Jason Raines, Director of Risk Management and Performance Improvement, Presented at Shippensburg University

RDG Jason Raines“Integrating Lean into Behavioral Healthcare Settings to Increase Access to Care” at Shippensburg University’s Social Inclusion and Social Justice

People with mental health and substance abuse needs are often excluded and marginalized. Large numbers of people with mental health needs often receive limited help or are incarcerated. Currently, people with mental health conditions or substance abuse issues wanting help must wait for treatment. Shortage of professionals providing treatment, a large amount of waste in the system and the high cost of care, aids in the exclusion or delay of treatment. The Lean continues improvement methodology can improve any person’s access to treatment. Lean enables a professional to successfully treat more people each day while lowering the cost of treatment. The Lean continues improvement methodology can be implemented in any behavioral health care setting to improve access and outcomes. Both items would help a person be more social included in society and be view as a fully functional active member.

Outline of slide deck:
• Disclosure Statement
• The author is a member of the Raines Consulting Group, LLC.
• The author has no conflicts of interests to disclose.
• Defining What We Are Discussing
• Lean
• Lean in its simplest form is a system which removes waste or non-value add from a process.
• Behavioral Healthcare
• Behavioral healthcare encompasses mental illnesses, substance misuse and abuse, suicidality, and serious psychologic distress.
• Key Significant Point
Ø Despite their best efforts, too many behavioral health treatment programs fail to deliver the desired outcomes or time needed to meet with clients.
• Impact
Ø Behavioral health problems are among the most common and disabling health conditions worldwide.
Ø The CDC estimates that 46% of U.S. adults will experience a mental health disorder.
• Impact
Ø In 2011, 605,208 children visited an emergency department (ED) for a mental health-related issue.
Ø There has been a great increase in the use of psychotropic medications in children and adolescents.
Ø Unintended consequences of pay for performance(P4P)
• The Three Views of Lean
Ø Value all services and items the customer is willing to pay for if they knew about it.
Ø Business non-value add, all services and items the customer is unwilling to pay for, must be done for the organization to operate.
Ø Non-value add, all services and items the customer is unwilling to pay for or anything that does not change the service.
• Lean’s Impact
Ø Reduces door to provider time.
Ø Increases the number of people who can have an appointment.
Ø Reduces cost of treatment.
• Questions

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