# Lean integration: A blueprint for occupational health services transformation in healthcare mergers

**Authors:** Shaindel Kestenberg, Radhika H. Patel, Adrienna O. Tan, Danielle C. De Graeve, Arash Dhar, Tamara Dus

PMC · DOI: 10.1177/08404704251360226 · Healthcare Management Forum · 2025-09-18

## TL;DR

This paper describes how two healthcare organizations merged their occupational health services, improving efficiency and communication through standardized processes and collaboration.

## Contribution

The paper presents a novel blueprint for integrating occupational health services during healthcare mergers, emphasizing cross-functional collaboration and standardized workflows.

## Key findings

- Integration of occupational health departments improved multidisciplinary communication and standardized protocols.
- Centralizing infrastructure and aligning policies reduced administrative workload and enhanced safety.
- Strategic change management addressed challenges in resource allocation and training.

## Abstract

This is a case study about University Health Network (UHN) and West Park (WP) Healthcare Centre’s merger in April 2024, marking a significant milestone in organizational transformation. As part of this integration, Occupational Health departments at both organizations were unified into a single team. Data collection, process mapping, and gap analysis were employed to conduct current-state assessments, which identified key differences in organizational structure, database systems, technology platforms, and operational processes. By addressing these gaps, the team clarified roles, centralized infrastructure, aligned policies, and standardized workflows. Four key domains were targeted for integration: organizational structure, database systems, technology platforms, and operational processes. Challenges in change management, resource allocation, and training were addressed strategically. This integration approach improved multidisciplinary communications, standardized protocols, reduced manually intensive administrative workload, and enhanced safety, emphasizing project scoping, cross-functional collaboration, and innovative solutions for operational excellence.

## Full-text entities

- **Diseases:** respiratory (MESH:D012131), Disability (MESH:D009069), communicable disease (MESH:D003141), ORCID iD (MESH:C535742), occupational injuries (MESH:D060051), short-term disability (MESH:D000088562), OHS (MESH:D009784), pain (MESH:D010146), respiratory or gastrointestinal absences (MESH:D005767)
- **Chemicals:** Over (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12535616/full.md

## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12535616/full.md

## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC12535616/full.md

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Source: https://tomesphere.com/paper/PMC12535616