Lean Behavioral Health: The Kings County Hospital Story

Paperback | February 19, 2014

EditorJoseph Merlino, Joanna Omi, Jill Bowen

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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 netpublic hospital after a tragic and internationally publicized event.As the largest public healthcare system in the United States, the New York City Health and 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 Centeris 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 manyservices 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 providecontext 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 ofthe 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.

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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 netpublic hospital after a tragic and internationa...

Joseph P. Merlino is the chief executive for behavioral health services and Director of Psychiatry at Kings County Hospital Center, where he leads the transformation efforts of one of the largest public hospitals in New York. Previously he was Director of Psychiatry at Queens Hospital Center. He is also Professor of Psychiatry at the S...

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Format:PaperbackDimensions:272 pages, 9.25 × 6.12 × 0.68 inPublished:February 19, 2014Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199989524

ISBN - 13:9780199989522

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Table of Contents

Preface1. Joanna Omi, Bruce Smith, Ameer Robertson, Esq.: Why Lean in Health Care - People Aren't Cars2. Joanna Omi, Joseph P. Merlino, Joyce B. Wale, Kristen Bauman, Olga Deshchenko, Antonio D. Martin: Behavioral Health Care and Lean3. Robert Berding, Esq., Renuka ananthamoorthy, Lora Giacomoni: Lean, Safety, and Quality4. Marlene Zurack, George Proctor: Financial Benefits of Lean5. Joseph P. Merlino, Kristen Baumann, Jill Bowen: Lean in Behavioral Health6. Kristen Baumann, Regine Bruny-Olawaiye: CPEP7. Roumen N. Nikolov, Akinola Adebisi, Linda Paradiso: Lean and Inpatient Psychiatry8. Jill Bowen, Lancelot Deygoo: Outpatient Services: The Adult Mental Health Clinic9. Claire Patterson, Janine Perazzo, Akinola Adebisi: Lean applications: the Medical Home ModelJill Bowen, Joseph P. Merlino: ConclusionKristen Bauman: Epilogue: Insights of a Psychologist turned Lean FacilitatorIndex