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06/22/2010 10:55 AM
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Recently books are written about lean in helahcare, but all topics are apllications in typical environments like labo's, etc... but never in psychiatric environments.
Are there case studies, experiences of lean implementations in psychiatric hospitals.
Thanks,
Renaat Vanheessen
renaat.vanheessen@skynet.be
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06/28/2010 09:17 AM
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I'm with ThedaCare in Appleton and Neenah, Wisconsin (east central Wisconsin) We have been using lean thinking to redesign our inpatient psychiatric care in our adult locked inpatient unit for the past two years. This unit is located in the community hospital Theda Clark Medical Center. Our lean initiatives have helped us expand our maximum daily census from 14 patients to 19 patients. We are heavily engaged in problem solving the safety issues that present in the locked inpatient setting, reworking our staffing model to change staff mix for more favorable expense management, adding medication technician role to the team to create capacity for nursing, and addressing gaps in group therapy scheduling. We've done a lot and still have a lot to learn. Am extremely interested in any inpatient psychiatric setting involved in clinical quality improvement and the core measures used. Am also extremely interested in anyone doing work to understand root cause of psychiatric patient readmissions within 30-60-90 day timeframe. If you have specific questions about our work I'd be happy to share. Other psychiatric hospital users please post your learnings! We'd love to learn from you!
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06/28/2010 09:18 AM
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Hi Renaat,
The NHS in the UK has a program called 'releasing time to care' which is based around Lean principles. It can be applied to any ward. The NHS innovations website may help. I'm not sure I can send you a copy of the program. 5s plays a large part.
Also, we ( our pharmacy team) developed a lean medicines management tool that you may want to look at. It was designed before we (I) knew about lean but removes waste in the value stream in regard to our 'prescription to patient' supply process. It has improved governance and reduced wastage in 'when necessary' medications (benzo's and 'z' drugs especially but added to that are benefits in reducing Dr's time through duplicated effort.
I would be happy to send details to you if you wish.
hope this helps you.
Kind Regards,
Tim Anderson
Lead Clinical Pharmacist
Norfolk and Waveney Mental Health Care Foundation trust
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07/02/2010 08:52 AM
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Here is an article I found this week from Lehigh Valley Health System (a member of our Healthcare Value Leaders Network, actually).
http://www.aha.org/aha/issues/...aseex-lehighvalley.pdf
Mark Graban
Senior Fellow, LEI
Edited: 07/02/2010 at 08:52 AM by leanblog
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06/15/2011 09:42 AM
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Hi Barbera
Even if it was a year ago, it is really interessting for me, to read about your lean work in the psyciatric part of health care. I have worked with lean in Danish healthcare organisations for the last 7 years, of wich the last 3 years in different psyciatric units. I am now fully employed in the largest region in Denmark (the Capital region) working on fulfilling the vision of becomming "a lean hospital", so we have many experiences we would like to share. As i am new to this network I dont know how we can get in touch, as dialog would help us understand each other more Im sure. Best regards Jens.
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07/06/2011 09:52 AM
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Although my platens extremely full, emergency and hospital care of psychiatric patients is an area we definitely need help in. With all the push to end long term stays in the ED from the government, somehow they are excluding psychiatric patients in their assessment because they feel there is no answer in sight. Any reference or discussions and solutions would be more than welcome. Please post them here or email them to me if you can
marlon.wilson@mail.mcgill.ca
Many thanks and good luck with this very important issue
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11/05/2012 02:46 PM
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hi,
can you forward the complete pdf title, the link is not working. i am a psychiatric RN and am very interested in how LEAN was applied to the inpatient setting.
NMM
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02/06/2013 10:26 AM
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I am very interested in learning how others apply lean in Psychiatric setting. Especially when it comes to intake/discharge. I've just facilitated a VSM for a psych unit - and there aren't a lot of best practices shared out there. Would love to borrow any learning curves!
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05/02/2013 04:35 PM
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As with any other healthcare facility, Psych hospitals require discipline in lean in order to be successful. I represent a company that developed a web based application that can be used to track all of your lean work. Kaizens/projects can be entered and aligned to action plans and KPI's. Team members get email when tasks are due or past due. The product enables everyone to be on the same page when it comes to lean implementation. If you are interested, check it out at www.leanoptima.com. We can arrange a demo at your convenience. We can also get you in touch with current users of the application.
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