Assessing Program Efficiency: A Time and Motion Study of the Mental Health Emergency Care — Rural Access Program in  NSW Australia

Saurman, Emily; Lyle, David; Kirby, Sue; Roberts, Russell

doi:10.3390/ijerph110807678

Cited by 19 publications

(18 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…National and state‐wide policy initiatives such as e‐health and tele‐health impact the rural mental health workforce and service delivery, but consideration of the rural implications of these policies is beyond the remit of this paper. Likewise, key workforce themes such as leadership, Aboriginal and Torres Strait Islander workforce, peer workforce, cross‐sector collaboration, education and training are also beyond the scope of this paper.…”

Section: Discussionmentioning

confidence: 99%

Is rural mental health workforce a policy imperative?

Roberts

Maylea

2019

Australian J Rural Health

Self Cite

View full text Add to dashboard Cite

An available and effective rural mental health workforce is critical to the provision of contemporary mental health care. During the last 5 years new mental health plans and strategies have been released every state and territory of Australia. This policy analysis examines the extent to which workforce, and particularly rural workforce issues are considered in these policies. The analysis revealed that rural workforce issues receive scant attention in state and territory mental health plans. Rural Australians comprise 28% of the total population, yet rural workforce issues are canvased, on average only 6% of the time general workforce issues are addressed. National mental health workforce plans do focus on the rural workforce, but these are not referenced in the state or territory strategies or workforce plans. Given the rural mental health workforce shortages, and consumer challenges in accessing rural mental health services, more planning and consideration to supporting and developing a rural workforce appears warranted.

show abstract

Section: Discussionmentioning

confidence: 99%

Is rural mental health workforce a policy imperative?

Roberts

Maylea

2019

Australian J Rural Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…Time study merupakan metode yang digunakan untuk strategi peningkatan proses [6] yang digunakan untuk mencatat waktu dan tingkat pelaksanaan operasi tertentu atau elemenelemennya dalam kondisi tertentu, dan pada tingkat kerja yang ditentukan untuk menentukan indeks kinerja individu atau kelompok pekerja, departemen, atau secara keseluruhan [1], [7]. Menurut Nabi, Mahmud, and Islam [8], Time study juga dapat digunakan untuk menganalisis data sehingga diperoleh waktu ideal yang diperlukan operator untuk bekerja pada tingkat kinerja yang ditentukan.…”

Section: Pendahuluanunclassified

Perbandingan Penentuan Waktu Baku Menggunakan Metode Time Study dan Critical Path Method (CPM)

Miranda

Tripiawan

2019

j. sist. manaj. ind.

View full text Add to dashboard Cite

Peningkatan perkembangan teknologi mendorong perusahaan maupun industri untuk bisa meningkatkan produktivitasnya. Peningkatan produktivitas tersebut dapat dilakukan dengan perbaikan pada setiap proses yang dijalankan mengikuti waktu baku yang ditetapkan untuk menyelesaikan suatu kegiatan. Penelitian ini bertujuan untuk membandingkan waktu baku pada proses produksi MP YST Revo pada suatu perusahaan pengecoran logam menggunakan metode time study dan pendekatan Critical Path Method (CPM). Kedua metode mengolah informasi yang sama untuk durasi tiap aktivitas dan allowances yang tercatat. Time study menghitung waktu baku proses produksi dengan mempertimbangkan allowances (kelonggaran). CPM menggunakan completion time dan final coefficient dimana penjumlahan durasi tiap aktivitas yang masuk ke jalur kritis (critical path) menjadi completion time. Berdasarkan 4 kali pengamatan, diperoleh rata-rata allowances 30 menit dan rata-rata observed time 450,05 menit. Sementara, CPM memberikan completion time lebih cepat yaitu 341,4 menit. Dalam perhitungan waktu baku, allowances yang dipertimbangkan hanya rest and personal allowances (RPA) diluar jam istirahat seperti minum, istirahat sejenak, dan ke toilet. Terdapat 21 kegiatan dengan dimana 15 diantaranya masuk kepada jalur kritis. Waktu baku menggunakan CPM memberikan selisih sekitar 2 jam lebih cepat dibandingkan time study.

show abstract

“…The MHEC-RAP evaluation has already reported findings from earlier studies that demonstrate use of the program by those in need and examined clinical service activity from the area EDs [32,33]. This was the first evaluation to use a time and motion study method to assess program efficiency and to present a translatable program model for transferability [34,35]. …”

Section: Introductionmentioning

confidence: 99%

No longer ‘flying blind’: how access has changed emergency mental health care in rural and remote emergency departments, a qualitative study

Saurman

Kirby

Lyle

2015

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

BackgroundMental health presentations are considered to be a difficult aspect of emergency care. Although emergency department (ED) staff is qualified to provide emergency mental health care, for some, such presentations pose a challenge to their training, confidence, and time. Providing access to relevant and responsive specialist mental health care can influence care and management for these patients. The Mental Health Emergency Care-Rural Access Program (MHEC-RAP) is a telepsychiatry program that was established to improve access to specialist emergency mental health care across rural and remote western NSW, Australia.MethodThis study uses interviews with ED providers to understand their experience of managing emergency mental health patients and their use of MHEC-RAP. The lens of access was applied to assess program impact and inform continuing program development.ResultsWith MHEC-RAP, these ED providers are no longer ‘flying blind’. They are also more confident to manage and care for emergency mental health patients locally. For these providers, access to specialists who are able to conduct assessments and provide relevant and responsive advice for emergency mental health presentations was valued. Assessing the fit between the consumer and service as a requirement for the development, evaluation, and ongoing management of the service should result in decisions about design and delivery that achieve improved access to care and meet the needs of their consumers. The experience of these providers prior to MHEC-RAP is consistent with that reported in other rural and remote populations suggesting that MHEC-RAP could address limitations in access to specialist care and change the provision of emergency mental health care elsewhere.ConclusionMHEC-RAP has not only provided access to specialist mental health care for local ED providers, but it has changed their practice and perspective. MHEC-RAP could be adapted for implementation elsewhere. Provider experience confirms that the program is accessible and offers insights to those considering how to establish an emergency telepyschiatry service in other settings.

show abstract

Assessing Program Efficiency: A Time and Motion Study of the Mental Health Emergency Care — Rural Access Program in NSW Australia

Cited by 19 publications

References 24 publications

Is rural mental health workforce a policy imperative?

Is rural mental health workforce a policy imperative?

Perbandingan Penentuan Waktu Baku Menggunakan Metode Time Study dan Critical Path Method (CPM)

No longer ‘flying blind’: how access has changed emergency mental health care in rural and remote emergency departments, a qualitative study

Contact Info

Product

Resources

About