The Lean Paradox: Time and Other Dimensions in Healthcare Quality
|
|
- Elizabeth Greene
- 5 years ago
- Views:
Transcription
1 The Lean Paradox: Time and Other Dimensions in Healthcare Quality Production & Operations Management Annual Meeting Reno, NV, April 29, 2011 Linda LaGanga, Ph.D. Director of Quality Systems & Operational Excellence Mental Health Center of Denver Denver, CO, USA Additional information available at: POMS Linda LaGanga 1
2 What s it all about? Healthcare Delivery Systems Configure Deliver Measure Improve The Continuum of Healthcare Lean Transition from Inpatient to Outpatient Settings Timeliness in Access to Care The Lean Paradox POMS-2011 Linda LaGanga 2
3 First Healthcare Delivery Organization Wins Shingo Prize in 2011 Denver Health wins for Lean Systems Improvement Denver Health executives estimate the program saved $88 million in operational expenses Helped safeguard all 5,500 Denver Health jobs. Even in a poor economy, didn t have to cut care for the city's uninsured and underserved. Auge, Denver Post, 3/23/11, Denver Health Wins International Award for Efficiency. POMS-2011, Linda LaGanga 3
4 The 2 Dimensional Continuum of Healthcare Physical Health Inpatient Services / Emergency Department Outpatient Services Mental Health / Behavioral Health POMS-2011, Linda LaGanga 4
5 Lean Transition to Outpatient Settings Hospitals to Outpatient Clinics run by hospitals Collaborating outpatient systems Outpatient Community Mental Health Center Expand Access Reduce Process times Enhance funding Streamline documentation Coordinate care POMS-2011, Linda LaGanga 5
6 Coordinated and Integrated Healthcare Services Example of a Lean Improvement Project and the Continuum of Care Motivation for Lean Improvement : Reduce Emergency Room and inpatient use in Behavioral Health Setting Goals: 25% reduction of Medicaid funded inpatient costs for Behavioral Healthcare for calendar year 2010 Increased collaboration between inpatient and outpatient providers. Increased financial resources for outpatient services. Availability of correct level of service when needed POMS-2011, Linda LaGanga 6
7 Measures and Sources Claims data Hospital admission rates Average length of stay Emergency Room utilization Hospital recidivism Follow up rates after discharge External benchmarking against other managed care organizations Outpatient admissions Call center data Electronic Medical Record Service Requests Admissions Time to appointments Show rates POMS-2011, Linda LaGanga 7
8 Timeliness In Access to Care Rapid Improvement Capacity Expansion (RICE) Concentrated on Appointment Allocation/Assignment Process Shifting and increasing appointment availability Increasing Show Rate Matching interactions to consumer needs LaGanga, Lean Service Operations: Reflections and New Directions for Capacity Expansion in Outpatient Clinics. Journal of Operations Management 29(5). Research started as appointment scheduling models for no shows and overbooking; evolved to lean focus. POMS-2011, Linda LaGanga 8
9 Configuration of Appointment Allocation System Supplier Clinical Intake Teams Access Center Customer Consumers Seeking Access Release appointments to days of the scheduling week Receive call from consumer Check appointment inventory for availability Consumer not admitted. Exits but may call again. Monday Inventory of Tuesday Appointments No slots available or no appropriate match for consumer Wednesday Thursday Match consumer to appointment slot and remove appointment from inventory of available appointments Consumer given an Intake appointment. Consumer exits, waits for Intake appointment. Friday POMS-2011, Linda LaGanga 9
10 Consumers Intake Process: Before Lean Improvement Orientation Orientation Orientation Orientation Providers Idle Intake Clinician due to consumer no-show Delay (Days) Consumer leaves and doesn t return Individual Intake Individual Assessment Intake Individual Assessment Intake Assessment Idle Intake Clinician due to consumer no-show Delay (Days) Consumer leaves and doesn t return Individual Psychiatric Individual Evaluation Psychiatric Evaluation Idle Psychiatrists due to consumer noshows Exit: Completed Intakes POMS-2011, Linda LaGanga 10
11 Intake Process: After Lean Improvement Consumers Providers Orientation Overbooked consumer who shows up Individual Intake Assessment Individual Intake Assessment Individual Intake Individual Assessment Intake Assessment Clinician called into service for overbooked consumer who showed up POMS-2011, Linda LaGanga 11
12 Intake Process Before and After Consumers Providers Consumers Providers Orientatio n Orientatio n Orientatio n Orientatio n Delay (Days) Individual Intake Individual Assessme Intake Individual ntassessme Intake ntassessme nt Idle Intake Clinician due to consumer noshow Consumer leaves and doesn t return Idle Intake Clinician due to consumer noshow Overbooked consumer who shows up Orientati on Individu alindividu Intake Assess Intake alindividua ment Assess Intake l ment Assess Intake ment Assess ment Clinician called into service for overbooked consumer who showed up Delay (Days) Consumer leaves and doesn t return Individual Psychiatri Individual c Psychiatri Evaluation c Evaluation Idle Psychiatrists due to consumer no-shows Exit: Completed Intakes POMS-2011, Linda LaGanga 12
