The latest ideas in human services
Thought Leadership
Change & Innovation Agency’s (C!A®) has long been committed to being a thought leader in the human services.
Business Process Redesign
Helping Agencies Improve Efficiency through Innovation
A recent empirical study analyzing data from 156 countries revealed that increasing government efficiency can “significantly improve health outcomes,” with the most dramatic benefits felt by those aged 0–4 and over 50. Today, a majority of the U.S. seems to agree that government systems are not as efficient as they…
Addressing Burnout in Public Service Workers Through Process Improvements
Public service workers, including those in health, child services, social benefits, and more, are at an exceptionally high risk for burnout, but recent research indicates that the most powerful causes and remedies for this burnout might not be what many would expect. While it may appear that public service burnout…
Leading in Challenging Times: Lessons from the Human Services Summit at Harvard
Building on the success of last year’s event, the 2024 Human Services Summit at Harvard brought together more than 65 leaders from over 30 states for an enlightening and inspiring gathering at Harvard University in Cambridge, Massachusetts, in October. Themed “Leadership in Dynamic Times,” the summit explored strategies for leading with…
If You Started an Agency from Scratch Tomorrow, How Would You Do It?
Reflections on the 2024 ISM + PHSA Education Conference and Expo Each year, the American Public Human Services Association (APHSA) hosts the nation’s largest human services technology and legal conference. This year, the conference was attended by an impressive number of county, state, and federal leaders of human services agencies…
What the ACA Reveals about Re-creating the Child Care System
Quality, affordable child care holds the key to improved lives for all – better futures for children, greater economic opportunity for families, and increased workforce capacity for local and state economies. Unfortunately, today in the U.S., many struggle with the far-reaching impacts of a looming child care crisis. Despite recent…
On the Outside Looking In: Reimagining Child Care Program and Policy Through a Cross-Pollination Lens
There are numerous challenges facing the child care industry today. Many of these challenges—such as limited staffing, lengthy licensing process, convoluted administrative processes, and outdated technology solutions—are not new. Despite this reality, we continue to tackle the challenges with traditional approaches that do not meet the needs of the modern,…
Foster Care Awareness Month
April has been designated as National Child Abuse Prevention Month to create awareness about the importance of strengthening families and preventing child abuse and neglect.
Prepared Awareness: Past the Pinwheels
April has been designated as National Child Abuse Prevention Month to create awareness about the importance of strengthening families and preventing child abuse and neglect.
Empowering Families: A Breakdown of the New ACF Office of Child Care Rules, and what it will take to implement them
The recent passing of new rules by the Administration for Children and Families (ACF), Office of Child Care (OCC), signals a transformative shift that aims to streamline the child care application process and reduce bureaucratic hurdles making the process easier on families. Through my work as both a licensed clinical…
Beyond March: Nurturing Year-Round Appreciation for Social Workers
While we celebrate National Social Worker Appreciation Month every March, it sets the stage for April – a month that marks the onset of National Child Abuse Awareness Month, where the volume of new reports concerning child abuse is projected to increase by double digits. Public Service Announcements and news…
Performance Improvement
If You Started an Agency from Scratch Tomorrow, How Would You Do It?
Reflections on the 2024 ISM + PHSA Education Conference and Expo Each year, the American Public Human Services Association (APHSA) hosts the nation’s largest human services technology and legal conference. This year, the conference was attended by an impressive number of county, state, and federal leaders of human services agencies…
From Safety Decision to Reunification: Crossing the reunification finish line to regain capacity and help more children and families
Permanency for kids, is one of the most risky and critical decisions made in all of government and getting to the finish line is a laborious process with thousands of factors that will influence the time it takes to get there. But when we are there, our research shows we…
Digging to the Real Root Cause
We can make a difference, if we only stay focused on the root of the problems.
Management, Leadership and the Transformation Government Needs
What government does is noble and vital, but it can't deliver the value it should if we don't do a better job of making the work, work. The future of management is about more than technology and budgets.
