Healthcare Transformation Leader

Operational excellence and continuous improvement leader with deep experience optimizing complex healthcare operations — bridging Lean methodology, data analytics, and change management to drive measurable outcomes across academic medical centers, global health systems, and enterprise healthcare organizations.

Lean Leader Strategic Thinker Problem Solver Process Engineer Change Practitioner Nimble Learner
Background

About

Yigu Chen grew up in Shanghai and came to public health through a somewhat indirect path — one shaped by equal parts curiosity, practicality, and a persistent interest in why organizations that are supposed to help people sometimes make it harder than it needs to be.

He holds an MPH from Boston University School of Public Health (GPA 3.9, Delta Omega, Epsilon Phi Delta) and is certified as a Six Sigma Black Belt and Project Management Professional — credentials he thinks of less as achievements and more as a shared language for working across clinical, operational, and administrative teams.

Over the past decade, he has had the good fortune to work alongside talented colleagues at Beth Israel Deaconess Medical Center, where he also taught at Harvard Medical School, at Memorial Sloan Kettering Cancer Center, and at GE Healthcare across hospitals in Greater China. Each role has taught him something different about what change actually requires — and how rarely it follows a straight line.

He has contributed to 35+ publications on quality systems, patient safety, and clinical operations, and finds the research process valuable less for the publications themselves and more for what it demands: rigor, patience, and a willingness to be wrong.

These days he works independently, helping healthcare organizations think through operational problems — always trying to be useful without overstating what any one person or framework can accomplish.

Competency Radar
25 50 75 Continuous Improvement Change Mgmt Project Mgmt Strategic Planning Data Analysis Leader- ship
Career

Experience

Work History

Aug 2024 – Present

Independent Advisor

Healthcare Improvement Consultant

↓27% No-Shows ↑10% MRI Util. Lean Workshops

Jul 2022 – Jul 2024

GE Healthcare  Greater China

Lean Leader, Lean Healthcare Solutions

↑280% Same-Day MRI 30+ Hospitals 1,000+ Trained 97% Satisfaction

Nov 2020 – May 2022

Memorial Sloan Kettering Cancer Center  New York City

Senior Process Improvement Engineer, Operational Excellence

↓30% LOS ↑550% 2-Day Discharge Dr. Fauci Recognized

Sep 2014 – Oct 2020

Beth Israel Deaconess Medical Center  Boston

Lead, Quality & Process Improvement

16 Lab Divisions 80+ KPI Dashboard RCA Expert

2018 – 2020

Harvard Medical School  Boston

Faculty, Principal Associate  (Joint Academic Appointment)

Education

Master of Public Health (MPH)
Boston University School of Public Health
2014 · GPA 3.9 · Delta Omega · Epsilon Phi Delta · Honors
B.Mgmt, Health Policy and Management
East China University of Science & Technology
2012 · GPA 3.7

Certifications

Lean Coach — GE Healthcare (2023)
Change Practitioner — Prosci (2021)
Project Management Professional (PMP) — PMI (2016)
Six Sigma Black Belt (CSSBB) — ASQ (2015)
SAS Advanced Programmer (2013)
CAP Laboratory Accreditation Inspector
Selected Work