13 Appointments scheduled and no show rates before and after lean improvement Appointments Scheduled Mon Tue Wed Thu Fri Before After 20% 15% 10% 5% 0% No-Show Rates Mon Tue Wed Thu Fri Before After POMS-2011, Linda LaGanga 13
14 Improvement in accessibility and timely access to services based on service value in lean outpatient health care (based on Womack and Jones, 2005). Before Consumer s steps and time for admission to services, before lean process improvement. Time Step likely to recur? 1. Call Access Center for admission to services. 10 minutes Yes 2. No slot available. Wait to call again. 3 days 1 week Yes 3. Call Access Center for admission to services. 10 minutes Yes 4. Possible slot available. Provide more assessment information. 15 minutes Yes 5. No appropriate slot available. Wait to call again. 3 days 1 week Yes 6. Call Access Center for admission to services. Provide more assessment information. Appropriate slot obtained. Appointments made for orientation and intake assessment. 30 minutes. No 7. Wait for orientation. 1 7 days. No 8. Orientation for paperwork, explanation of policies and procedures. 50 minutes No 9. Wait for Intake Assessment session. 1 7 days. No 10. Intake Assessment session with individual clinician minutes. No Total time (minimum possible) 2 days minutes Total time (maximum if consumer is admitted on 4 th call) 5 weeks 245 minutes Actual clinical service time (value creating time) minutes Total steps with recurrent steps POMS-2011, Linda LaGanga 14 14
15 Improvement in accessibility and timely access to services after Lean Improvement Consumer s steps and time for admission to services, after lean process improvement. 1. Call Access Center for admission to services. 10 minutes Yes Time Step likely to recur? 2. No slot available. Wait to call again. 1 3 days Yes 3. Call Access Center for admission to services. 10 minutes Yes 4. Possible slot available. Provide more assessment information. 15 minutes Yes 5. No appropriate slot available. Wait to call again. 1 3 days Yes 6. Call Access Center for admission to services. Provide more assessment information. 30 minutes. No Appropriate slot obtained. Appointment made for orientation and sequential intake assessment. 7. Wait for Intake clinician to call and welcome. 1-3 days No 8. Talk to Intake clinician about appointment. 10 minutes No 7. Wait for orientation. 1 day No 8. Group Orientation for paperwork, explanation of policies and procedures. 40 minutes No 10. Intake Assessment session with individual clinician minutes. No Total time (minimum possible) 2 days minutes Total time (maximum if consumer is admitted on 3 rd call) 1 week minutes Actual clinical service time (value-creating time) POMS-2011, Linda LaGanga minutes 15 Total steps with recurrent steps 12
16 Comparing process time and steps: Before Total time (minimum possible) = ( minutes) + 2 days = 2 days 2 hours and 20 minutes Total time (maximum if consumer is admitted on 4 th call) = 3 x (25 minutes + 1 week) + 30 minutes + 1 week + 50 minutes + 1 week + 90 minutes = 5 weeks minutes = 5 weeks 4 hours and 5 minutes Total steps with recurrent steps (worst case with 3 instances of steps 4 and 5) = 3 x = 14 POMS-2011, Linda LaGanga 16
17 Comparing process time and steps: After Total time (minimum possible) = ( minutes) + 2 days = 2 days 2 hours and 20 minutes Total time (maximum if consumer is admitted on 3 rd call) = 2 x (25 minutes + 3 days) + 30 minutes + (3 days + 10 minutes) + (1 day + 40 minutes) + 90 minutes = 7 days minutes = 1 week 3 hours and 10 minutes Total steps with recurrent steps (worst case with 2 instances of steps 4 and 5) = 2 x = 12 POMS-2011, Linda LaGanga 17
18 Process Improvement Accomplished by involving clinicians and consumers Reconfiguration for timely and consumer friendly access Measured Increased intakes Decreased no show rates Decreased delays to access Multi dimensional impacts (projections) Reduced inpatient expenses Physical/Behavioral dimensions of healthcare POMS-2011 Linda LaGanga 18
19 What is the Lean Paradox? Just in time? NO New Bottlenecks? YES Rapid Improvement? NOT! Solutions Clear out project clutter Prioritize Realign project scheduling POMS-2011, Linda LaGanga 19
20 The Lean Paradox: Time and Other Dimensions in Healthcare Quality Production & Operations Management Annual Meeting Reno, NV, April 29, 2011 Linda LaGanga, Ph.D. Director of Quality Systems & Operational Excellence Mental Health Center of Denver Denver, CO, USA Additional information available at: POMS Linda LaGanga 20
This field research in outpatient service operations examines original quantitative data on appointments
