Dr. Mahaniah brings frontline experience to his new role as Undersecretary for Health in the state’s Executive Office of Health and Human Services. During his time as CEO and primary care physician at Lynn Community Health Center, he saw firsthand how patients struggle with health care’s complexity and urges organizations to embed safety at a system level for best results. Dr. Mahaniah talks with Patient Safety Beat about promoting health care safety as a discipline and daily practice, using the metaphor of finding “rocks in the riverbed” from Lean training.