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Embedding Systems Engineering Leadership in Learning Health Systems: The Case for a Chief Systems Engineer in Every Hospital

Year: 2025
Type: article
Abstract: As healthcare systems transition toward Learning Health Systems (LHS), the need for executive-level leadership in systems thinking becomes urgent. This commentary advocates for the institutionalization of a Chief Systems Engineer (CSE) role in hospitals to embed systems engineering (SE) principles within leadership structures, navigate complexity, integrate technology with clinical workflows, and drive continuous organizational learning. Drawing on lessons from high-reliability industries and existing healthcare initiatives, this commentary argues that establishing dedicated SE leadership is essential for achieving both horizontal and vertical integration across clinical, operational, and strategic domains. It outlines the responsibilities of the CSE, aligns them with LHS goals, and offers recommendations for sustained and scalable implementation across healthcare organizations.
Author: Md Doulotuzzaman Xames
Institution: Virginia Tech
Language: English
Open Access status: gold
Estimated APC paid: $2,500
OpenAlex ID: W7109032706
FWCI:
Cites: 8
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