Lean Service Operations: Reflections and New Directions for Capacity Expansion in Outpatient Clinics Linda R. LaGanga, Ph.D. Director of Quality Systems & Operational Excellence Mental Health Center of
More informationLean Options for Walk-In, Open Access, and Traditional Appointment Scheduling in Outpatient Health Care Clinics
Lean Options for Walk-In, Open Access, and Traditional Appointment Scheduling in Outpatient Health Care Clinics Mayo Clinic Conference on Systems Engineering & Operations Research in Health Care Rochester,
More informationFlorissant Valley. Spring 2018 Final Exam Schedule. class start time between
Spring 2018 Final Exam Schedule Florissant Valley class start time between 7 7:50 a.m. MWF Monday, May 7 7 8:50 a.m. 7 7:50 a.m. TR Tuesday, May 8 7 8:50 a.m. 7 8:50 a.m. F Friday, May 11 7 8:50 a.m. 8
More informationCCBHCs Part 1: Managing Service Mix and Clinical Workflows Under a PPS. Tim Swinfard. Virna Little, PsyD, LCSW-R, SAP. Rebecca Farley, MPH
CCBHCs Part 1: Managing Service Mix and Clinical Workflows Under a PPS Tim Swinfard President, Compass Health CEO, Pathways Community Health Virna Little, PsyD, LCSW-R, SAP Senior Vice President, Psychosocial
More informationUNIVERSITY OF PITTSBURGH ACADEMIC CALENDAR
UNIVERSITY OF PITTSBURGH ACADEMIC CALENDAR 2010-2011 Official dates for degrees awarded apply to all schools and regional campuses of the University. Dates in bold apply to all undergraduate and graduate
More informationUsing Lean Principles to Decrease Outpatient Registration Wait Times. It s a Journey not a Destination
Using Lean Principles to Decrease Wait Times It s a Journey not a Destination 533 Bed Acute Care System 461 Beds at AnMed Health Medical Center 72 Beds at AnMed Health Women s and Children's Hospital 45
More informationConfirmation Call Toolkit
D r a m a t i c P e r f o r m a n c e I m p r o v e m e n t Confirmation Call Toolkit What is included in this toolkit: Before you get started: a Primer for Confirmation Calls Confirmation Call Sample
More informationMajor Dimensions of Managed Behavioral Health Care Arrangements Level 3: MCO/BHO and Provider Contract
Introduction To understand how managed care operates in a state or locality it may be necessary to collect organizational, financial and clinical management information at multiple levels. For instance,
More informationProgram Overview. Medicaid Accelerated exchange Series and Medicaid Accelerated exchange New York (MAXny) Series. June 12, 2018
Medicaid Accelerated exchange Series and Medicaid Accelerated exchange New York (MAXny) Series Program Overview June 12, 2018 2017 New York State, Department Of Health, Office of Health Insurance Programs.
More informationMinnesota s Plan for the Prevention, Treatment and Recovery of Addiction
Minnesota s Plan for the Prevention, Treatment and Recovery of Addiction Background Beginning in June 2016, the Alcohol and Drug Abuse Division (ADAD) of the Minnesota Department of Human Services convened
More informationUNIVERSITY OF PITTSBURGH ACADEMIC CALENDAR
UNIVERSITY OF PITTSBURGH ACADEMIC CALENDAR 2011-2012 Official dates for degrees awarded apply to all schools and regional campuses of the University. Dates in bold apply to all undergraduate and graduate
More informationMBHP FISCAL YEAR 2011 MID-YEAR PROVIDER RATE INCREASES AND INCENTIVES
ALERT # 98 February 10, 2011 MBHP FISCAL YEAR 2011 MID-YEAR PROVIDER RATE INCREASES AND INCENTIVES The following information should be noted and communicated immediately to your chief executive officers,
More informationApplications will be accepted until March 18, 2016
Dear Applicant, December 18, 2015 Thank you for your interest in the Houston Museum of Natural Science teaching assistant program. Successful applicants will work in the Museum s Xplorations summer camp
More informationAcademic Calendar. Fall Semester 2017 (August 21-December 1)
Academic Calendar Fall Semester 2017 (August 21-December 1) July Orientation Session 1 July 9 11 Sunday Tuesday Orientation Session 2 July 16 18 Sunday Tuesday Orientation Session 3 July 23 25 Sunday Tuesday
More informationEastern Michigan University: University Calendar After Labor Day Proposed Calendar
Eastern Michigan University DigitalCommons@EMU Faculty Senate Materials Faculty Senate 2006 Eastern Michigan University: 2009-2010 University Calendar After Labor Day Proposed Calendar Faculty Council
More informationHealthcare consumer, Hospital and community based healthcare workers
RUN DESCRIPTION POSITION: Registrar DEPARTMENT: Neurology PLACE OF WORK: Auckland Hospital RESPONSIBLE TO: FUNCTIONAL RELATIONSHIPS: PRIMARY OBJECTIVE: Clinical Director and Business Manager of Neurology,
More informationProcess for prescribing of Long Term Oxygen Therapy (LTOT) or Ambulatory oxygen therapy by HSC Trusts
Process for prescribing of Long Term Oxygen Therapy (LTOT) or Ambulatory oxygen therapy by HSC Trusts Prescribing before assessment or by non-specialist staff It may, in some circumstances, be necessary
More informationUNIVERSITY OF DAYTON DAYTON OH ACADEMIC CALENDAR FALL Incoming First Year students move into UD Housing