Projects

Lean Capability Building  ·  Program Design & Scale
Lean Healthcare — Capability Building at Scale
Built and scaled an end-to-end hospital engagement framework from the ground up — designing healthcare-focused Lean curricula, delivering customized capability programs to tertiary hospitals, and developing strategic partner sites for embedded performance improvement. The framework created a self-reinforcing pipeline from awareness through deep capability, turning workshop participants into institutional change agents.
1,000+ Healthcare Professionals Reached 30+ Tertiary Hospitals Participated 5 Strategic Partner Sites
Lean capability funnel — outreach → participation → embedded performance improvement
Curriculum Design Workshop Delivery Capability Funnel Embedded PI
Radiology Operations  ·  Lean + Data Analytics
MRI Appointment Wait Time Reduction
Radiology & Imaging  |  ~70,000 scans/year
A 16-day median wait was driving patient attrition to competing hospitals. Gemba observation and historical data revealed three root causes: a backlog of legacy appointments, over-sequenced scan protocols, and peak-hour scheduling imbalance. Each was addressed with a targeted intervention co-designed with clinical departments.
Before
16
DAYS
Low
same-day rate
After
2
DAYS
↑280%
same-day rate
Patient satisfaction +11 pts  ·  ~70,000 scans/year
Patient Satisfaction +11pts SOP Improvement Gemba + Data-Driven Scheduling Redesign
Patient Flow  ·  Six Sigma DMAIC
DIEP Flap Breast Reconstruction — Inpatient Stay Optimization
Surgical Oncology  |  n=70 patients  ·  6-month intervention
95% of post-operative complications after unilateral DIEP flap breast reconstruction occur within the first 24 hours — yet patients routinely stayed three or more days. Applied Six Sigma's DMAIC framework to engage cross-functional stakeholders, redesign postoperative milestones, and build an outpatient nursing roadmap that extended structured inpatient-level care into the recovery period. 83% of patients discharged on Day 2, and 77% felt ready to go home after receiving dedicated nursing instruction.
↓34%
Median LOS  67.8h → 44.8h
↑550%
Day-2 Discharge Rate
83% DAY-2 RATE
p < .001 77% Felt Discharge-Ready Peer-Reviewed
↗ PubMed
Laboratory Quality  ·  Lean + Visual Management
COVID-Era Lab Error Reduction & Throughput Improvement
Clinical Laboratory  |  ~36,000 samples/month
Under pandemic volume pressure with a depleted workforce, sample error rates reached 6–8‰ and 10–15% of samples rolled over daily. Eliminated non-value-added steps, co-designed a LIS tracking system with IT, optimized courier timing via time-study data, and introduced daily visual management boards for frontline teams.
↓≥50%
Error Rate
6–8‰ → ≤4‰
↑55%
Throughput
20→31 /hr
<5%
Carry-Over
from 10–15%
≤4‰ Error Rate  (p=.02) Daily Management Performance Metrics Redesign LIS Co-Design
Surgical Pathology  ·  Checklist & Standardization
Intraoperative Consultation Checklist — Slide Labeling Quality
Surgical Pathology  |  n=839 IOC cases  ·  9 months
Slide labeling errors during frozen-section consultations carry direct patient safety risk. Developed and implemented a standardized IOC checklist to reduce defect rates while preserving turnaround time — demonstrating that quality and efficiency need not trade off against each other.
Before
85%
cases with defect
After
27%
cases with defect
TAT preserved: 21.6 min → 23.2 min  (p=.071, NS)
p < .001 Quality ≠ Speed Trade-off Peer-Reviewed
↗ PubMed
Laboratory Safety  ·  Lean Redesign  ·  36 Months
Histology Labeling Error Reduction — Barcode LIS & Single-Piece Flow
Histology Laboratory  |  ~169,000 cases analyzed
Histology workflows had remained largely unchanged for 175 years. A custom step-key system tracked labeling errors to their root causes — manual slide printing and microtome cutting. Two sequential Lean interventions drove compounding error reductions across a 3-year period.
Baseline 1.03% Post LIS 0.28% Post Ice Tool 0.22%
Error rate trajectory across 36-month intervention
↓78.6% Error Rate ↓35.3% Rework Time Barcode LIS Peer-Reviewed
↗ PubMed
Revenue Cycle Management  ·  Technology Implementation
Prior Authorization Automation — Revenue Cycle Transformation
Revenue Cycle Management  |  Multi-system integration
Prior authorization bottlenecks were delaying patient care and consuming disproportionate staff time. Coordinated across HIS, RIS, and external technology vendors to map the existing workflow, select an automation platform, and implement an end-to-end solution — compressing both patient wait times and per-case labor significantly.
>$1M
Annual Savings
↓80%
Patient Wait
8–10d → <2d
↓63%
Touch Time
22–25 → 8–10 min
Technology Transformation HIS + RIS Integration Vendor Selection
Research

