title: Leading with Lean: Getting the Outcomes we Need with the Funding we Have.
abstract: Lean and other quality management methodologies have been used by industry and manufacturing for many years. More recently they have been adopted by health care. The authors describe their experience with the lean way of continuous quality improvement, first developed by Toyota, at one of New York's largest behavioral health departments. The relevance and application of these methodologies to the mental health sector is presented.
authors.affiliation: College of Medicine, School of Public Health and College of Health Related Professions, SUNY Downstate Medical Center, Brooklyn, NY, USA, Joseph.merlino@downstate.edu.
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Merlino
authors.forename: Jorge
authors.initials: J
authors.lastname: Petit
authors.forename: Lydia
authors.initials: L
authors.lastname: Weisser
authors.forename: Jill
authors.initials: J
authors.lastname: Bowen
mesh_terms: D006801:Humans; D007857:Leadership; D008605:Mental Health Services / Q000191:economics* / Q000458:organization & administration*; D058996:Quality Improvement