UNIVERSITY OF DAYTON DAYTON OH 2018-2019 ACADEMIC CALENDAR FALL 2018 Mon. Aug 6 TBD Thu, Aug 16 Fri, Aug 17 Sat, Aug 18-21 Sun, Aug 19 Tue, Aug 21 Tue, Aug 21 Wed, Aug 22 Tue, Aug 28 Mon, Sep 3 Fri, Sep
More informationWinter 2013 Academic Schedule Aids Graduate Schedule Information Undergraduate Schedule Information Additional Resources
Winter 2013 Academic Schedule Aids Graduate Schedule Information 1. Graduate Academic Calendar (2012-2013) 2. 14 week Graduate Class Meet Numbers 3. 7 week Graduate Class Meet Numbers 4. Winter A Final
More informationDefining the Nathaniel ACT ATI Program
Nathaniel ACT ATI Program: ACT or FACT? Over the past 10 years, the Center for Alternative Sentencing and Employment Services (CASES) has received national recognition for the Nathaniel Project 1. Initially
More informationImplementation and Outcomes from Connecticut s Mobile Crisis Intervention Service
Implementation and Outcomes from Connecticut s Mobile Crisis Intervention Service Jeffrey J. Vanderploeg, Ph.D. Vice President for Mental Health Child Health & Development Institute of Connecticut Tim
More informationHendrick Medical Center. Community Health Needs Assessment Implementation Plan
Hendrick Medical Center Community Health Needs Assessment Implementation Plan - 2014-2016 Hendrick Medical Center Community Health Needs Assessment Implementation Plan - 2014-2016 Overview: Hendrick Medical
More informationCAMBRIDGE TECHNICALS PROVISIONAL EXAMINATION TIMETABLE JANUARY 2019
CAMBRIDGE TECHNICALS PROVISIONAL EXAMINATION TIMETABLE www.ocr.org.uk Provisional Examination Timetable, 2019 Important Dates 10 October 2018: Open for 2019 examination entries 21 October 2018: Deadline
More informationNeil Westwood Associate Service Transformation and Hereford Hospitals NHS Trust Tel
Lean Thinking Neil Westwood Associate Service Transformation and Hereford Hospitals NHS Trust neil.westwood@institute.nhs.uk Tel 07747794976 NHS Institute for Innovation and Improvement Plan for today
More informationIME Provider Questions Friday July 8, 2016
IME Provider Questions Friday July 8, 2016 We received several questions that had been covered repeatedly in the trainings and the training materials. Please visit the NJSAMS Home Page and our website,
More informationFY 2016 PERFORMANCE PLAN
Program Purpose Program Information PM1: How much did we do? FY 2016 PERFORMANCE PLAN BHD/CSE Alexis Mapes, x4889 Leslie Weisman, x4888 Maintain safety of individuals experiencing mental health crises
More informationACADEMIC CALENDAR
ACADEMIC CALENDAR 2017 18 Dates in bold apply to all schools, on all University campuses. Those not in bold apply only to the Pittsburgh Campus. Official dates for degrees awarded apply to all schools,
More informationPaper Getting to Know the No-Show: Predictive Modeling of Missing a Medical Appointment
Paper 3603-2018 Getting to Know the No-Show: Predictive Modeling of Missing a Medical Appointment ABSTRACT Joe Lorenz and Kayla Hawkins, Grand Valley State University Patients not showing up for appointments,
More informationACADEMIC CALENDAR
ACADEMIC CALENDAR 2016 17 Dates in bold apply to all schools, on all University campuses. Those not in bold apply only to the Pittsburgh Campus. Official dates for degrees awarded apply to all schools,
More informationInnovative and Outcome-Driven Practices and Systems Meaningful Prevention and Early Intervention Wellness, Recovery, & Resilience Focus
Our Mission: To provide a culturally competent system of care that promotes holistic recovery, optimum health, and resiliency. Our Vision: We envision a community where persons from diverse backgrounds
More informationBehavioral Health Services. San Francisco Department of Public Health
Behavioral Health Services San Francisco Department of Public Health Slide 2 Agenda Behavioral Health Services in San Francisco Mental Health Services Substance Use Disorder Services Levels of Care Behavioral
More informationBERKELEY COMMUNITY MENTAL HEALTH CENTER (BCMHC) OUTPATIENT PROGRAM PLAN 2017
BERKELEY COMMUNITY MENTAL HEALTH CENTER (BCMHC) OUTPATIENT PROGRAM PLAN 2017 REVIEWED AND UPDATED NOVEMBER 2017 OUR MISSION PHILOSOPHY The staff of the Berkeley Community Mental Health Center, in partnership
More informationMental Health Services Child and Adolescent Services
RUN DESCRIPTION POSITION: Registrar DEPARTMENT: Mental Health Services Child and Adolescent Services PLACE OF WORK: RESPONSIBLE TO: FUNCTIONAL RELATIONSHIPS: PRIMARY OBJECTIVE: ADHB Mental Health units
More informationPrimary goal of Administration Patients Over Paperwork
Meaningful Measures Presented by: Maria Durham, Director, Kevin Larsen, MD, Director Continuous Improvement and Strategic Planning, Centers for Medicare & Medicaid Services Discussion Topics Introduction
More informationGuide. Member Guide. Hillsborough HealthCare
Guide Member Guide Hillsborough HealthCare Published 2/08/2011 Table of Contents 1. Welcome 2. Who Qualifies? 3. How Do I Enroll? 4. Membership Cards 5. Reasons for Disenrollment 6. How Do I Re-enroll?
