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008 080716s2008 xx ||||gr |0|| 0 eng d
100 1 _aGUPTA, Mahesh
_935006
245 1 0 _aManaging a community mental health agency :
_ba theory of constraints based framework
260 _aOxfordshire, UK :
_bTaylor & Francis,
_cMarch-April 2008
520 3 _aThe Theory of Constraints (TOC) is a powerful new management philosophy that recognizes system constraints limit the performance of a system and proposes a set of concepts to manage the constraints. TOC management philosophy (i) suggests the goal of an organization is to make money without violating certain necessary conditions such as customer satisfaction and employee satisfaction and security; (ii) proposes three performance measures: throughput, inventory, and operating expenses; and (iii) improves the process by focusing improvement efforts on its weakest link or constraint. Although originally developed for manufacturing operations, TOC appears to be equally applicable to service operations, including health delivery systems such as Community Mental Health Centres (CMHCs). In this article, we report on a TOC-based operations analysis of a Chemical Dependency (CD) unit within a Midwest community mental health system and implementation of recommended changes. TOC performance measures encourage finding innovative ways of increasing throughput and reducing inventory instead of simply cutting or containing costs for the CD Unit. The TOC-based improvement process, using the Five Focusing Steps, reveals multiple physical and policy constraints within both the CD Unit and the agency as a whole. Based upon this analysis, we offer specific recommendations that should significantly improve resource utilization, revenues, patient care, and employee satisfaction. Most of these recommendations require little or no net costs to implement. By using the TOC approach outlined in this article, other CMHCs and health delivery systems can realize similar benefits
700 1 _aKLINE, Joseph
_935007
773 0 8 _tTotal quality management & business excellence
_g19, 3-4, p. 281-294
_dOxfordshire, UK : Taylor & Francis, March-April 2008
_xISSN 14783363
_w
942 _cS
998 _a20080716
_b1503^b
_cTiago
998 _a20081208
_b1348^b
_cZailton
999 _aConvertido do Formato PHL
_bPHL2MARC21 1.1
_c27051
_d27051
041 _aeng