Leading with Lean: Getting the Outcomes we Need with the Funding we Have.

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.

An essential annual checkup. A board uses its yearly self-assessment to identify educational and development priorities.

An annual self-assessment sets the board's educational agenda.