Mission drives agencies, and the need to deliver better services to customers at a lower cost—whether an agency is supporting the warfighter overseas, a teacher seeking classroom resources or a family figuring out how to pay for college—is pushing every level of government to look for new solutions
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
The over 7,000 public servants comprising the career Senior Executive Service (SES) are critical to the functioning of the federal government. Established as a government-wide executive corps by the Civil Service Reform Act of 1978, the SES is at a critical juncture in its history. They are called on to lead the unbelievably complex organizations and programs that deliver public goods and services. They manage a federal budget that exceeds $3.5 trillion annually, and millions of people in and out of uniform--and in and out of government--depend on them for direction and leadership. This book published by the National Academy of Public Administration, Building a 21st Century SES: Ensuring Leadership Excellence in Our Federal Government, brings together the practical perspectives of leaders with substantial experience with the SES. The commentators address such issues as the proper institutional role of SES, the most critical leadership qualities for the 21st Century, the development of the next generation of career leaders, and opportunities to revitalize the SES for future decades.
Government Information Management in the 21st Century provides librarians, information professionals, and government information policy leaders with a comprehensive and authoritative state-of-the-art review of current issues in government information management with a global perspective. The widespread use of the Internet to provide government information and services has altered the landscape dramatically for those who organize, store, and provide access to government content. Technical challenges include digital preservation, authentication, security, and accessibility for a diverse user base. Management challenges include changes to costs, workflow, staff skills and resources, and user expectations. Public policies based on distributed paper collections must also change to address issues that are inherent to digital, networked, public content; such issues include the maintenance of personal privacy, re-use of government information, and the digital divide. The authors in this timely book are practitioners, scholars, and government officials. Together they provide an informed look at how managing government information is being tested at a time of rapid change. Part I addresses key issues for public, academic, and government libraries in organizing and providing access to government information. Part II features chapters on the diverse information issues facing governments, such as managing Freedom of Information requirements, opening government data to the public, and deploying new online technologies.
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
A provocative case for the inherently political nature of language In The Politics of Language, David Beaver and Jason Stanley present a radical new approach to the theory of meaning, offering an account of communication in which political and social identity, affect, and shared practices play as important a role as information. This new view of language, they argue, has dramatic consequences for free speech, democracy, and a range of other areas in which speech plays a central role. Drawing on a wealth of disciplines, The Politics of Language argues that the function of speech—whether in dialogue, larger group interactions, or mass communication—is to attune people to something, be it a shared reality, emotion, or identity. Reconceptualizing the central ideas of pragmatics and semantics, Beaver and Stanley apply their account to a range of phenomena that defy standard frameworks in linguistics and philosophy of language—from dog whistles and covert persuasion to echo chambers and genocidal speech. The authors use their framework to show that speech is inevitably political because all communication is imbued with the resonances of particular ideologies and their normative perspectives on reality. At a time when democracy is under attack, authoritarianism is on the rise, and diversity and equality are being demanded, The Politics of Language offers a powerful new vision of the language of politics, ideology, and protest.
In the last decades of the 20th century, many political leaders declared that government was, in the words of Ronald Reagan, "the problem, not the solution." But on closer inspection, argues Elaine Kamarck, the revolt against "government" was and is a revolt against bureaucracy - a revolt that has taken place in first world, developing, and avowedly communist countries alike. To some, this looks like the end of government. Kamarck, however, counters that what we are seeing is the replacement of the traditional bureaucratic approach with new models more in keeping with the information age economy. "The End of Government" explores the emerging contours of this new, postbureaucratic state - the sequel to government as we know it - considering: What forms will it take? Will it work in all policy arenas? Will it serve democratic ideals more effectively than did the bureaucratic state of the previous century? Perhaps most significantly, how will leadership be redefined in these new circumstances? Kamarck's provocative work makes it clear that, in addition to figuring out what to do, today's government leaders face an unprecedented number of options when it comes to how to do things. The challenge of government increasingly will be to choose an implementation mode, match it to a policy problem, and manage it well in the postbureaucratic world.
A prominent food scientist defends the use of raw milk in traditional artisan cheesemaking. Raw milk cheese—cheese made from unpasteurized milk—is an expansive category that includes some of Europe’s most beloved traditional styles: Parmigiano Reggiano, Gruyère, and Comté, to name a few. In the United States, raw milk cheese forms the backbone of the resurgent artisan cheese industry, as consumers demand local, traditionally produced, and high-quality foods. Internationally award-winning artisan cheeses like Bayley Hazen Blue (Jasper Hill, VT) would have been unimaginable just forty years ago when American cheese meant Kraft Singles. Unfortunately the artisan cheese industry faces an existential regulatory threat. Over the past thirty years the US Food and Drug Administration (FDA) has edged toward an outright ban on raw milk cheeses. Their assault on traditional cheesemaking goes beyond a debate about raw milk safety; the FDA has also attempted to ban the use of wooden boards, the use of ash in cheese ripening, and has set stringent microbiological criteria that many artisan cheeses cannot meet. The David versus Goliath existence of small producers fighting crushing regulations is true in parts of Europe as well, where beloved creameries are going belly-up or being bought out because they can’t comply with EU health ordinances. Centuries-old cheese styles like Fourme d’Ambert and Cantal are nearing extinction, leading Prince Charles to decry the “bacteriological correctness” of European regulators. The dirty secret is that Listeria and other bacterial outbreaks occur in pasteurized cheeses more often than in raw milk cheeses, and traditional processes like ash-ripening have been proven safe. In Ending the War on Artisan Cheese, Dr. Catherine Donnelly forcefully defends traditional cheesemaking, while exposing government actions in the United States and abroad designed to take away food choice under the false guise of food safety. This book is fundamentally about where and how our food is produced, the values we place on methods of food production, and how the roles of tradition, heritage, and quality often conflict with advertising, politics, and profits in influencing our food choices.
For a century, the most divisive question in political thought has been about the size of the state. Should it expand and take an active role in all sorts of areas of life? Or is that just meddlesome and wasteful? Those questions might have made sense in the previous century. Now, with revolutions in technology and organisational structure, and a world transformed by Covid-19, a revolution is also coming in the essential business of government - whether we like it or not. Join organisations expert Jaideep Prabhu on a tour of what's possible in government. Discover amazing initiatives in unexpected places, from India's programme to give a digital identity to a billion citizens, to a Dutch programme that lets nurses operate almost entirely without management. Or perhaps China's ominous Social Credit system is a more accurate vision what the future has in store for us. Whether you are on the political left or right, it matters whether your government does what it does fairly and well. And the game is changing...
"Broadband internet use is often heralded for its transformative potential in a broad range of policy areas, but there is scarce evidence on whether this is so, and how it can be utilized most effectively by organizations and communities. While the attribution of change to programmatic efforts is a familiar challenge in evaluation research, broadband technologies present some particular issues for evaluation: the "black box" problem of understanding user behavior; the complexity of theorizing about the interaction between technology and policy-specific processes; and understanding change over time. How can we better address both the challenges and the opportunities for evaluating broadband initiatives? This chapter introduces the plan of the volume in the context of answering these questions"--