Submitted by rthomas on Wed, 12/20/2017 - 09:49
A series of presentations at the annual conference of the National Academy of Public Administration focused on the complicated management challenges all levels of government will be facing upon the passage of any health care reform legislation. As one participant noted: “There’s too much of a view that programs are self-executing and you just need more inspectors general and audits. . . that happened with the Recovery Act.” The consensus seemed to be that this assumption clearly won't work for health care reform!
Submitted by rthomas on Wed, 12/20/2017 - 09:48
Yesterday, I described how Eggers and O’Leary examined implementation of big government initiatives from a process perspective.
Submitted by rthomas on Wed, 12/20/2017 - 09:46
Submitted by rthomas on Wed, 12/20/2017 - 09:45
Government Executive’s Alyssa Rosenberg hits the nail on the head in her Fed Blog today, “How Health Care Would Be Run.” Her piece looks at the increased role of the Secretary of Health and Human Services in the Senate version of the bill. The House version has significant roles for other agencies as well, and creates a new independent agency, the Health Choices Administration.
Submitted by rthomas on Wed, 12/20/2017 - 09:41
I am not a tech-toy pioneer. It was two years before I logged onto my company’s instant message system because I thought it would create ADD symptoms (it didn’t). I just got a Blackberry a few weeks ago (yes, Blackberry, not iPhone) because I lost my PalmPilot calendar and they don’t make them anymore. And I resisted a Twitter account because I thought it was silly, frivolous, and seemingly narcissistic.
Submitted by rthomas on Wed, 12/20/2017 - 09:32
Submitted by rthomas on Wed, 12/20/2017 - 09:30
Submitted by rthomas on Wed, 12/20/2017 - 09:29
Harvard Kennedy School professor Stephan Goldsmith recently shared an insight he learned: “It is always tempting to set arbitrary goals to drive organizational change. Like most temptations, this one should be resisted. . . . I fell into this trap in 2000, when I served as the chief domestic policy advisor to then-Governor George W. Bush during his presidential campaign.
Submitted by rthomas on Wed, 12/20/2017 - 09:27
The fuss surrounding the release of the first full report on the use of Recovery Act money last week reminded me of an experience I had in 1980 while working for a congressional oversight committee. We had received an annual report with program data for FY 1977 that I thought was quite useful. I then asked the agency for the FY 1978 and 1979 reports since I thought they would be useful as well. The response was “we just released the 1977 report, the others won’t be available for another two years.”
Submitted by rthomas on Wed, 12/20/2017 - 09:26
I’m back from my first visit to Saudi Arabia. I can’t say I saw any camels, but I did seen plenty of McDonalds and Starbucks! Conference participants were treated royally and we were treated with great hospitality, including an outdoor banquet with traditional Arabic sword dancing.
While the conference was seen as an international celebration of the Saudi Institute of Public Administration’s 50th anniversary, it became clear at the final closing session that this was also a serious event for them.