Psychiatric Quarterly

, Volume 86, Issue 3, pp 301–310 | Cite as

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

  • Joseph P. MerlinoEmail author
  • Jorge Petit
  • Lydia Weisser
  • Jill Bowen
Original Paper


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.


Administration Leadership Psychiatry Lean Quality improvement 


Conflict of interest

All of the authors declare that he/she has no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.


  1. 1.
    Liker JK, Franz JK: The Toyota Way to Continuous Improvement. New York, McGraw-Hill, 2011.Google Scholar
  2. 2.
    Koenigsaecker G: Leading the Lean Enterprise Transformation. Boca Raton, CRC Press, 2013.Google Scholar
  3. 3.
    Toussaint J, Gerard RA: On the Mend, Revolutionizing Healthcare to Save Lives and Transform the Industry. Cambridge, Lean Enterprise Institute, 2010.Google Scholar
  4. 4.
    Graban M: Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement. Boca Raton, CRC Press, 2012.Google Scholar
  5. 5.
    Merlino J, Omi J, and Bowen J (Eds): Lean Behavioral Health: The Kings County Hospital Story. New York, Oxford University Press, 2014.Google Scholar
  6. 6.
  7. 7.
  8. 8.
  9. 9.
  10. 10.
  11. 11.
  12. 12. Accessed 24 Jan 2015.

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.College of Medicine, School of Public Health and College of Health Related ProfessionsSUNY Downstate Medical CenterBrooklynUSA
  2. 2.Quality Healthcare Solutions GroupNew YorkUSA
  3. 3.Bryan Psychiatric HospitalColumbiaUSA
  4. 4.Kings County Hospital CenterBrooklynUSA

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