Publications

35+
Publications
500+
Citations
13
H-Index
15
I10-Index
#TitleYearCategory
01Using the Model for Improvement and Plan-Do-Study-Act to Effect SMART Change and Advance Quality
Cancer Cytopathology 129 (1), 9–14
2021QI Methodology & Education
02Process Mapping: A Cornerstone of Quality Improvement
Cancer Cytopathology 125 (12), 887–890
2017QI Methodology & Education
03Results from the 2019 ASC Survey on Rapid On-Site Evaluation — Part 1: Objective Practice Patterns
Journal of the American Society of Cytopathology 8 (6), 333–341
2019Research Analytics
04Visceral Pleural Invasion in Pulmonary Adenocarcinoma: Differences in CT Patterns Between Solid and Subsolid Cancers
Radiology: Cardiothoracic Imaging 1 (3), e190071
2019Research Analytics
05Molecular Testing Turnaround Time for Non–Small Cell Lung Cancer Confirms Feasibility of CAP/IASLC/AMP Guideline Recommendations
Clinical Lung Cancer 18 (5), e349–e356
2017Healthcare Operations
06Pre-Analytic Error: A Significant Patient Safety Risk
Cancer Cytopathology 126, 738–744
2018Patient Safety
07Measuring and Assuring Quality Performance in Cytology: A Toolkit
Cancer Cytopathology 125 (S6), 502–507
2017QI Methodology & Education
08Measurement Bias of Gross Pathologic vs. Radiologic Tumor Size of Resected Lung Adenocarcinomas: Implications for T-Stage Revisions
American Journal of Clinical Pathology 147 (6), 641–648
2017Research Analytics
09Frozen-Section Checklist Implementation Improves Quality and Patient Safety
American Journal of Clinical Pathology 151 (6), 607–612
2019Healthcare Operations
10Results from the 2019 ASC Survey on Rapid Onsite Evaluation (ROSE) — Part 2: Subjective Views Among the Cytopathology Community
Journal of the American Society of Cytopathology 9 (6), 570–578
2020Research Analytics
11Preoperative Bronchial Cytology for the Assessment of Tumor Spread Through Air Spaces in Lung Adenocarcinoma Resection Specimens
Cancer Cytopathology 128 (4), 278–286
2020Research Analytics
12Comparison of Plasma-Thrombin, HistoGel, and CellGel Cell Block Preparation Methods with Paired ThinPrep Slides in Mediastinal Granulomatous Disease
Journal of the American Society of Cytopathology 8 (2), 52–60
2019Research Analytics
13Molecular Testing Turnaround Time for Non-Small-Cell Lung Cancer: Monitoring a Moving Target
Clinical Lung Cancer 19 (5), e589–e590
2018Healthcare Operations
14Achieving High Reliability in Histology: An Improvement Series to Reduce Errors
American Journal of Clinical Pathology 146 (5), 554–560
2016Healthcare Operations
15Pathologic T Descriptor of Nonmucinous Lung Adenocarcinomas Now Based on Invasive Tumor Size: How Should Pathologists Measure Invasion?
American Journal of Clinical Pathology 150 (6), 499–506
2018Research Analytics
16False-Negative Urine Human Chorionic Gonadotropin Testing in the Clinical Laboratory
Laboratory Medicine 51 (1), 86–93
2020Research Analytics
17Optimizing Unilateral Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Quality Improvement Study
The Journal for Healthcare Quality (JHQ) 44 (6), 354
2022Healthcare Operations
18Towards High Reliability in National Pathology Education: Evaluating the USCAP Educational Product
Academic Pathology 9 (1), 100048
2022QI Methodology & Education
19Pathology Trainees Rarely Report Safety Incidents: A Review of 13,722 Safety Reports and a Call to Action
Academic Pathology 9 (1), 100049
2022Patient Safety
20Assessing Inpatient Platelet Ordering Practice: Evaluation of Computer Provider Order Entry Overrides
Vox Sanguinis 116 (6), 702–712
2021Healthcare Operations
21Impact of a Modified HistoGel Method for Processing Endocervical Curettage Specimens on Diagnostic Yield
American Journal of Clinical Pathology 155 (1), 141–147
2021Research Analytics
22What Can We Learn from No-Harm Events and Near Misses in Pathology? A Review of 244 Cases
Laboratory Investigation 98, 769–770
2018Patient Safety
23The Next Phase in Patient Safety Education: Towards a Standardized, Tools-Based Pathology Patient Safety Curriculum
Academic Pathology 10 (2), 100081
2023QI Methodology & Education
24Adopting the Quality Dashboard in Pathology: Real-Time Data Monitoring and Improvement
Laboratory Investigation 96, 492A–492A
2016QI Methodology & Education
25Diagnostic Error, Interlaboratory Communication, and Resource Management in Cytopathology–Surgical Pathology Collaboration
Cancer Cytopathology 131 (2), 75–77
2023Patient Safety
26Optimizing Unilateral DIEP Flap Breast Reconstruction Leads to Decreased Hospitalization Time: A Quality Improvement Study
Plastic and Reconstructive Surgery–Global Open 10 (4S), 92–93
2022Healthcare Operations
27Impact of a Cellular Concentration Method on Endocervical Curettage Specimen Adequacy
Laboratory Investigation 100 (SUPPL 1), 1892–1893
2020Research Analytics
28Cytology Specimen Contamination Leads to a False-Positive Surgical Pathology Diagnosis: Root Cause Analysis and Patient Safety Lessons
Cancer Cytopathology 127 (10), 618–620
2019Patient Safety
29Quality Assessment and Improvement of USCAP Annual Meeting Educational Offerings
Laboratory Investigation 99
2019QI Methodology & Education
30False Positive Diagnosis of Lymph Node Metastases in a 34-Year-Old Woman with Extraskeletal Myxoid Chondrosarcoma: A Root Cause Analysis
Cancer Cytopathology
2018Patient Safety
31Comparison of Plasma-Thrombin, HistoGel, and CellGel Cell Block Preparation Methods in Mediastinal Granulomatous Disease
Journal of the American Society of Cytopathology 7 (5), S6–S7
2018Research Analytics
32Do Pathology Trainees Report Fewer Incidents Than Their Peers? A Review of 13,722 Incidents
Laboratory Investigation 98, 769–769
2018Patient Safety
33Checklist Implementation for Intraoperative Consultations: Improved Quality and Safety
Laboratory Investigation 97, 501A–502A
2017Healthcare Operations
34Blood Bank STAT Turnaround Time: Tracking Our Steps, Improving Our Processes
Transfusion 56 (S4), 3A–275A
2016Healthcare Operations
35Pathology M&M Rounds: A Focus on Transparency and Process Improvement
Laboratory Investigation 96, 492A–492A
2016QI Methodology & Education
↗ View Full Google Scholar Profile
Bookshelf

