Lean Behavioral Health

Joseph 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 the largest public hospitals in New York. He is also Professor of Psychiatry at the State University of New York - Downstate Medical College. He is on the Board of Directors for the Group for the Advancement of Psychiatry.Joanna Omi is chief innovation officer and senior vice president for organizational innovation and effectiveness at the New York City Health and Hospitals Corporation (HHC). Ms. Omi provides leadership and operational guidance to Breakthrough, the HHC Enterprise-wide Improvement System. She is responsible for the development and adoption of lean throughout HHC's various healthcare facilities and corporate offices. Prior to her current position, Ms. Omi was HHC's Senior Assistant Vice President for Corporate Planning and HIV Services. In this capacity, she led the Corporation's planning efforts and managed special projects, including the Corporate Ambulatory Care Restructuring Initiative, the Community Health Care Demonstration Project, HIV/AIDS programs and development of the first federally qualified health center on Staten Island.Jill Bowen is the senior associate executive director and chief of staff for Behavioral Health Services at Kings County Hospital Center. Trained as a clinical psychologist, she has been employed at Kings County Hospital Center for the past 26 years, in a variety of roles involving direct care, supervision and administration, strategic planning and program development for the department. She has played a significant role in the transformation of the services provided in the Behavioral Health department across the continuum of care.

• Table of Contents ; Preface ; Chapter One: Why Lean in Health Care - People Aren't Cars ; Joanna Omi ; Bruce Smith ; Ameer Robertson, Esq. ; Chapter Two: Behavioral Health Care and Lean ; Joanna Omi, Joseph P. Merlino, MD, Joyce B. Wale, LCSW, Kristen Bauman, PsyD, Olga Deshchenko, Antonio D. Martin ; Chapter Three: Lean, Safety, and Quality ; Robert Berding, Esq., L.M.H.C., C.R.C. ; Renuka Ananthamoorthy, MD ; Lora Giacomoni, RN ; Chapter Four: Financial Benefits of Lean ; Marlene Zurack ; George Proctor ; Chapter 5: Lean in Behavioral Health ; Joseph P. Merlino, MD, MPA ; Kristen Baumann, PhD ; Jill Bowen, PhD ; Chapter 6: CPEP ; Kristen Baumann, Ph.D ; Regine Bruny-Olawaiye, M.D ; Richard Freeman ; Chapter 7: Lean and Inpatient Psychiatry ; Roumen N Nikolov, MD ; Akinola Adebisi, MD ; Linda Paradiso, RN, NPP ; Chapter 8: Outpatient Services: The Adult Mental Health Clinic ; Jill Bowen, PhD ; Lancelot Deygoo, MSCE ; Chapter 9: Lean applications: the Medical Home Model ; Claire Patterson ; Janine Perazzo ; Akinola Adebisi ; Conclusion ; Jill Bowen, PhD ; Joseph P. Merlino, MD, MPA ; Joanna Omi ; Epilogue: Insights of a Psychologist turned Lean Facilitator ; Kristen Bauman, Ph.D. ; Index

"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 deliverysystems." -- 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 nationto 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 'mustread' 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