This book uses a revised version of Kingdon's multiple-streams framework to examine health financing reforms in China, Hong Kong, Taiwan, and the Republic of Korea (ROK) as well as long-term care insurance (LTCI) reforms in Japan and Singapore. It shows that the explanatory power of the multiple-streams framework can be strengthened through enriching the concepts of policy entrepreneurs, ideas, and windows of opportunity in the original framework as well as bringing the theoretical lens of historical institutionalism into the framework.

In this book, Phelps and Parente explore the US health care system and set out the case for its reform. They trace the foundations of today's system, and show how distortions in the incentives facing participants in the health care market could be corrected in order to achieve lower costs, a higher quality of care, a higher level of patient safety, and a more efficient allocation of health care resources. Phelps and Parente propose novel yet economically robust changes to US tax law affecting health insurance coverage and related issues. They also discuss a series of specific improvements to Medicare and Medicaid, and assess potential innovations that affect all of health care, including chronic disease management, fraud and abuse detection, information technology, and other key issues. The Economics of US Health Care Policy will be illuminating reading for anyone with an interest in health policy, and will be a valuable supplementary text for courses in health economics and health policy, including for students without advanced training in economics.

Although collaborations for local and regional economic development have been popular in recent years, it is not yet wholly clear when or how such efforts bring successful outcomes. Using an integrative conceptual framework for collaborative governance, this innovative collection provides a systematic and interdisciplinary analysis of real-world collaborative networks for local and regional economic development. Focusing on a wide range collaborative economic development in diverse cities and regions in USA, Canada, Germany, India, Italy, and South Korea, the chapters explore what forces motivate the emergence of collaborative economic development efforts. Each chapter explores the factors which contribute to or hinder collaborative governance efforts for economic development and identifies lessons for overcoming challenges to creating communities that are economically resilient, environmentally sustainable and politically engaged in the era of globalization. By focusing on collaborative governance and its implications for the ability of policies to meet the challenges of the 21st century, it provides lessons for researchers in public management, urban planning/development, public policy, and political science, as well as practitioners interested in promoting local economic development.

Through a series of case studies and selected special topics, Public Sector Enterprise Risk Management presents examples from leading Enterprise Risk Management (ERM) programs on overcoming bureaucratic obstacles, developing a positive risk culture, and making ERM a valuable part of day-to-day management. Specifically designed to help government risk managers, with concepts and approaches to help them advance risk management beyond the basics, the book: Provides a balanced mix of concepts, instruction and examples; Addresses topics that go beyond the basics of Enterprise Risk Management (ERM) program design and implementation; Includes insights from leading practitioners and other senior officials. Many government organizations can refer to the growing body of materials that provide examples of ERM processes and procedures. Far fewer reference materials and examples exist to help organizations develop a risk-mature organizational culture that is critical to the long-term success and strategic value that ERM represents to government organizations. Public Sector Enterprise Risk Management begins to fill that void and is intended to help public sector risk managers overcome barriers that inhibit ERM from becoming an active contributor to major decisions that top officials must make.

As a community, aligning efforts across a community to support the safety and well-being of vulnerable and underserved individuals is extraordinarily difficult. These individuals suffer disproportionally from health issues, job loss, a lack of stable housing, high utility costs, substance abuse, and homelessness. In addition to medical care, these individuals often critically need access to community social sector organizations that provide a distinct and complementary set of services, such as housing, food services, emergency utility assistance, and employment assistance. These services are just as vital as healthcare services to these individuals' long-term health and well-being, with data suggesting that 80-90% of health outcomes can be attributed to factors beyond direct medical intervention. This book proposes a novel approach to the coordination of medicine and social services through the use of people, process, and technology, with the goal being to streamline coordination between medical and Community-Based Organizations and to promote true cross-sector patient and client advocacy. The book is based on the experience of Dallas, TX, which was one of the first metropolitan regions to develop a comprehensive foundation for partnership between a community's clinical and social sectors using web-based information exchange. In the 5 years since the initial launch, the authors have been able to provide seamless connection, communication, and coordination between healthcare providers and a wide array of community-based social service organizations (a/k/a Community-Based Organizations or CBOs), criminal justice entities, and various other community organizations, including non-collegiate educational systems. This practical how-to guide is the codification of transferrable lessons from successes and challenges faced when working with clinical, community, and government leaders. By reading this playbook, leaders interested in building (or expanding) connected clinical-community services will learn how to: 1) facilitate cross-sector care coordination; 2) enable community care partners to better provide targeted services to community residents; 3) reduce duplication of services across partnering organizations; and 4) help to bridge service gaps in the currently fragmented system. Implementation of services, as recommended in this book, will ultimately streamline assistance efforts, reduce repeat crises and emergency funding requests, help address disparities of care, and improve the health, safety, and well-being of the most vulnerable community residents.

