Performance dynamics in military behavioral health clinics
Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, June 2013.
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| Format: | Thesis |
| Language: | eng |
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Massachusetts Institute of Technology
2014
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| Online Access: | http://hdl.handle.net/1721.1/90690 |
| _version_ | 1811076240714498048 |
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| author | Lyan, Dmitriy Eduard |
| author2 | Nelson Repenning and John Sterman. |
| author_facet | Nelson Repenning and John Sterman. Lyan, Dmitriy Eduard |
| author_sort | Lyan, Dmitriy Eduard |
| collection | MIT |
| description | Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, June 2013. |
| first_indexed | 2024-09-23T10:18:31Z |
| format | Thesis |
| id | mit-1721.1/90690 |
| institution | Massachusetts Institute of Technology |
| language | eng |
| last_indexed | 2024-09-23T10:18:31Z |
| publishDate | 2014 |
| publisher | Massachusetts Institute of Technology |
| record_format | dspace |
| spelling | mit-1721.1/906902019-04-12T15:33:31Z Performance dynamics in military behavioral health clinics Lyan, Dmitriy Eduard Nelson Repenning and John Sterman. System Design and Management Program. Massachusetts Institute of Technology. Engineering Systems Division. System Design and Management Program. Engineering Systems Division. System Design and Management Program. Thesis: S.M. in Engineering and Management, Massachusetts Institute of Technology, Engineering Systems Division, System Design and Management Program, June 2013. Cataloged from PDF version of thesis. "June 2012." Includes bibliographical references (pages 113-116). The prevalence of Post Traumatic Stress Disorder (PTSD) and other related behavioral health conditions among active duty service members and their families has grown over 100% in the past six years and are now estimated to afflict 18% of the total military force. A 2007 DoD task force on mental health concluded that the current military psychological health care system is insufficient to meet the needs of the served population. In spite of billions of dollars committed to hundreds of programs and improvement initiatives since then, the system continues to experience provider shortages, surging costs, poor access to and quality of care as well as persistently high service-related suicide rates. We developed a model to study how the resourcing policies and incentive structures interact with the operations of military behavioral health clinics and contribute to their ability to provide effective care. We show that policies and incentives skewed towards increased patient loads and improvement in access to initial care result in a number of vicious cycles that reinforce provider shortages, increase costs and decrease access to care. Additionally we argue that insufficient informational feedback contributes to incorrect attributions and the persistence of ineffective policies. Finally we propose a set of policies and enabling performance metrics that can contribute to sustained improvement in system performance by turning death spirals into virtuous cycles leading to higher provider and patient satisfaction, better quality of care and more efficient resource utilization contributing to better healthcare outcomes and increased levels of medical readiness. by Dmitriy Eduard Lyan. S.M. in Engineering and Management 2014-10-08T15:22:59Z 2014-10-08T15:22:59Z 2012 2013 Thesis http://hdl.handle.net/1721.1/90690 890939780 eng M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. http://dspace.mit.edu/handle/1721.1/7582 116 pages application/pdf Massachusetts Institute of Technology |
| spellingShingle | Engineering Systems Division. System Design and Management Program. Lyan, Dmitriy Eduard Performance dynamics in military behavioral health clinics |
| title | Performance dynamics in military behavioral health clinics |
| title_full | Performance dynamics in military behavioral health clinics |
| title_fullStr | Performance dynamics in military behavioral health clinics |
| title_full_unstemmed | Performance dynamics in military behavioral health clinics |
| title_short | Performance dynamics in military behavioral health clinics |
| title_sort | performance dynamics in military behavioral health clinics |
| topic | Engineering Systems Division. System Design and Management Program. |
| url | http://hdl.handle.net/1721.1/90690 |
| work_keys_str_mv | AT lyandmitriyeduard performancedynamicsinmilitarybehavioralhealthclinics |