The UCSF Health Lean|CPI Office supports and facilitates the transformation of UCSF Health into a Lean enterprise. Lean|CPI partners with administrative, operational, and clinical leaders across UCSF to solve strategic organizational problems, reinforce a culture of continuous process improvement, and innovate care delivery. This is achieved by developing our people to be fully competent in Lean principals, behaviors, and tools which enable frontline problem solving to optimize quality, value, and service delivery. Lean|CPI is an internal organizational resource and serves a role in developing emerging and established leaders to support their career pathway.


Cynthia Chiarappa

VP Medical Center Administration & Chief of Staff to CEO

Cynthia Chiarappa joined UCSF Medical Center in January 2015 as vice president of administration and chief of staff to the CEO. She has over 25 years of healthcare administration experience including strategic planning, communications and marketing. Her passion for lean management systems stems from her belief that a brand is only as good as the front line delivering on the brand promise. Through a lean management system, health care organizations can deliver the safest care possible and create better places to work.


Prior to joining UCSF she was vice president of strategy at UCSF Benioff Children’s Hospital Oakland where she introduced and built a Lean transformation culture. Before that she was senior director of marketing and communications at California Pacific Medical Center in San Francisco and marketing director at LensCrafters in Cincinnati, Ohio and at Vision Service Plan in Sacramento, California. She has a Master of Business Administration with a concentration in marketing and lectures on lean in health care, communications and marketing, most recently for the Tuscan health region in Pisa, Italy. She is certified in Lean for Healthcare, and has many awards and recognitions for her marketing and communications campaigns.


Cynthia has three grown children and a beautiful granddaughter – her life’s greatest achievement.

Lei Choi, MD

Medical Director

Dr. Lei Choi joined UCSF Health in 2015 as the Medical Director of the Lean Transformation Office and a practicing physician in the UCSF Division of General Internal Medicine.

Dr. Choi graduated from Princeton University in 1992 and received an M.D degree from Duke University School of Medicine. She completed an Internal Medicine residency at Vanderbilt University Medical Center and earned a Master of Public Health degree, with distinction, from Tufts Medical Center.

While at Tufts Medical Center, Dr. Choi served as the Acting Chief of the Division of General Medicine and the Director of the Adult Asian Health Initiative. In these positions, she actively engaged in the optimization of healthcare access for the Boston Asian immigrant community.

In 2004, Dr. Choi relocated to San Francisco with her family, and built a thriving primary care practice in Pacific Heights. She joined the core internal medicine teaching faculty at Sutter Health California Pacific Medical Center, and launched a residency-wide curriculum for patient safety and quality improvement. This work directly increased resident and fellow engagement in clinical and operational initiatives throughout the organization.

Dr. Choi was appointed Director for Lean Healthcare across the Sutter Health San Francisco campuses in 2013. Over the course of two years, she played a critical role in the successful adoption of a comprehensive Lean system throughout the Bay Area for Sutter Health. She is dedicated to coaching Lean behaviors, developing innovative problem solvers throughout the organization, and advancing the delivery of highly reliable patient-centered care.

Bobbi Cesare

Logistics Coordinator

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Sasha Wesnak

Office Coordinator

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Edwin Lager

Supervising Lean Consultant (SLC)

Edwin is an industrial engineer by education, with 20 years of consulting experience focused on coaching, facilitation, change management and business process re-engineering. He has worked at UCSF for the past 10 years and on the Lean team for the last 4 years. Prior to UCSF he worked as a management consultant serving retail and consumer products clients. In his free time he enjoys the outdoors and time with family.

Pei-Lin Hung

Supervising Lean Consultant (SLC)

Pei-Lin is a New Jersey native that made her way to the West Coast for graduate training and never left.  Her interest in process improvement and using the scientific method was honed during her training as a chemist.  After years of working at Kaiser headquarters in Oakland in strategic procurement (standardization of supplies and equipment across Kaiser nationally to drive value), she transitioned to her current role as a Lean consultant in the Lean/CPI Office at UCSF Health, where she has been supporting value stream and active daily engagement work for the last 3 years.  Her passion is to support leaders as they develop their frontline staff to solve problems. Her passion outside of work is dog rescue; you might see her walk her 9-yr old black lab mix and unofficial mascot of the Lean/CPI team around the neighborhood.  

Kristine Cannon

Supervising Lean Consultant (SLC)

Kristine Cannon has been in the field of healthcare process improvement since 2010.  She joined the UCSF Lean/CPI team in late 2015, with a role of coaching and developing Improvement Specialists and inpatient pediatric leaders on active daily engagement and A3 thinking. She started her career at Kaiser Permanente leading large-scale improvements across the 21-hospital system in Northern California, focusing primarily on inpatient staffing, quality and throughput.  While at Kaiser, she received Lean Six Sigma Black Belt training, earned her Advanced Improvement Advisor certification, and trained 80+ regional employees in improvement methods.  Before jumping into healthcare, Kristine spent 2 years in online marketing strategy at Google, and 3 years traveling with the Young Americans as a teacher of voice, dance and improv to children.  Kristine holds a Master of Public Health (MPH) from UC Berkeley and B.A. in Economics from the University of Southern California.  She is passionate about the health and wellness of children, enjoys volunteering at the San Francisco Zoo, and training in aerial hoop at the San Francisco Circus Center. 