This timely new book provides an international perspective on Public Private Partnerships. Through 21 case studies, it investigates the existing and fast developing body of principles and practices from a wide range of countries and is the first book to bring together leading international academics and practitioners under a common framework that enables convenient cross-country comparisons. The authors focus on the impact of the financial crisis has had on how governments have reviewed and overhauled their PPP policies as they have examined or tested new ways of partnering more effectively, efficiently and sustainably with the private sector. Readers will be able to gauge the level of maturity of PPP development in the book's case studies, understand similarities and differences in their practices, and gain useful insights into the regulatory framework and institutional infrastructure in place to support implementation of PPP. Finally, the book offers insights into the future challenges and opportunities that PPP offers stakeholders.

Sound HRM practices matter-they are a sine qua non of effective governance in democratic government-equally so at the local, regional, state and national levels of government. The NASPAA (Network of Schools of Public Policy, Affairs, and Administration) accreditation standards demand critical competencies for public managers that are vital to human resource managers and supervisors at all levels. These competencies include: skills to lead and manage in public governance; to participate in and contribute to the policy process; to analyze, synthesize, think critically, solve problems and make decisions; to articulate and apply a public service perspective; and to communicate and interact productively with a diverse and changing workforce and citizenry. This second edition of Human Resource Management is designed specifically with these competencies in mind to: Introduce and explore the fundamental purposes of human resource management in the public service and consider the techniques used to accomplish these purposes Provide exercises to give students practice for their skills after being introduced to the theory, foundation, and practices of public and nonprofit sector HRM Facilitate instruction of the material by introducing important topics and issues with readings drawn from the professional literature Provide information and examples demonstrating the interrelatedness of many of the topics in public sector HRM and the trends shaping public and nonprofit management, especially diversity, ethics, and technology. Demonstrate and describe differences among HRM practices in public, for-profit and nonprofit organizations, and between the levels of government. Human Resource Management is organized to provide a thorough discussion of the subject matter with extensive references to relevant literature and useful teaching tools. Thus, students will consider the issues, purposes, and techniques of HRM and conceptualize how varied their roles are, or will be, whether a personnel specialist in a centralized system or a supervisor managing in one of the increasingly common decentralized systems. Each chapter includes a thorough review of the principles and practices of HRM (including the why and the how), selected readings, important themes, diverse examples, key terms, study questions, applied exercises, case studies, and examples of forms and processes would-be managers will encounter in their roles.

This volume compiles a dozen essays, by one of the most prolific proponents of co-production as a solution for many of the challenges facing public services and democratic governance at the outset of the 21st Century. Co-production is considered a partnership between citizens and public service providers that is essential for meeting a growing number of social challenges, since neither the government nor citizens can solve them on their own. These challenges include, among other things, improving the efficiency and effectiveness of public services in times of financial strain; increasing the legitimacy of the public sector after decades of questioning its ability with the spread of New Public Management; promoting social integration and cultural pluralism in increasingly diverse societies when millions of refugees and immigrants are on the move; tackling the threat of burgeoning populism following the rise of anti-immigrant and anti-global parties in many countries in recent years; and finally, finding viable solutions for meeting the growing needs of aging populations in many parts of the world. This volume addresses issues related to the successful development and implementation of a policy shift toward greater citizen participation in the design and delivery of the services they depend on in their daily lives and greater citizen involvement in resolving these tenacious problems, facilitated by the active support of governments across the globe. Moreover, it explores participatory public service management that empowers the front-line staff providing public services. Together with users/citizens they can insure the democratic governance of public service provision.

