Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28379
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: A way forward: Process mapping and the delivery of mental health services
Author(s): McIntosh, Bryan
Breen, Liz
West, Sue
Keywords: Process map
merger
NHS improvement
crisis resolution
home treatment
Issue Date: 31-Dec-2016
Citation: McIntosh B, Breen L & West S (2016) A way forward: Process mapping and the delivery of mental health services. British Journal of Healthcare Management, 22 (12), pp. 601-606. https://doi.org/10.12968/bjhc.2016.22.12.601
Abstract: Introduction: This paper demonstrates the practical application of process mapping principles as a model for evaluating NHS improvement. The NHS improvement in question was the merger of three crisis resolution teams within an NHS trust in 2012. The aims were to improve overall operational efficiency and enhance multidisciplinary working to meet operational targets. This paper examined changes following the merger to capture the effects of service improvement and the reality of the patient journey. Methods: A pooled cross-sectional approach, using six years of aggregated hospital data, was taken. To achieve operational efficiency, a process map of referrals, readmissions, length of stay and waiting times for crisis resolution team assessments was examined. Prevalence of clinical referral rates and disease classification before and after the merger were compared. Conclusion: Between 1 April 2009 and 30 March 2015, length of stay and readmissions for patients to crisis resolution team rates reduced. Operational sustainability and capacity was enhanced through the redistribution of clinical human resources. Multidisciplinary skill mix (e.g. through improved team composition) also improved.
DOI Link: 10.12968/bjhc.2016.22.12.601
Rights: This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Healthcare Management, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://doi.org/10.12968/bjhc.2016.22.12.601

Files in This Item:
File Description SizeFormat 
153515077.pdfFulltext - Accepted Version718.1 kBAdobe PDFView/Open



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.