In 2005, Dr. Hey started Hey Clinic for Scoliosis and Spine Surgery as a “living, learning lab” to focus on bringing “Compassionate Process Control” to the point of care using lean and aviation safety principles. He has performed over 6,000 spine surgeries, and continues to be clinically active with his feet firmly placed in the “clinical trench” where the problems can be seen, and then gradually solved. He is now working with other surgeons from around the country to see how information technologies and new “crew management” techniques can help bring aviation-level patient safety to healthcare.