More informationACADEMIC CALENDAR
ACADEMIC CALENDAR 2018 19 Dates in bold apply to all schools, on all University campuses. Those not in bold apply only to the Pittsburgh Campus. Official dates for degrees awarded apply to all schools,
More information1/6/18 Saturday CAC Prep (Douglasville) $130 Ongoing 1/8,9,10/18 Mon-Tues- Wed. Certified E-Counselor Certification Training (Atlanta) CAC Online
Date of Training High Impact Training Calendar for CAC High Impact/Anger Management Institute 44 Broad St. NW, Suite 707 Atlanta, GA 30303 Web Address: www.angermanagementofga.com All Class Times Are From
More informationThis additional service will not interfere with the performance of the employee s regular duties. Name of Agency or Department Head
STATE UNIVERSITY OF NEW YORK OFFICE OF EMPLOYEE RELATIONS AND PERSONNEL SEND APPROVALS TO: Office of the State Comptroller Bureau of Payroll Audit DUAL EMPLOYMENT/EXTRA SERVICE APPROVAL FORM REQUEST FOR
More informationNYC HEALTH + HOSPITALS/QUEENS Mount Sinai Services
NYC HEALTH + HOSPITALS/QUEENS Mount Sinai Services Psychology Externship Brochure 2018-19 Revised 10/25/17 NYC HEALTH + HOSPITALS/QUEENS PSYCHOLOGY EXTERNSHIP PROGRAM NYC Health + Hospitals/Queens 2018-19
More informationDLIT COURSE SCHEDULE COHORT 4 Updated
DLIT COURSE SCHEDULE COHORT 4 Updated 8-4-15 WELCOME BANQUET Sun., April 10, 016 4:0 P.M. 8:0 P.M. Welcome Banquet CRSO 16 PROGRAM ORIENTATION Tues., April 19, 016 4:00 P.M. 8:0 P.M. Orientation Meeting
More informationDo hospitals react to random demand pressure by early discharges?
Do hospitals react to random demand pressure by early discharges? Filipa Albano Pedro Pita Barros NOVA School of Business and Economics STATA User Group Meeting Lisbon 2012 2 Outline Motivation; The Negative
More informationRUN DESCRIPTION. Section 1: Registrar s Responsibilities DEPARTMENT: Dermatology PLACE OF WORK: Auckland Hospital/ Greenlane Clinical Centre
RUN DESCRIPTION POSITION: Registrar DEPARTMENT: Dermatology PLACE OF WORK: Auckland Hospital/ Greenlane Clinical Centre RESPONSIBLE TO: FUNCTIONAL RELATIONSHIPS: PRIMARY OBJECTIVE: Clinical Director and
More informationCRISIS INTERVENTION SERVICES
Erie County Medical Center Corporation RFP # 21809 Addendum Number 1 Erie County Medical Center Corporation Addendum Number 1 to RFP # 21809 CRISIS INTERVENTION SERVICES The deadline for submission still
More informationAurora Behavioral Health System
Aurora Behavioral Health System Outpatient Services Help is only a phone call away. Aurora East 6350 S. Maple Ave. Tempe, AZ 85283 (The hospital is located on the NW corner of Guadalupe and Maple, between
More informationDetailed Notice of Funding Availability (NOFA) from HUD
HUD NOFA Funding Opportunities and BBCoC deadlines for project pr... https://ui.constantcontact.com/visualeditor/visual_editor_preview.jsp?age... 1 of 3 8/24/2016 3:09 PM Information and Timeline associated
More informationTraining Schedule for 2017/2018 CERTIFIED COURSES
S I N G A P O R E Q U A L I T Y I N S T I T U T E Website: www.sqi.org.sg / Email: enquiries@sqi.org.sg Training Schedule for 2017/2018 CERTIFIED COURSES Course Day / Hour Commencement Date (Inclusive
More information2012YTD ICC Use and Capacity Survey. August 1, 2012
2012YTD ICC Use and Capacity Survey August 1, 2012 Table of Content Survey Respondents (Organizations/Clinics) Patient Eligibility Requirements Sources of Funding Distinct Physical Locations Current Capacity
More informationDavid W. Eckert, LMHC, NCC, CRC Senior Consultant at CCSI s Center for Collaboration in Community Health
David W. Eckert, LMHC, NCC, CRC Senior Consultant at CCSI s Center for Collaboration in Community Health The Managed Care Technical Assistance Center of New York What is MCTAC? MCTAC is a training, consultation,
More informationHendrick Center for Extended Care. Community Health Needs Assessment Implementation Plan
Hendrick Center for Extended Care Community Health Needs Assessment Implementation Plan - 2014-2016 Overview: Hendrick Center for Extended Care ( HCEC ) is a Long Term Acute Care Hospital, within Hendrick
More informationASSERTIVE COMMUNITY TREATMENT (ACT)
FM115 1 ASSERTIVE COMMUNITY TREATMENT (ACT) PROGRAM SUMMARY The Assertive Community Treatment (ACT) model of care evolved out of the work of Arnold Marx, M.D., Leonard Stein, and Mary Ann Test, Ph.D.,
