Title
Impact of policy and process design on the performance of intake and treatment processes in mental health care: a system dynamics case study
Abstract
For most of its history, medical care has been a customized process. Because customized processes might not lead to optimal performance, health-care managers are considering business process redesign, implementation of standardized (brief) therapies, stepped care, and policy changes to solve supply chain management issues. We develop a system dynamics model to support the management of intake and treatment processes in mental health care. We first model the existing situation in the care unit (Base Scenario of customized care) and simulate the impact of policy changes (assigning scarce personnel resources to different care activities) and redesign of intake and treatment processes (implementing brief therapies and stepped care). We show that shifting personnel resources between intake and treatment activities does not substantially improve performance. We found better results of process redesign and stepped care (+42% client intake rate and +18% revenues per day). Journal of the Operational Research Society (2010) 61, 1437-1445. doi:10.1057/jors.2009.110 Published online 30 September 2009
Year
DOI
Venue
2010
10.1057/jors.2009.110
JORS
Keywords
Field
DocType
forecasting,operations research,communications technology,information technology,process design,system dynamics,management science,project management,investment,logistics,information systems,operational research,production,reliability,inventory,location,marketing,computer science,scheduling
Information system,Business process,Information technology,Computer science,Supply chain management,Purchasing,Mental health,Business process reengineering,Operations management,Project management
Journal
Volume
Issue
ISSN
61
10
0160-5682
Citations 
PageRank 
References 
2
0.40
6
Authors
1
Name
Order
Citations
PageRank
M. Smits120.40