrics and as an Assistant Area Medical Director responsible for Quality Improvement, this is a very readable, yet thorough work grounded in the reality of actually improving medical care. A groundbreaking contribution to the field. Masterful."Stephen Tarzynski, MD., MPH, Kaiser Permanente, President of California Physicians Alliance (CaPA). "This book supplies a roadmap for anyone interested in taking the best aspects of systems engineering and lean thinking and applying them in a pragmatic way to healthcare delivery. It is understandable by everyone, but valuable even to experienced practitioners."Christopher Unger, Ph.D., INCOSE Healthcare Working Group LeaderChief Systems Engineer, GE Healthcare "The application of systems engineering and lean processes to the healthcare industry is an important enabler to the INCOSE vision of "a better world through a systems approach." This text describes a new process Lean Healthcare Systems Engineering (LHSE) for managing workflow and care improvement projects in clinical environments. Following the step-by-step process identified in this text can contribute to higher quality of project work and project results with fewer frustrations, I encourage readers to give it a try!"Marilee J. Wheaton, President-Elect and Fellow, International Council for Systems Engineering (INCOSE), Systems Engineering Fellow, The Aerospace Corporation "More now than ever with the pandemic the Lean Healthcare System Engineering will expeditiously address systems issues, so this book is timely." Jamie Gearon, Chief, Process Improvement Office, VA Greater Los Angeles Healthcare System"I train/coach individuals and teams who are embedded in healthcare provider organisations directly. I would recommend this book to my apprentices as a valuable complementary perspective from someone who has seen it, done it and is teaching it."Dr. S. R. Dodds MA, MS, FRCS. Health Care Systems Engineer and Consultant Surgeon, United Kingdom"Professor Oppenheim's treatment of LHSE is groundbreaking. Given the significant degree of fragmentation in the US Healthcare System his LHSE methodology is exactly what is needed to improve outcomes with the limited resources available. Students of his methodology will help lead the American healthcare quality revolution which is still badly needed." Howard Fullman, Area Medical Director, Kaiser Permanente.