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Lean Behavioral Health: The Kings County Hospital Story 1st Edition


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Lean Behavioral Health: The Kings County Hospital Story is the first lean book that focuses entirely on behavioral health. Using the principles of the Toyota Production System, or lean, the contributors in this groundbreaking volume share their experience in transforming a major safety net public hospital after a tragic and internationally publicized event.

As the largest municipal hospital system in the United States, the New York City Health & Hospitals Corporation adopted lean as the transformational approach for all of its hospitals and clinics. Kings County Hospital Center, one of the largest providers of behavioral health care in the country, continues on its transformational journey utilizing lean's techniques. While not every event was fully successful, most were and every event, including failures, increased the knowledge base about how to continually improve quality and safety. Having made major changes, Kings County Hospital Center is now recognized as a center for transformation and quality receiving high marks from oversight agencies.

This volume begins by describing the basic principles of the lean approach-adding value, eliminating waste, and tapping the organization's line staff to create and sustain dramatic change. An overview of the use of lean from a quality improvement perspective follows. Lean tools are applied to many services that comprise the behavioral health value stream and these stories are highlighted. The experts in identifying waste and adding value are the line staff whose voices are captured in the clinical chapters. Insights learned by event participants are emphasized as teaching points to provide context for what has worked or has not worked at Kings County Hospital Center.

While the burning platform at Kings County Hospital Center was white hot and while the Department of Justice scrutinized its quality of patient care, the application of lean methods and tools has transformed the hospital into a potential model for behavioral health programs facing the challenges of the present healthcare environment. It is a must-have story for clinicians, administrators and other leaders in the mental health field devoted to improving quality and safety at their hospitals and clinics.

Editorial Reviews

Review

"Quality of care transformation has arrived for behavioral health care with this pioneering volume, Lean Behavioral Health. This is the case study of how the Toyota approach to safety and quality can dramatically improve psychiatric inpatient and outpatient care. All behavioral health leaders, administrators, and clinicians should read this book for inspiration and practical tools to change the way they treat patients and manage their care delivery systems."
-- Steven S. Sharfstein, MD, President and CEO, Sheppard Pratt Health System and Clinical Professor of Psychiatry, University of Maryland

"This book describes the lean journey NYCHHC mental health providers have walked and the remarkable results they have achieved. The NYCHHC mental health leaders and practitioners inspire us all by explaining how the poorest and most vulnerable in our society can receive much better care, not by adding more money to the system, but by rethinking the system. Their efforts to redesign healthcare with the patient at the center is a model for the rest of our nation to emulate."
-- John Toussaint, MD, Founder and CEO of ThedaCare Center for Healthcare Value

"Lean Behavioral Health is a compelling story of deep change told by the people who led and lived the transformation. It describes how the behavioral health division of Kings County Hospital, a public hospital within the vast New York Health and Hospital Corporation 'safety net' system, pulled itself out of crisis by learning to apply lean improvement methods to its broken systems and waste-laden processes. This dramatic turnaround narrative is a 'must read' for behavioral health professionals who aspire to improve the services they deliver."
-- John E. Billi, MD, Associate Vice President of Medical Affairs, University of Michigan

Book Description

The first lean book that focuses entirely on behavioral health. Using the principles of the Toyota Production System, or lean, the contributors in this groundbreaking volume share their experience in transforming a major safety net public hospital after a tragic and internationally publicized event.

Product details

  • Publisher ‏ : ‎ Oxford University Press
  • Publication date ‏ : ‎ February 5, 2014
  • Edition ‏ : ‎ 1st
  • Language ‏ : ‎ English
  • Print length ‏ : ‎ 288 pages
  • ISBN-10 ‏ : ‎ 0199989524
  • ISBN-13 ‏ : ‎ 978-0199989522
  • Item Weight ‏ : ‎ 14.4 ounces
  • Dimensions ‏ : ‎ 6.2 x 0.65 x 9.2 inches
  • Best Sellers Rank: #4,531,023 in Books (See Top 100 in Books)