Eliminate Blind Spots to Improve Safety: More Eyes More Often
When the press writes about failures in the child welfare system, the tragedies are unique, but the pattern is often all too familiar. A family has been involved with the agency multiple times, signs of risk were missed, and the result is significant harm or even death. It’s hard to…
The Fen-Phen Phenomenon is Killing Our Children
We all agree child welfare in our world is not as healthy as we would like it to be. No one wants to see vulnerable children at risk, but it seems like every attempt to get healthier isn’t working, and we are all clinging to the hope that the next…
The Unintended Consequences of Improvement
Sometimes when we make reforms, government jobs get better too.
What to do with the ‘Flo’s’ of Child Protection
If the work made passionate people act like Flo on the TV series “Alice,” then the work can bring them back.
CYA is Killing Kids
Agencies’ tendency to add more rules (and thus work) every time something bad happens prevents child protection workers from doing everything they can to keep kids safe.
Learn About Lean and Other Management Fads from Texts
A text message conversation about how once management fads fade, the best concepts remain.
Measurement
Helping Agencies Improve Efficiency through Innovation
A recent empirical study analyzing data from 156 countries revealed that increasing government efficiency can “significantly improve health outcomes,” with the most dramatic benefits felt by those aged 0–4 and over 50. Today, a majority of the U.S. seems to agree that government systems are not as efficient as they…
Changing Our Relationship with Data: Solving Our Capacity Crisis by Making Data Work for Us, Not the Other Way Around
The only way out of the capacity crisis is to serve our customers completely and immediately. And data can now help us do this, when used correctly and applied at the most opportune time.
Band of Brothers
Accountability systems rarely work as they affix blame instead of fix systems. They also produce devastating side effects including workers gaming the measurement system and increase fear. There is a better way.
Where are those outcomes I ordered?
It’s a little hard to remember what life was like before Amazon two-day shipping.
Gaming the System
How the misuse of data impedes innovation
Fear and Loathing in Chicago
Management lessons from the teachers’ strike.
The Dark Side of Accountability
Ken Miller draws from his latest book to explain how management-by-fear accountability systems rarely work and produce devastating side effects.
PHE Unwinding
Using data to help redetermine Medicaid Eligibility
Capacity is a central concern for Medicaid agencies across the country as they redetermine coverage. The first step towards addressing this is to reduce the workload through ex parte resolutions. However, to truly empower the agency's workforce, it is crucial to equip them with the right tools and eliminate the…
Back to the Basics: Proven Approach to Identify, Tackle and Overcome Backlog
To effectively prepare for, navigate, and manage redetermination and associated program backlogs that will undoubtedly develop in the coming weeks and months as agencies unwind PHE, here are five critical steps agencies can take.
Changing Our Relationship with Data: Solving Our Capacity Crisis by Making Data Work for Us, Not the Other Way Around
The only way out of the capacity crisis is to serve our customers completely and immediately. And data can now help us do this, when used correctly and applied at the most opportune time.
Emerging Stronger When the Public Health Emergency Ends: How Agencies Can Make Room for the Upcoming Wave of Renewals and New Customers
When the public health emergency (PHE) and pandemic waivers come to an end, agencies must renew all existing Medicaid recipients. For many agencies already struggling with staff capacity to meet existing demand, they will no doubt be overwhelmed. To help agencies prepare for and tackle the wave of renewal workload,…
Social Worker Staffing Shortage
How Will Your Child Welfare System Stack Up Against the Laws of Gravity
Our child welfare systems can feel like we are in a game of Jenga. We are attempting to grow and expand our systems by moving pieces one by one - while stretching our limited capacity. But with each move, the entire system risks collapse, particularly with worker shortages.
You Can’t Hire Your Way Out of the Staff Turnover Crisis: Addressing the Realities of Staff Turnover Through Process
Turnover is an unprecedented challenge that threatens the well-being of children. But staff is hard to find, harder to retain, and we are hiring back into the same systems that haven’t addressed fundamental challenges that have existed for decades. The only way to improve this reality to rethink our approach.