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Transforming Mental Healthcare - Applying Performance Improvement Methods to Mental Healthcare (Paperback)
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Transforming Mental Healthcare - Applying Performance Improvement Methods to Mental Healthcare (Paperback)
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One in five U.S. adults experiences a mental illness within a given
year. With more than 550,000 people working to support this
underserved community, the mental healthcare system has grappled
with inadequacies and shortcomings in safety, quality, and care
delivery. There is a wide range of problems, from access-to-care
issues and errors, to complications stemming from poor care. Our
country is also on an unsustainable path as our healthcare
expenditure keeps growing. To add to all of this, we are facing a
rampant epidemic of burnout among healthcare workers. Modern
advancements introduced with many promises-such as electronic
medical records, newer medications, or advanced treatments-have
created unique challenges when ushered into a highly regulated
healthcare system. What does it take to provide patients with
everything they need-the right quality of care, at the right time,
and at the right cost-to keep them healthy? Which process steps add
value? Which steps are wasteful? A widely accepted fact is that a
conservative 30-50% of every step in the mental healthcare process
does not help patients feel better or stay better. When considering
delays in care, workarounds, excessive documentation, and an
overuse of auditing, the care system has moved highly skilled
clinicians away from providing value, as administrative tasks
continue to encroach on their time. There is a clear need to
rethink and redesign the system of care. This book is a primer for
understanding the current state of the mental health system and the
performance improvement skills and leadership acumen needed to
address existing challenges. Sheppard Pratt, the award-winning,
leading institution for mental healthcare in America, provided the
focus on mental healthcare and became the laboratory for this body
of work over the course of eight years. It hired a seasoned systems
thinker with improvement expertise to work with mental health
professionals and solve some of their most complex and chronic
problems. The book is a result of the collaboration between a
practicing psychiatrist in a leadership role and the systems
engineer. Working together, they demonstrate how to think about
redesigning care and redefining the nature of work to enhance value
for both the people served and the healthcare workforce. They
crafted a multi-pronged approach towards culture change at Sheppard
Pratt, including implementing a course on "Learning to Improve,"
which introduced staff to a performance improvement methodology.
There are several vignettes interwoven throughout the book that
describe the complexities and constraints of the system. Solving
some of these challenges creates a new paradigm of work while
minimizing waste and enhancing value.
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