For over a decade we have encountered some common challenges healthcare systems can avoid by combining LEAN Design practices and operational planning. The planning required to transition into a new facility or renovated space can be one of the most challenging aspects of any project and a source of anxiety for the client. Our presentation outlines the advantages of incorporating operational planning early in the design process of new construction and renovation projects. Core Competencies: Strategic Planning; Space Planning and Programming; Design; Equipment Planning; Construction Management; Transition Planning AIA Course Number: 2023.05.006 AIA CEU = 1 LU