Reading List

When Breath Becomes Air
📖
When Breath Becomes Air
Paul Kalanithi
Evicted
🏠
Evicted
Matthew Desmond
The Death of Cancer
🎗️
The Death of Cancer
Vincent DeVita Jr.
Complications
🔬
Complications
Atul Gawande
Better
Better
Atul Gawande
Being Mortal
🕊️
Being Mortal
Atul Gawande
The Checklist Manifesto
The Checklist Manifesto
Atul Gawande
The Ghost Map
🗺️
The Ghost Map
Steven Johnson
The Immortal Life of Henrietta Lacks
🧬
The Immortal Life of Henrietta Lacks
Rebecca Skloot
How Doctors Think
🩺
How Doctors Think
Jerome Groopman
Steve Jobs
🍎
Steve Jobs
Walter Isaacson
Elon Musk
🚀
Elon Musk
Ashlee Vance
Bad Pharma
💊
Bad Pharma
Ben Goldacre
Death in Custody
⚖️
Death in Custody
Roger A. Mitchell Jr.
Blind Spots
🔍
Blind Spots
Marty Makary
Medical Apartheid
📚
Medical Apartheid
Harriet A. Washington
The Premonition
🦠
The Premonition
Michael Lewis
Chokepoints
🌐
Chokepoints
Edward Fishman
The Cancer Factory
🏭
The Cancer Factory
Jim Morris
Burn Book
🔥
Burn Book
Kara Swisher
On Call
🩺
On Call
Anthony S. Fauci
The Toyota Way
🏭
The Toyota Way
Jeffrey K. Liker
The Goal
🎯
The Goal
Eliyahu M. Goldratt
When Breath Becomes Air
📖
When Breath Becomes Air
Paul Kalanithi
Evicted
🏠
Evicted
Matthew Desmond
The Death of Cancer
🎗️
The Death of Cancer
Vincent DeVita Jr.
Complications
🔬
Complications
Atul Gawande
Better
Better
Atul Gawande
Being Mortal
🕊️
Being Mortal
Atul Gawande
The Checklist Manifesto
The Checklist Manifesto
Atul Gawande
The Ghost Map
🗺️
The Ghost Map
Steven Johnson
The Immortal Life of Henrietta Lacks
🧬
The Immortal Life of Henrietta Lacks
Rebecca Skloot
How Doctors Think
🩺
How Doctors Think
Jerome Groopman
Steve Jobs
🍎
Steve Jobs
Walter Isaacson
Elon Musk
🚀
Elon Musk
Ashlee Vance
Bad Pharma
💊
Bad Pharma
Ben Goldacre
Death in Custody
⚖️
Death in Custody
Roger A. Mitchell Jr.
Blind Spots
🔍
Blind Spots
Marty Makary
Medical Apartheid
📚
Medical Apartheid
Harriet A. Washington
The Premonition
🦠
The Premonition
Michael Lewis
Chokepoints
🌐
Chokepoints
Edward Fishman
The Cancer Factory
🏭
The Cancer Factory
Jim Morris
Burn Book
🔥
Burn Book
Kara Swisher
On Call
🩺
On Call
Anthony S. Fauci
The Toyota Way
🏭
The Toyota Way
Jeffrey K. Liker
The Goal
🎯
The Goal
Eliyahu M. Goldratt
Get In Touch

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