Transforming mental healthcare : applying performance improvement methods to mental healthcare / Sunil Khushalani, Antonio DePaolo.

Format:

Book

Author/Creator:

Khushalani, Sunil, author.

DePaolo, Antonio, author.

Contributor:

Taylor & Francis eBooks.

Language:

English

Subjects (All):

Mental health services.

Health care reform.

Physical Description:

1 online resource : illustrations (black and white)

polychrome

Other Title:

Transforming mental health care

Place of Publication:

Boca Raton, FL : Routledge, Taylor & Francis Group, 2022.

System Details:

text file

Biography/History:

Sunil Khushalani, MD, is a psychiatrist who specializes in Addiction Psychiatry. He is passionate about learning improvement science and integrating it into the field of mental health and addictions. This book is his first on the subject of improvement science as applied to mental health. For the last decade, he worked on teaching and integrating these ideas and methods at Sheppard Pratt. He obtained his MBBS degree from Seth Gordhandas Sunderdas Medical College/ King Edward Memorial Hospital in Mumbai, India. He then completed his residency at the Department of Psychiatry at New York University Medical Center/Bellevue Hospital in 1997 and came to Sheppard Pratt in 2000. He is board-certified in Psychiatry by the American Board of Psychiatry and Neurology. He is also certified by examination by the American Board of Addiction Medicine. He was recently serving as the Medical Director of Adult Services at Sheppard Pratt and the Service Chief of the Inpatient Co-occurring Disorders Unit at the Towson Campus of Sheppard Pratt. He also served as a physician advisor for the Stanley Research Group and the Operational Excellence team at Sheppard Pratt. Now, he works as the Chief Medical Officer for Kolmac Outpatient Recovery Centers. He is also an Assistant Professor at the University of Maryland School of Medicine, and he has always maintained an interest in training psychiatry residents. He helped develop a course on 'Lean Problem Solving' at Sheppard Pratt and taught performance improvement to staff and psychiatry residents in the Sheppard Pratt System. He is a Distinguished Fellow of the American Psychiatric Association and a Fellow of the American Society of Addiction Medicine. He has been voted as a Top Doctor in Addiction Psychiatry by Castle Connolly and Baltimore Magazine. He has conducted workshops and delivered many presentations on performance improvement in mental health at many regional, national and international meetings. Antonio DePaolo, PhD, is a transformation executive and a Baldrige Fellow with over 22 years of experience in improvement science. This is his first book on improvement science applied to mental health and highlights his implementation work over more than seven years at Sheppard Pratt. Before that, Antonio spent 16 years in several industries, from automotive and transportation to life science and semiconductor packaging. He most recently ventured into healthcare by joining the University of Maryland Medical System as the Vice President of Transformation and Continuous Improvement for Upper Chesapeake Health. Antonio earned his B.S. in Industrial Engineering and Masters of Industrial Engineering from the University at Buffalo. He later completed his formal education with a Doctorate of Philosophy in Management with a focus on leadership and organizational change from Walden University. Throughout his career, Antonio had several mentors, including being mentored by Japanese Sensei while leading improvement efforts at a division of The Stanley Works located in Rhode Island. His major accomplishment was the full transformation of Wabash National, a struggling trailer manufacturer in Lafayette, Indiana, where he developed the manufacturing systems and laid the groundwork for improvement. As a result of his work, the company returned to revenue growth and profitability by removing a cumulative cost burden in excess of $250M and led to the organization winning The U.S. Senate productivity excellence award presented by Senator Richard Lugar. Antonio has volunteered his time to speak at local, national, and international settings and the American Psychiatric Association.

Contents:

Intro

Cover

Endorsements

Half Title

Title Page

Copyright Page

Contents

Forewords

Preface

Acknowledgments

About the Authors

Introduction

Contributors

1. The Need for Performance Improvement Methods in Mental Healthcare

I.A Focus on the Mental Health 'System' of Care

II. A New Paradigm for the Mental Health System

III. The Burden of Mental Illness

IV. The Connection between Behavioral Health and Overall Health

V. Current State: Access to Care (And Its Impact on Society)

A. Boarding in the Emergency Room

B. Homelessness

C. Mental Illness in Jails

VI. Current State: Safety

VII. Current State: Quality

A. Underuse

B. Overuse

C. Misuse

VIII. Current State: Delivery of Care (Fragmentation of Care)

IX. Current State: Cost/Waste

X. Current State: Morale/Workforce Challenges

XI. A Call for a Better System

A. Crossing the Quality Chasm

B. The Quadruple Aim

XII. Forces of Change

A. Moving Away from the Model of a 'Cottage Industry'

B. Technology

C. The Voice of the Patient

XIII. Learning from Our Context (Groundbreaking Improvement Efforts in Medicine)

XIV. The Need to Reinvigorate and Redesign Mental Healthcare

References

2. Value and Waste in Psychiatry

I. Value

A. Value and the Patient

B. Value and the Family

C. Value and the Organization

D. Value and the Provider

E. Value and the Payer

F. Value and the Government

G. Value and the Continuum of Care

H. Value Added, Value Enabled, and Waste

II. Waste

A. Eight Forms of Waste

1. Overproduction

2. Defects

3. Waiting

4. Transportation

5. Motion

6. Extra Processing

7. Inventory

8. Non-Utilized Talent

B. Waste Walks

C. Constraint Management

D. Waste in Psychiatry

E. Within Treatment Waste

F. Between Treatment Waste

G. The Cost of Waste

3. Developing the Healthcare Workforce for Performance Improvement

I.A Newer Approach to Work

II. The Development of an Improver

A. Developing Awareness

B. Fostering an Improvement Mindset

C. Acquiring Performance Improvement Knowledge

1. Appreciation for a System

2. Knowledge about Variation

3. Theory of KnowledgeContinuous

4. Psychology

D. Applying and Practicing Improvement Skills

E. Developing Performance Improvement Skills into Routine Habits

III. Preparing the Medical Professional to Learn Performance Improvement Skills

4. Improvement Methods for Mental Health Organizations

I. Plan-Do-Check-Act Cycle

II. Standard Work

III. PDCA vs. Research

IV. A3 Thinking

A. Plan

1. Project Title

2. Business Case

3. Project Y

4. Scope

5. Project Management

6. Measure

7. Observation

8. Process Map

9. Sub-Process Map

10. Time and Motion Study

11. Spaghetti Diagrams

12. Measurement for Improvement

Notes:

"A Productivity Press Book."

Includes bibliographical references.

Electronic reproduction. London Available via World Wide Web.

Print version record.

Other Format:

Print version: Khushalani, Sunil. Transforming mental healthcare.

ISBN:

9781351582469

9781315099224

1315099225

9781351582452

1351582453

9781351582445

1351582445

1351582461

Publisher Number:

99989607778

Access Restriction:

Restricted for use by site license.