More informationMACOMB COUNTY COMMUNITY MENTAL HEALTH QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM ANNUAL EVALUATION, FISCAL YEAR 2009 ANNUAL PLAN, FISCAL
MACOMB COUNTY COMMUNITY MENTAL HEALTH QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM ANNUAL EVALUATION, FISCAL YEAR ANNUAL PLAN, FISCAL YEAR 2010 AUGUST, 2010 MACOMB COUNTY COMMUNITY MENTAL HEALTH
More informationReview Process. Introduction. InterQual Behavioral Health Criteria Substance Use Disorders. Reference Materials
InterQual Behavioral Health Criteria Substance Use Disorders Review Process Introduction InterQual Behavioral Health Substance Use Disorders Criteria provide support for determining the clinical appropriateness
More informationHow can we provide the same world class care to patients with psychiatric disorders? 11/27/2016. Dec 2016 Orlando, FL
The presenters have nothing to disclose Transforming Emergency Psychiatry Karen Murrell, MD, MBA, FACEP Physician Lead-Emergency Medicine, Kaiser Northern California Assistant Physician in Chief- Hospital
More informationDenver Health overview. Ambulatory Care Center (ACC) Role of ACC in meeting the needs of the community and Denver Health s viability
Denver Health overview Ambulatory Care Center (ACC) Role of ACC in meeting the needs of the community and Denver Health s viability Denver Health & Denver: History of Working Together Questions 2 Denver
More informationFRASER HEALTH MENTAL HEALTH & SUBSTANCE USE INTEGRATED PRIMARY & COMMUNITY CARE S Y M P O S I U M
FRASER HEALTH MENTAL HEALTH & SUBSTANCE USE INTEGRATED PRIMARY & COMMUNITY CARE S Y M P O S I U M June 16 th, 2012 Agenda 10:00 10:05 Welcome and introductions 10:05 10:20 The BC Integrated Primary and
More informationCONSULTANT JOB DESCRIPTION COMMUNITY GENERAL ADULT PSYCHIATRY BOURNEMOUTH WEST (TURBARY PARK SECTOR)
CONSULTANT JOB DESCRIPTION COMMUNITY GENERAL ADULT PSYCHIATRY BOURNEMOUTH WEST (TURBARY PARK SECTOR) 1. INTRODUCTION 1.1 This is a full-time General Adult Psychiatrist post, working in Bournemouth. It
More informationHours: Monday Friday, 8 AM to 5 PM. Evening hours available at all sites.
Chestnut Health Systems Inc. 50 Northgate Industrial Drive Granite City, Il 62040 Phone: 618. 877.4420 Crisis hotline: 618.877.0316 www.chestnut.org Contact: Susan Taylor staylor@chestnut.org 618.877.4420
More informationVPH Summer 2013 Nurse Residency Weekly Orientation Track, Core, and Rotation Days
Summer 2013 Nurse Residency Weekly Orientation,, and Rotation Days Week One Hospital Orientation Rotational Period July 8 July 12 Mon., July 8 Tue., July 9 Week One Nurse Residency Nurse Residency Orientation
More informationHOSPITAL AUTHORITY MENTAL HEALTH SERVICE PLAN FOR ADULTS
HOSPITAL AUTHORITY MENTAL HEALTH SERVICE PLAN FOR ADULTS 2010-2015 Introduction The Hospital Authority (HA) has developed the HA Mental Health Service Plan for Adults 2010-2015 (the Plan) as a framework
More informationYolo County Department of Health and Human Services
Yolo County Department of Health and Human Services Behavioral Health Services Strategic Plan Presented by: Karen Larsen, Mental Health Director / Alcohol and Drug Administrator Samantha Fusselman, Quality
More informationTraining Schedule for 2017/2018 CERTIFIED COURSES
S I N G A P O R E Q U A L I T Y I N S T I T U T E Website: www.sqi.org.sg / Email: enquiries@sqi.org.sg Training Schedule for 2017/2018 CERTIFIED COURSES Course Day / Hour Commencement Date MEMBER FEE
More informationProject EMPOWER An Interdisciplinary Project
Project EMPOWER An Interdisciplinary Project Dawn Garrett Wright, Ph.D., PMHNP, CNE Saundra Starks, Ed.D., LCSW Cheryl Wolf, Ph.D., NCC, LPCA, PHR, CHt Project Location Project EMPOWER Meaning of the Project
More informationPsychiatric Health Facility Medical Care Evaluation Study
Psychiatric Health Facility Medical Care Evaluation Study PATIENT ENGAGEMENT IN TREATMENT GOAL SETTING JANUARY 2017 - JANUARY 2018 Purpose of MCE Studies The purpose of medical care evaluation (MCE) studies
More informationBTEC LEVEL 3 NATIONAL: EXTENDED CERTIFICATE or DIPLOMA In HEALTH & SOCIAL CARE PRE COURSE STUDY. Preparation for September 2017
BTEC LEVEL 3 NATIONAL: EXTENDED CERTIFICATE or DIPLOMA In HEALTH & SOCIAL CARE PRE COURSE STUDY Preparation for September 2017 INTRODUCTION YEAR 12 PRE-COURSE STUDY During the summer holidays you need
More informationProceedings of the 2005 Systems and Information Engineering Design Symposium Ellen J. Bass, ed.
