Each of us working in the mental health system has grappled with the inadequacies and shortcomings of our current system. We have been reminded time and time again that our system is fraught with quality and safety problems that leave patients and their families at the receiving end of sub-standard care and dissatisfied. There are a wide range of problems from access-to-care issues to errors to complications stemming from poor care. Even modern advancements such as EMRs or newer medications such as atypical antipsychotics have created their own unique challenges as they are integrated into our system. The system as a whole requires a closer examination with regards to whether or not it flows seamlessly, and whether or not it provides the right quality at the right time and at the right cost, because our patients and their families deserve nothing less. Our country is on an unsustainable path as our health care expenditure keeps growing, and it is projected to reach 20% of our GDP by 2020. Mental health professionals have gotten used to doing whatever it takes to provide each of our patients with everything they need in order to keep them healthy. In doing so, we have not been able to view the big picture of how our system operates. We do not have a clear idea about which of the steps in our processes add value and which are just wasteful, in that they do not add any value to the patient or their experience of care. Workarounds, excessive documentation, and over-reliance on auditing in order to ensure quality have become an accepted reality in our highly-regulated industry. Nevertheless, it is a widely accepted fact that a conservative 30-50% of everything we do does not add value to the life of our patients. If we are like spokes in a fast-spinning wheel, how can we observe the path along which we are travelling, to either make sense of it or to do something to change its path? Many of us are so busy seeing patients, documenting about the care w

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