Funded by taxation, public spending cannot be separated from politics and ensuring efficiency and effectiveness is always high on the political and policy agenda. Accounting, accountability, governance and auditing are essential ingredients in evaluating public sector performance. Australia and New Zealand are world leaders when it comes to public sector accounting-such as being the first to introduce transaction-neutral accounting standards. This edited collection considers current issues impacting the public sector by primarily drawing upon experiences of Australia and New Zealand. Then, by combining history (from the time of the Domesday book, early sovereignty and Shakespeare) with current practice (differential reporting, international financial reporting standards, government performance, voter turnout, joined-up government and auditing practices), we use these experiences to illuminate the global issues of public sector accounting, accountability and governance. Based on rigorous research by top public sector researchers, this edited collection offers a multitude of future research ideas to enable those interested in following this pathway-whether they are in Australia, New Zealand, the United Kingdom, Europe, the United States of America, Africa or anywhere else in the world-an avenue to traverse.

In this modern study of the causes of nationalization, experts in British industrial history analyze the public ownership debates, and explain how many well-informed and moderate groups came to believe that the public ownership of certain major industries would be economically beneficial. During Attlee's Labour governments of 1945-51, a number of important industries, including coal, electricity, the railways and gas were taken into public ownership, and legislation was passed for the nationalization of the steel industry. It was then argued that nationalization would lead to an improvement in the efficiency of these key sectors, on which the rest of British industry depended for inputs. Today, such a policy would be almost unthinkable. This study examines the historical issues and uses detailed case studies of industries to explore the public ownership debate.

The best decisions made by public managers are based not on instinct, but on an informed understanding of what's happening on the ground. Policy may be directed by ideology, but it must also be founded on reality. The challenge of making the right decisions as a public manager is often, therefore, based on the need for rigorous, actionable research. Now in a thoughtfully revised second edition, this textbook shows students of Public Administration exactly how to use both qualitative and quantitative research techniques to give them the best chance to make the right decisions. Uniquely, Eller, Gerber, and Robinson present research methodologies through a series of real-life case studies, with each chapter exploring situations where a public manager can use research to answer specific questions, demonstrating how that research can inform future policy. Taking readers through the key concepts, from research design and sampling to interviews, survey data, and more statistical-based approaches, this new edition provides a complete guide to using research in the public and voluntary sectors. New to this edition: To better orient the student, the second edition is thematically arranged. Five sections, each with a short essay, provide not only previews of the content of each section, but more importantly guide the reader through how the concepts and techniques covered relate to real-world use and application. A new chapter on applied quantitative analyses has been added to offer coverage of several commonly-used and valuable analytic techniques for decision making for policy and management: benefit-cost analysis, risk assessment, and forecasting. The second edition is accompanied by online materials containing suggested course plans and sample syllabi, PowerPoint lecture slides, and student support materials to illustrate the application of key concepts and analytic techniques. Each chapter also includes discussion questions, class exercises, end of chapter review questions, and key vocabulary to provide students with a range of further tools to apply research principles to practical situations.

With over 20 million people on its payroll, the government is the largest employer in the country. Managing people who do the nation's work is of critical importance to politicians, government leaders, and citizens alike. Personnel Management in Government: Politics and Process, eighth edition, examines the progress and innovations that public personnel professionals are making to address changes in the political, legal, and managerial environment of government. It provides students with a comprehensive understanding of human resource management within its historical and political context in the public sector. A number of new developments are addressed in the eighth edition, including discussion of: Human resource management in nonprofit organizations in an all-new, dedicated chapter Current and future challenges to recruitment and hiring, including the use of social media in recruitment Privatization and contracting out The rise of employment "at will" policies Digital technology or "digitalization" in HRM and the need to enhance cybersecurity Managing performance with human capital analytics Increased reliance on telework States' attacks on public sector labor unions HRM changes under the Trump administration Since publication of the first edition in 1977, Personnel Management in Government has addressed issues not yet considered mainstream, but that have proven central to the development of the field over time. This long-standing but no less innovative textbook is required reading for all students of public, government, and non-profit personnel management.

