Exception Reporting: A Novel Approach to Tracking of Multiple Behavioral Health Outcomes.

Federally funded medical and behavioral healthcare programs often have substantial evaluation outcome tracking and reporting requirements, which can become burdensome to program staff resulting in decreased buy-in, increased chance of staff burnout and turnover, and less rigorous and consistent data collection efforts. To address this issue, a novel data collection approach, "exception reporting," was implemented to supplement and support the required data collection for a federally funded Assertive Outpatient Treatment (AOT) program. This work details the process and outcomes related to exception reporting for this comprehensive behavioral health treatment program that serves justice involved clients with serious mental illness (SMI).

Pilot Testing a Series of Value-Based Care Training Courses.

Purpose: The US healthcare system currently emphasizes volume of services over value. To facilitate changing to a value-based care model, one managed care organization developed a series of online courses designed to teach clinicians value-based care principles and practices. A pilot test was conducted to obtain feedback regarding course content and design, so the courses could be revised prior to their launch.

Designing devices to communicate effectively with intensive care nurses to prevent pressure injuries: A qualitative study.

Objectives: The aim of this research was to identify "what" key design elements of a device for detecting hospital acquired pressure injuries should do and "how" these elements should function. The goal of the resulting design was to prompt intensive care unit nurses to intervene appropriately to reduce the incidence/severity of pressure injuries, while minimizing workflow disruptions.

Methods: A mixed method study was performed in an intensive care unit, which included shadowing, interviewing, surveying and conducting focus groups with individuals knowledgeable about pressure injuries and related patient care.

Reducing the length of clinic visits: A process analysis case report.

Because the University of Houston Student Health Center often had more demand for services than available appointments, the aim of this study was to streamline their clinic visit process. While appointments were scheduled for 20 minutes, the clinic's patient visit cycle time (from check-in to check-out) averaged 70 minutes. This report demonstrats how to perform process analysis using failure modes and effects analysis in order to identify the highest priority cause of waste and how to conduct a detailed evaluation of ideas using a prioritization matrix in order to select the best solution to help streamline a process.

Using the Lean Six Sigma Methodology to Reduce Mouse Cage Sanitation Time for Animal Care and Use Programs.

Although efficient sanitization is a high priority for Animal Care and Use Programs (ACUP), the cage sanitation process for animals used in biomedical research can be labor-intensive. To increase the efficiency of sanitation services provided by ACUP, the current project used the Lean Six Sigma methodology to reduce the time to sanitize mouse cages by implementing countermeasures to reduce causes of waste within this process for the Animal Care Operations (ACO) group at a leading public research university. Lean Six Sigma was selected for use in this project given its goal to make organizations' routine operations flow as smoothly and efficiently as possible and its applicability to biomedical and research settings as discussed in the literature.

Using Lean Six Sigma to Reduce Patient Cycle Time in a Nonprofit Community Clinic.

Background And Objectives: The mission of nonprofit health care clinics is particularly challenging to fulfill given the large number of uninsured and underinsured people they serve. In addition, these clinics feel pressure to provide services in an efficient manner to prevent patient no-shows and encourage the continuation of medical care. These challenges tend to increase further when clinics feel they have exhausted their internal resourcefulness relative to their effort to improve patient care.

Enhancing Financial Performance: An Application of Lean Six Sigma to Reduce Insurance Claim Denials.

Health systems typically lose approximately 3% to 5% of net revenues annually due to insurance claim denials. While most denials can be appealed, the administrative burden of sorting through and appealing them can be time consuming and delays the revenue collection process. This article describes how the Lean Six Sigma methodology was used to improve the revenue cycle by reducing insurance claim denials for a leading pediatric hospital in the United States.

A Redesign Approach for Improving Animal Care Services for Researchers.

Because a research institution's animal care and use program oversees the provision of services specified in approved protocols designed by researchers, the effective provision of services within these programs is paramount to ensuring the humane care and treatment of research animals in accordance with federal, state, and local regulations and institutional policies. To improve the services provided to researchers through animal care and use programs, we investigated the relationship between the researchers who conduct these types of studies and the veterinary operations that provide care and treatment for research animals. Through a case study conducted at a leading public research university, we used an action-research approach to redesign aspects of the process through which researchers and the veterinary operations interact by using the Design for Six Sigma methodology.

Rethinking behavioral health processes by using design for six sigma.

Clinical evidence-based practices are strongly encouraged and commonly utilized in the behavioral health community. However, evidence-based practices that are related to quality improvement processes, such as Design for Six Sigma, are often not used in behavioral health care. This column describes the unique partnership formed between a behavioral health care provider in the greater Pittsburgh area, a nonprofit oversight and monitoring agency for behavioral health services, and academic researchers.