ABSTRACT

The United States Institute of Medicine established six aims for healthcare quality: safe, effective, patient-centered, timely, efficient, and equitable. The discipline of Systems Engineering (SE) was created by Si Ramo and Dean Woldridge in 1954 to help with the development of ballistic missiles, which had to work unconditionally. SE is a rigorous time-proven process of management and coordination of all relevant technical details and elements, and strong focus on the system integration and life-cycle performance. Lean Healthcare Systems Engineering (LHSE) is a simplified SE process of integrating and streamlining projects involved in improving healthcare workflows and care in all clinical environments, such as clinics and hospitals of all types; pharmacies; telemedicine; population health; preventive and chronic care; and so on. LHSE relies on Lean Healthcare to identify waste and streamline operations. LHSE relies on SE to create and integrate the needed building blocks of the LHSE process.