Checklists In Complex Systems

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Checklists In Complex Systems

July 31, 2012

In his book The Checklist Manifesto, Dr. Atul Gawande made a compelling case for the value of checklists in complex systems. Dr. Gawande correctly observed that checklists are routinely used in aviation to mitigate risk and improve safety. Pilots use checklists extensively for a reason. Flying an airplane is a complex endeavor and things can get missed if one relies on memory – especially when things get stressful. There is a phenomenon called “task loading” that means Continue reading Checklists In Complex Systems

Outcomes-Driven Model of Delivering Care in a Behavioral Health World

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Outcomes-Driven Model of Delivering Care in a Behavioral Health World

July 13, 2012

In the acute medical world an outcomes-driven model of delivering care has been very successful. I believe the same will hold true for the behavioral healthcare world. In a behavioral health setting a diagnosis is likely more of a categorization of groups, and outcomes will be generally measured along one or more of three dimensions: symptomology, functionality and satisfaction. So outcomes reporting might look like, “For depressed patients, 87% showed improved mood when seen by Dr. Jones” or “ at one year post treatment, 67% of people with a serious mental illness who attended program Y were still employed”. Continue reading Outcomes-Driven Model of Delivering Care in a Behavioral Health World