From the late nineteenth century through the 1970s, several government reform movements succeeded in controlling traditional types of public corruption. But has this historic success led to a false sense of security among public management scholars and professionals? As this book argues, powerful special interests increasingly find effective ways to gain preferential treatment without violating traditional types of public corruption prohibitions. Although the post-Watergate good government reform movement sought to close this gap, the 1980s saw a backlash against public integrity regulation, as the electorate in the United States began to split into two sharply different camps driven by very different moral value imperatives. Taking a historical view from the ratification of the U.S. Constitution through to the Trump administration, The Death of Public Integrity details efforts by reformers to protect public confidence in the integrity of government at the local, state, and federal levels. Arguing that progressives and conservatives increasingly live in different moral worlds, author Robert Roberts demonstrates the ways in which it has become next to impossible to hold public officials accountable without agreement on what constitutes immoral conduct. This book is required reading for students of public administration, public policy, and political science, as well as those interested in public service ethics.

Public service values are too rarely discussed in public administration courses and scholarship, despite recent research demonstrating the importance of these values in the daily decision making processes of public service professionals. A discussion of these very tenets and their relevance to core public functions, as well as which areas might elicit value conflicts for public professionals, is central to any comprehensive understanding of budget and finance, human resource management, and strategic planning in the public sector. Public Service Values is written specifically for graduate and undergraduate courses in public administration, wherever a discussion of public service ideals might enrich the learning experience and offer students a better understanding of daily practice. Exploring the meaning and application of specific values, such as Neutrality, Efficiency, Accountability, Public Service, and Public Interest, provides students and future professionals with a 'workplace toolkit' for the ethical delivery of public services. Well-grounded in scholarly literature and with a relentless focus on the public service professional, Public Service Values highlights the importance of values in professional life and encourages a more self-aware and reflective public practice. Case studies to stimulate reflection are interwoven throughout the book and application to practice is cemented in a final section devoted to value themes in professional life as well as a chapter dedicated to holding oneself accountable. The result is a book that challenges us to embrace the necessity of public service values in our public affairs curricula and that asks the important questions current public service professionals should make a habit of routinely applying in their daily decision making.

The key difference between success and failure for most governance systems is adaptation, specifically the ability to resolve the existing social, cultural, economic and environmental challenges that constrain adaptation. Local, regional and national systems differ in how they are designed to organize effective participation and create innovative ideas for missions, goals, strategies and actions. They also differ in how they build the effective coalitions needed to adopt, guide and protect strategies and actions during implementation, and how to build competence and knowledge to sustain implementation. This book presents the strategic foundations for government's role in fostering and adapting to societal transformation in a volatile world. It shifts the focus of the discipline from an overtly retrospective analysis to a prospective analysis, incorporating the role of foresight techniques and instruments. Above all, it stimulates debate about the practical implications of governance as an emergent future-oriented framework of public management. This challenging book aims to facilitate dialogue and discussion between academics and practitioners, and encourage advanced students to take a new perspective on Public Management during these volatile times.

Courageous Leadership: The Missing Link to Creating a Lean Culture of Excellence is one of the firsts of its kind to wade through the confusion among leaders on selecting the type of change approach that will get the best results in their organization. It educates the senior executive leaders and organizational excellence practitioners on the different characteristics of change and answers why the approach to incremental and transitional change cannot deliver the results expected from a transformational change. The author shares his experiences from leading several small and large scale organization transformations in multiple industries across different countries on how to establish a robust foundation for an excellence journey and integrate strategy into daily operations. This book elaborates on the types of courage and what it means to be a courageous leader while leading change in difficult situations, and what leaders do differently for putting the organization on a path to excellence and culture transformation. This book shares an innovative design, a methodology and an approach that combines best practices and principles from Malcolm Baldrige, Shingo, Lean, Six Sigma, Balanced Scorecard, accreditation, change management, patient and family-centered care, the Competing Values Framework, the LEADS framework, and the project management body of knowledge. The implementation of this model at a hospital in Canada propelled the organization further ahead on their transformational journey compared to other organizations that started much earlier. Sensei in Japanese means Teacher and Gyaan in Sanskrit means Knowledge. Brief sections on 'Sensei Gyaan' have been interspersed throughout the book to provide valuable tips to the readers based on author's experiential learnings over the past two decades. This book serves as a practical guide for senior executive leaders and organizational excellence practitioners, who wish to embark or are in various stages of their organizational excellence and culture transformation journey. Readers will be guided through 26 elements necessary for establishing a robust foundation and an additional set of 22 Management System elements required to create and sustain a culture of quality across the organization. For leaders in healthcare, the book provides a framework, guiding principles, and associated practices that support the implementation of the 4 core concepts of patient and family centered care namely, dignity and respect, information sharing, participation and collaboration. Included in the book are several examples with creative visuals, ready-to-use templates and standard works, models, guiding principles, and strategies based on best practices to assist leaders in their organization excellence journey.

