Behavioral health emergencies exist at the intersection between complex community dynamics and complex healthcare systems. If one seeks to implement positive changes in the management of behavioral health emergencies, adopting a structured approach to the analysis of both the community one serves and the healthcare system in which one operates can clarify challenges and inform the development of a realistic approach. This session will begin by introducing the Quality Implementation Framework (Meyers, et al) to provide a four-phase roadmap for implementing change. Next, several conceptual frameworks will be discussed; including Andersen’s behavioral framework, Donabedian’s structure-process-outcome framework, Nadler/Tushman and others’ organizational design framework, and Gittell’s relational coordination framework; that may inform participants about where opportunities for improvement in the delivery of behavioral health emergency care may exist (McDonald, et al). Using this newfound understanding, participants will learn to draw upon the Project Management Body of Knowledge (PMBOK) published by the Project Management Institute, to develop a realistic plan to address the challenges they have identified. Finally, participants will examine why efforts to improve healthcare delivery might fail (Kotter) to empower participants to anticipate and navigate hurdles they may encounter on their journey of change.
Learning Objectives:- Describe a variety of tools available to structure analyses of complex systems.
- Apply these tools to enhance their understanding of their own healthcare system.
- Create a plan to address challenges to the delivery of emergency psychiatric care within their community.
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