Background: Lean has been increasingly applied in health care to reduce waste and improve quality, particularly in fast-paced and high-acuity clinical settings such as emergency departments. In addition, Lean’s focus on engagement of frontline staff in problem solving can be a catalyst for organizational change. In this study, ConnectionsAZ demonstrates how they applied Lean principles to rapidly and sustainably transform clinical operations in a behavioral health crisis facility.
Methods: A multidisciplinary team of management and frontline staff defined values-based outcome measures, mapped the current and ideal processes, and developed new processes to achieve the ideal. Phase I was implemented within three months of assuming management of the facility and involved a redesign of flow, space utilization, and clinical protocols. Phase II was implemented three months later and improved the provider staffing model. Organizational changes such as the development of shift leads and daily huddles were implemented to sustain change and create an environment supportive of future improvements.
To continue reading, download the full article below:
The Tucson Mental Health Support Team (MHST) Model: A prevention focused approach to crisis and public safety
ABSTRACT While Crisis Intervention Team (CIT) programs provideView
The Banner Psychiatric Center: A Model for Providing Psychiatric Crisis Care to the Community while Easing Behavioral Health Holds in Emergency Departments
Abstract Banner Health in the Phoenix, AZ, metropolitan areaView
Provider-Payer Partnerships as an Engine for Continuous Quality Improvement
Those accountable for a system of care have an interest inView
Alternatives to the Emergency Department
TO THE EDITOR: The November Taking Issue column by Marvin S.View
A Preventive Approach to Crisis and Public Safety
Effective collaboration between law enforcement and crisisView
CRISES: A Framework for Developing Performance Measures for Behavioral Health Crisis and Psychiatric Emergency Programs.
Abstract Crisis and emergency psychiatric services are an integralView