Since the 1990s, heritage studies has emerged as a distinct academic field, and practices and rhetoric drawn from mainstream corporate management and strategic planning have become widespread. Based on extensive research, this book is an in-depth investigation of management practices rather than policies, based on a variety of case studies from around the world. The authors take the issue of management in heritage seriously, but also take into account the role of other disciplines within heritage organizations. In particular, they focus on sustainability in terms of financial resources, human resources, knowledge management, and the relationship with the audience and communities of scholars. The book opens with a methodological introduction that discusses what it means to do research on management, and why international comparative research is essential. The body of the text engages issues of heritage and management through five distinct analytical lenses: management and the process of change, institutional settings and business models, change and planning, the Heritage Chain, and the space between policy and practice. Each of these five sections includes a chapter introducing the analytical framework and possible implications, followed by case histories from China, Italy, Malta, Turkey, and Peru. The book ends with a chapter of concluding reflections.

Although co-design has been practised in new service and product development for some years, it has only recently begun to appear in the burgeoning field of social innovation. It appears to be well-attuned to this new context, offering as it does an open-ended relational process to generate novel solutions to problems whose very definition seems to escape more conventional approaches. However, even less research attention has been paid to co-design than to social innovation. This book explores the potential of co-design as a social innovation process. It reviews the diverse theoretical and disciplinary foundations on which co-design is based. It proposes a framework for understanding co-design as a cohesive practice across the extremely broad scope of its potential applications. It explores appropriate approaches to governance and evaluation of co-design initiatives and outlines the key issues and limitations on its use. Although it is intended to provide a robust theoretical basis for researching co-design initiatives, it will also be of interest to anyone who is contemplating putting co-design into practice.

Over the past forty years, numerous theoretical advances have been made. From Ayres' and Braithwaite's ground breaking work on 'responsive regulation', we have seen models of 'smart regulation', 'regulatory governance' and 'regulatory capitalism' emerge to capture the growing prevalence and importance of regulation in modern liberal Western capitalist societies. Important advances also have been made in the practice of regulation, with regulators evolving from traditional enforcement focussed 'command and control' models to being 'modern regulators' with a suite of diverse and innovative regulatory tools at their disposal. The book presents and critically examines these theoretical and practical developments from the perspective of governments who design regulations, and the regulators that deploy them. In doing so, the book examines the various forces and interests that influence and shape the regulatory endeavour, and the practical challenges facing governments and regulators when deciding whether and how to regulate. This volume is a study of regulation in context: in the context of the public policy it is designed to deliver; the law that enables, shapes and holds it to account; and the evolving societal and institutional frameworks within which it takes place. Aimed to provide innovative cross-disciplinary conceptual frameworks that regulators, regulatees, those whom regulation is intended to benefit, and academics, might employ to better understand and undertake the regulatory endeavour. This will be of great interest to researchers, educators, advanced students and practitioners working in the fields of political science, public management and administration, and public policy. .

The field called policy analysis focused originally on the formulation of new policies and was structured to give advice to those in the top reaches of government agencies. Within several decades the field moved beyond the formulation stage of the policy process (creating new policies) to agenda setting, implementation, and evaluation of existing policies. New skill sets emerged and staff were found in many parts of the policy world. Despite these changes, there has been little attention paid to the possible shifts in the relationship between analysts and clients, and students of policy analysis often enter the world of work with little exposure to the situations they might face. Policy Analysis in the Twenty-First Century is designed to familiarize students with the diversity of experiences that they can expect to face in their practitioner role. Author Beryl Radin bases the discussion on case studies that illustrate realities in the current policy analysis environment. Set in very different environments (including both US and international settings), the players in the cases illustrate three different stages of a career (beginning the career, mid-career, and people at the end of their career). The cases are based on realistic situations and demonstrate the volatility and complexity of the decision environments. At the same time, they provide attention to the analysts' personal values and career goals. This book will be required reading for faculty and masters level students in both public management and policy analysis classes. It may also be used in executive programs.

