Standard Processes

There are published examples of the use of Lean in many types of health care. There are fewer descriptions of the use of Lean in mental health, but they are beginning to appear. Kislinsky and Younger, from St Joseph’s Healthcare in Hamilton, Ontario, have produced a useful description of work to improve flow in an acute…

Lean: Perfection, or Incremental Improvement?

Linda LaGanga, who works in a community mental health service in Denver, has written a useful summary of her service’s experience of applying Lean. Their use of Lean is shaped by the economic context of US health care, but there are several useful lessons in their work. The Mental Health service’s interest in Lean began,…

What’s in an RPIW Report Out?

The first question is ‘what’s an RPIW?’. RPIW is an acronym for a Rapid Process Improvement Workshop. It is an event, usually lasting for several days, at which a clinical team focuses on improvement work. There’s a pdf document developed by the Department of Veterans Affairs in the US which offers some FAQs on similar…

Applying Lean across a Mental Health System

An Australian service provides an good example of using Lean principles across a mental health system. The description of the changes, available here, includes many Lean techniques to which I will return in future posts. There are some readily identifiable themes: there was training for staff in Lean approaches, and staff directed subsequent changes. Examples…