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

## TL;DR

This paper argues for creating a Chief Systems Engineer role in hospitals to improve healthcare through systems thinking and integration.

## Contribution

Proposes a new executive role to institutionalize systems engineering leadership in healthcare organizations.

## Key findings

- A Chief Systems Engineer can help integrate clinical and operational domains.
- Systems engineering leadership supports continuous organizational learning.
- High-reliability industry lessons can guide healthcare integration.

## 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.