In this time of acute financial pressure on public budgets, there is an increasing interest worldwide in alternative ways for governments to raise money, and how public authorities can develop the capacity to administer revenues efficiently and effectively. Taxation, the primary source of public revenue, is exposed to various threats, while alternative sources of public revenues have much potential but are rarely carefully designed and harnessed. Public Sector Revenue: Principles, Policies and Management sets itself apart from other textbooks through its exclusive focus on the revenue side of public financial management. It provides the reader with the theoretical foundations and practical tools to understand the generation and management of revenues in the public sector, and it weaves a wide range of international examples throughout the text. Students will also benefit from a companion website with supplements including test questions and answers to the end-of-chapter discussion questions inside the book. This textbook will be essential reading for students, managers and policymakers within the areas of public financial management, public sector accounting and public administration.

The E-Medicine, E-Health, M-Health, Telemedicine, and Telehealth Handbook provides extensive coverage of modern telecommunication in the medical industry, from sensors on and within the body to electronic medical records and beyond. Telehealth and Mobile Health is the second volume of this handbook. Featuring chapters written by leading experts and researchers in their respective fields, this volume: Discusses telesurgery, medical robotics, and image guidance as well as telenursing and remote patient care Describes the implementation of networks, data management, record management, and effective personnel training Explains how the use of new technologies brings many business, management, and service opportunities Provides examples of scientific advancements such as brain-controlled bionic human arms and hands Incorporates clinical applications throughout for practical reference The E-Medicine, E-Health, M-Health, Telemedicine, and Telehealth Handbook bridges the gap between scientists, engineers, and medical professionals by creating synergy in the related fields of biomedical engineering, information and communication technology, business, and healthcare.

This book explores two contradictory aspects of the Korean culture: competitiveness and collectivism. These two major concepts describe the dynamics of Korean public organizations, which explain the Hangang River Economic Miracle and political democratization. However, not many studies have focused on how competition within the central government, that is, competition among different agencies, has led to an overall competitive government. This book attempts to do so and explains how competition contributed to the rapid economic growth of Korea.

Coping with complexities is an everyday reality for private, public and third sectors that face intricate, overlapping, obscuring and ever-changing challenges. Developments in technology and systems of value creation are driving a new need to understand, facilitate and manage complexity. The book proposes design and design research as a solution to respond to the complexities associated with the intensifying and rapid changes in societies, technological fields and environments. A four-step design process for managing complexities is introduced in the four parts of this book, spanning from design research in the field to practice-based contexts. This publication collates high-level research and the latest scholarship on this topic, while many of the case studies described herein draw on rich experiences and applications in practice. The ways designers work to overcome complexities through design, and the methods and frameworks presented in the chapters, provide critical insights and form an important scholarly contribution in this subject area.

Recent decades have seen a significant transformation of the not-for-profit (NFP) sector. This includes rise in the number of organisations and people employed, shift from charities and philanthropic agencies to hybrid social enterprise business models, competing stakeholder interests and increasing expectations regarding accountability and transparency. The role of NFPs has also become more complex - they not only serve the disadvantaged and fulfil social needs but also actively advocate for and implement public policies and promote social and economic inclusion. The growth and complexity has brought with it a need for innovative and entrepreneurial approaches to leadership that stems from an in-depth understanding of the changing nonprofit landscape. Addressing this need, for Not for Profits and Social Enterprises will help readers navigate extant challenges by drawing on conceptual literature, both theoretical and empirical and emphasising practical real world experience through case studies and vignettes The key aim of this book is to help existing and future NFP leaders at all organisational levels to support their organisations and employees and in turn clients and communities, through theoretical insights and practical approaches by focusing on transformational leadership aspects for contemporary Not for Profits. for Not for Profits and Social Enterprises is key reading for researchers, academics and policy makers in the areas of Non-profit Management, Leadership, Public Sector Management and Charity Management as well as related disciplines such as Philanthropy and Social Entrepreneurship.