Proceedings of the 2005 Systems and Information Engineering Design Symposium Ellen J. Bass, ed. ANALYZING THE PATIENT LOAD ON THE HOSPITALS IN A METROPOLITAN AREA Barb Tawney Systems and Information Engineering
More informationQuality Improvement in the Advent of Population Health Management WHITE PAPER
Quality Improvement in the Advent of Population Health Management WHITE PAPER For healthcare organizations whose reimbursement and revenue are tied to patient outcomes, achieving performance on quality
More informationFoundation Programme Individual Placement Descriptor* Trust
Foundation Programme Individual Placement Descriptor* Site Intrepid Post Code (or local post number if Intrepid N/A) Placement details (i.e. the specialty and sub-specialty) Department Type of work to
More informationReferral and Admission Models Explanation of Key Decision Points
JUNE 2018 Referral and Admission Models Explanation of Key Decision Points This tool is designed to assist a hospice program in evaluating their referral and admission process for efficiency in operation
More informationAdvancing the Evidence and Innovation Agenda
Advancing the Evidence and Innovation Agenda Jon Baron, Coalition for Evidence-Based Policy Dave Patterson, South Carolina Budget and Control Board, Division of Research Statistics John Laub, University
More information50/50 ROOF RAFFLE DRAWING - OCTOBER 6 CURRENT PRIZE IS OVER $4000, AND GROWING!
COWLITZ VALLEY #530 Volume 17, Issue 9 & 10 September - October, 2017 50/50 ROOF RAFFLE DRAWING - OCTOBER 6 CURRENT PRIZE IS OVER $4000, AND GROWING! $10,000 $9,000 $8,000 $7,000 $6,000 $5,000 $4,000 $3,000
More informationCoordinating Care for MassHealth-Enrolled Youth in Outpatient Therapy FAQ
Coordinating Care for MassHealth-Enrolled Youth in Outpatient Therapy FAQ For further information on Case Consultation, Care Coordination, and Family Consultation, please access the following resources:
More informationRequest for Coalitions to Participate in the Health Care Coalition Response Leadership Course. FY 2018 Course Offerings
Request for Coalitions to Participate in the Health Care Coalition Response Leadership Course FY 2018 Course Offerings ASPR s National Healthcare Preparedness Program and FEMA s Center for Domestic Preparedness
More informationF1: Overview. Illustrated for 2016 Fall Calendar F1. Current Fall Calendar. First Class Day: Earliest: Aug 27 Latest: Sep 3
Fall Recognition R F1: Overview Illustrated for 2016 Fall Calendar F1 Current Fall Calendar First Class Day: Earliest: Aug 21 Latest: Aug 27 Last : Earliest: Dec 13 Latest: Dec 19 First Class Day: Earliest:
More information1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%
PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, April 2014 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. March 2014-2320 RN VACANCY RATE: Overall 2320 RN vacancy
More informationThe Impact of Community Health Needs Assessments
600 East Superior Street, Suite 404 I Duluth, MN 55802 I 218.727.9390 I www.ruralcenter.org The Impact of Community Health Needs Assessments Kami Norland, MA, ATR Community Specialist National Rural Health
More informationBenchmarking across sectors: Comparisons of residential dual diagnosis and mental health programs
University of Wollongong Research Online Faculty of Health and Behavioural Sciences - Papers (Archive) Faculty of Science, Medicine and Health 2009 Benchmarking across sectors: Comparisons of residential
More informationCollaborative Care: Case Study of Integrating Primary Care in a Mental Health Setting Beat Steiner MD MPH Brian Sheitman MD
Collaborative Care: Case Study of Integrating Primary Care in a Mental Health Setting Beat Steiner MD MPH Professor of Family Medicine UNC School of Medicine & Associate Medical Director Primary Care Services
More informationHennepin Health. People.Care.Respect. Super Utilizer Summit February 2013 Jennifer DeCubellis. Hennepin County, MN
Hennepin Health People.Care.Respect Super Utilizer Summit February 2013 Jennifer DeCubellis Hennepin County, MN What is Hennepin Health? Minnesota Department of Human Services (DHS) & Hennepin County Collaborative
More informationReduce Readmissions & Avoidable ED Visits: Advocate Health Care s Medically Integrated Crisis Community Support
Reduce Readmissions & Avoidable ED Visits: Advocate Health Care s Medically Integrated Crisis Community Support by Sheri Richardt, L.C.S.W. Manager for Crisis/CL/First Access/MICCS/After Care and Shastri
More informationOhio s Telepsychiatry Project DISABILITIES
Ohio s Telepsychiatry Project OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES WRIGHT STATE UNIVERSITY IN COLLABORATION WITH ODMH AND ODJFS Goal of this Project To provide access to high quality psychiatric
More informationSEPTEMBER 3 Mon Labor Day holiday begins, 7:30 a.m. 4 Tue Classes resume,7:30 a.m. 4 Tue
2012-2013 Academic Calendar REVISED ACADEMIC CALENDAR 2012-2013 Louisiana State University FALL SEMESTER 2012 AUGUST 9-10 Thu-Fri International Student Orientation 13-16 Mon-Thu Freshman and Transfer Orientation
More informationJOB DESCRIPTION. Higher Speciality Trainee (ST4-ST6) in Assertive Outreach Team and Community Forensic Psychiatry
