Lean Behavioral HealthThe Kings County Hospital Story

Lean Behavioral HealthThe Kings County Hospital Story

Joseph Merlino, Joanna Omi, and Jill Bowen

Print publication date: Feb 2014

ISBN: 9780199989522

Publisher: Oxford University Press


As the largest public healthcare system in the United States, the New York City Health & Hospitals Corporation adopted the principles of the Toyota Production System, or lean, as the transformational approach for all of its hospitals and clinics. Having made major changes, and scrutinized by the Department of Justice on its quality of patient care, Kings County Hospital Center is now recognized as a standard for transformation and quality, receiving high marks from oversight agencies. This resource describes the basic principles of the lean approach of adding value, eliminating waste, and tapping the organization's line staff to create and sustain dramatic change. An overview of the use of lean from a quality-improvement perspective is also covered, as is how lean tools are applied to many services that comprise the behavioral health value stream and these stories are highlighted. The experts in identifying waste and adding value are the line staff whose voices are captured in the clinical chapters, and insights learned by event participants are emphasized as teaching points to provide context for what has worked or has not worked at Kings County Hospital Center.