Denise Elgarico

Associate Lean Consultant (ALC)

Denise comes to the Lean Transformation Office with 10 years of UCSF experience, most recently with the Transplant Surgery department as the Data, Quality, and Compliance Manager. In her role, she created standard work for a very complex system governed by several bodies of rules and regulations, and played a vital role in overseeing performance and process improvement activities throughout the program. Denise's vast experience in problem solving, process improvement, and employee engagement were what interested her in the Lean Consultant role. Denise's educatoinal background is in business and she received her B.S. in Management at San Francisco State University. Denise's other areas of specialty are in entrepreneurship, graphic design, and marketing.

Sasha Morduchowicz

Associate Lean Consultant (ALC)

Sasha is an IHI trained Improvement Advisor, and brings seven years of experience in coaching and facilitating organizational change in both primary care and inpatient settings. Before joining the Lean team, she served as the Program Manager of Quality and Safety for the UCSF Division of Hospital Medicine and the Improvement Specialist for the Medicine Unit-Based Leadership Team. Prior to UCSF she worked for the California Health Care Safety Net Institute where she made significant accomplishments in supporting California's 19 public hospitals and health systems achieve measurable results in clinical quality, patient experience, and operational improvements. She received her BA in Public Health from the University of California, Berkeley, and is currently pursuing her MPH . In her free time, she enjoys singing, playing piano, camping, and hosting dinner parties.

Susan Chim

Associate Lean Consultant (ALC)

Susan is an associate lean consultant at UCSF Health who enjoys working with, and learning from, multidisciplinary teams as they problem-solve issues that impact patient experience, health outcomes, staff experience, and value.


Susan’s work experience includes working directly with leadership, managers, and frontline staff to support operational and financial performance improvement initiatives for inpatient and outpatient psychiatry at UCLA Health. Her past work experiences also included She obtained her bachelor’s degree in psychology from UCLA, master’s degree in teaching from USC, and is currently pursuing a doctorate in health administration at UMMC.

Anant Patel

Associate Lean EHR Consultant

Anant is an Economics graduate from Rutgers University, New Brunswick, who has a true passion for healthcare and improving the operations within the US healthcare system. He worked as an EMT during his college years, doing everything from motor vehicle accident triage to delivering a baby. His love for medicine and technology landed him in a role as an Epic EMR trainer in Virginia, at which point he learned more about adult learning and concepts of how to present information that may be difficult to grasp in an enjoyable manner. As an EMR specialist, Anant worked for a number of institutions, such as Deloitte, until he found UCSF, where he joined the clinical systems team, via PEAK, training over 300 physicians on how to make their work within Apex a little less strenuous. Finally, Anant has taken on a role as an associate lean consultant with the Lean team, where he will merge the last 5 years of EMR knowledge to lean principles. During his downtime, Anant enjoys biking, exploring quirky events, and tasting the diverse flavors of California.

Lona Sharma-Laughhunn

Associate Lean EHR Consultant

Lona, born in Assam, India, started her career as a cancer research associate at the Ohio State University. Her enthusiasm for IT and interest in clinical workflow led her towards EHR. She gained valuable experience as a consultant before joining UCSF as a full time employee. At UCSF, Lona worked as an APeX analyst for 1 year. She was then recruited onto the Access Initiative Project as the APeX liaison and analyst responsible for enhancements related to physician satisfaction. It was through her involvement with Access that she (with the help of several APeX colleagues) put in the proposal for PEAK - the APeX Ambulatory Optimization Program. PEAK is now a joint program between APeX and Lean of which Lona is the Program Manager. When Lona is not working she is pursuing her passions which are: painting, dancing, hiking, traveling and practicing yoga. An interesting fact about Lona is that although she is allergic to cats, she owns and loves three of them.

Saba Mirza

Lean Fellow

Saba Mirza is proud to call the San Francisco Bay Area her home. Saba studied philosophy and religion as an undergraduate and Near Eastern Studies as a graduate student at the University of California Berkeley, where she received a B.A. and M.A. degrees. Prior to joining UCSF Health, Saba provided Human Resources and recruitment consultation to Pfizer, Inc., Allergan, Google, and Bay Area startups. As UCSF Health’s HR Project Manager, Saba led HR transition activities for the opening of the Mission Bay Hospital Complex in February 2015 and played an integral role in workforce contingency planning for labor actions at UCSF Medical Center and Benioff Children’s Hospitals between 2013-2015. Saba is passionate about leveraging technology as a tool to improve how people collaborate and has helped design several internal customer-facing software and mobile applications at UCSF. As of August 2016, Saba is UCSF’s first Lean Transformation Fellow and will work alongside Human Resources, clinical, and operational teams to help support Lean initiatives.

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Continuous Improvement Department

350 Parnassus Avenue Suites 500 & 501

San Francisco, CA 94143


Tel: 415-353-1369

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