JOB DESCRIPTION _ Job title: Hours: On Call: Disclosure Required: Service: Location: Reports to: Accountable to: Job Outline: Higher ity Trainee (ST4-ST6) in Assertive Outreach Team and Community Psychiatry
More informationUnder 18s Admission to Adult Mental Health Ward: Standard Operating Procedure
Clinical Under 18s Admission to Adult Mental Health Ward: Standard Operating Procedure Document Control Summary Status: Version: Author/Title: Owner/Title: Replacement. Replaces: Policy on the formal or
More informationRoot Cause Analysis of Emergency Department Crowding and Ambulance Diversion in Massachusetts
Root Cause Analysis of Emergency Department Crowding and Ambulance Diversion in Massachusetts A report submitted by the Boston University Program for the Management of Variability in Health Care Delivery
More informationTransforming Healthcare Delivery, the Challenges for Behavioral Health
Transforming Healthcare Delivery, the Challenges for Behavioral Health Presented by: M.T.M. Services, LLC P. O. Box 1027, Holly Springs, NC 27540 Phone: 919-434-3709 Fax: 919-773-8141 E-mail: mtmserve@aol.com
More informationEmergency Department Patient Flow Strategies. University of Maryland Medical Center
Emergency Department Patient Flow Strategies University of Maryland Medical Center Medical Admitting Officer Attending Hospitalist Hours: 9a 11p Mon Friday Goal to partner with ED team and provide oversight
More informationBEDSIDE REGISTRATION CAPE CANAVERAL HOSPITAL
Publication Year: 2004 BEDSIDE REGISTRATION CAPE CANAVERAL HOSPITAL Summary: Cape Canaveral hospital implemented a streamlined bedside registration process in order to reduce the time patients spent waiting
More informationPreparing for a Baby-Friendly USA Assessment. Anne Merewood PhD MPH IBCLC Associate Professor, BU School of Medicine
Preparing for a Baby-Friendly USA Assessment Anne Merewood PhD MPH IBCLC Associate Professor, BU School of Medicine Outline What are the assessors looking for? How will they measure compliance? How can
More informationNEW INNOVATIONS TO IMPROVE PATIENT FLOW IN THE ED AND HOSPITAL OCTOBER 12, Mike Williams, MPH/HSA The Abaris Group
NEW INNOVATIONS TO IMPROVE PATIENT FLOW IN THE ED AND HOSPITAL OCTOBER 12, 2010 Mike Williams, MPH/HSA The Abaris Group Outline Page 2 1. Top Innovations ED and Hospital 2. Top Barriers 3. Steps to Eliminate
More informationCurrent Job Openings
Job Number Posted Job Title Location Dep. Minimum Requirements /PT Closed High School Diploma or GED is required. Must be a parent, foster parent, guardian or family member of a child with 342-101416-1
More informationIndividual Placement (Job) Description
Individual (Job) Description The department Acute Medicine The Department of Acute Medicine comprises 8 Consultant Physicians. All acute medical emergency patients are admitted to the Acute Medical Unit
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationUtica Observer-Dispatch. 9:15 AM 9:45 AM 10:15 AM 10:45 AM 11:15 AM Post-Standard (1 hour)
Programming Schedule Monday Tuesday Wednesday 7:00 AM ACB Reports/Cycle of Health Guardian Weekly The New Yorker 8:00 AM NPR News & Local Weather NPR News & Local Weather NPR News & Local Weather 8:15
More informationSpeaker: Ruby Qazilbash. Ruby Qazilbash Associate Deputy Director Bureau of Justice Assistance Office of Justice Programs U.S. Department of Justice
1 2 Speaker: Ruby Qazilbash Ruby Qazilbash Associate Deputy Director Bureau of Justice Assistance Office of Justice Programs U.S. Department of Justice 3 Today s Webinar Council of State Governments Justice
More information(c) A small client to staff caseload, typically 10:1, to consistently provide necessary staffing diversity and coverage;
309-019-0225 Assertive Community Treatment (ACT) Overview (1) The Substance Abuse and Mental Health Services Administration (SAMHSA) characterizes ACT as an evidence-based practice for individuals with
More informationHours: Monday Friday, 8 AM to 5 PM. Evening hours available at all sites.
Chestnut Health Systems Inc. 50 Northgate Industrial Drive Granite City, Il 62040 Phone: 618. 877.4420 Crisis hotline: 618.877.0316 www.chestnut.org Contact: Susan Taylor staylor@chestnut.org 618.877.4420
More informationDepartment of Behavioral Health
PROGRAM INFORMATION: Program Title: Program Description: Mental Health Service Act (MHSA) Perinatal Team The Department of Behavioral Health (DBH) Perinatal Wellness Center provides outpatient mental health
More informationHEALTH CARE TEAM SACRAMENTO S MENTAL HEALTH CRISIS
Team Leader/Issue Contact: HEALTH CARE TEAM Laura Niznik Williams, UC Davis Health System, (916) 276-9078, ljniznik@ucdavis.edu SACRAMENTO S MENTAL HEALTH CRISIS Requested Action: Evaluate the Institutions
More informationSystems Changes to Maximize the Impact of Supportive Housing on Ending Homelessness
Systems Changes to Maximize the Impact of Supportive Housing on Ending Homelessness Matthew Doherty, Director of National Initiatives August 14, 2014 Roles of USICH Coordinates the Federal response to
More informationVermont Hub and Spoke Model
Vermont Hub and Spoke Model John R. Brooklyn, MD Assistant Clinical Professor of Family Medicine and Psychiatry Medical Director Substance Abuse Treatment Center University of Vermont Impetus for Developing
More information