Franciscan Skemp Healthcare is an integrated health care delivery network serving residents of an 11-county area covering parts of Wisconsin, Minnesota and Iowa. Sarah Bockelmann is a performance improvement engineer in the surgical services division. Time studies, lean techniques, work analysis and design, forecasting, planning and scheduling are all tools that she uses on a daily basis. There are also opportunities to work on supply chain management with the distribution and consumption of surgical supplies. She does a lot of team coaching and facilitation in her role. It is very rewarding to see a team create and implement an improvement that they have developed on their own through persistence and hard work. Their contributions have a significant impact on the organization.