The flexibility federal block grants provide recipients poses challenges for evaluation. These challenges include aggregating data on wide-ranging activities grant recipients implement and the outcomes they achieve. In 2014, we began designing an evaluation to address the challenges of assessing outcomes and to improve outcome accountability for…

Early Intervention (EI) aims to lessen the effects of developmental delay by providing services to infants and young children. Newborn screening (NBS) is a public health program that identifies infants with treatable conditions, although many conditions put children at risk of developmental delay even after medical intervention. The purpose of…

University-based living labs serve as open innovation platforms that foster collaborative research and experimentation across various disciplines. These labs bring together academics, citizens, community organisations, companies, and other entities to collectively address complex contemporary issues. The labs' managers are expected to adopt…

This "Building Capacity for Change" "playbook" highlights practices and strategies that proved to be effective in supporting the rollout and implementation of certain programs under the New York State Department of Health's First 1,000 Days on Medicaid Initiative, a series of evidence-based reforms aimed at improving health and…

The research aim is to contribute to scholarly inquiry on best practices for institutional leaders in health care organizations who are leading improvement work. The goal is to investigate how a specific sustainable continuous improvement methodology--lean management (LM)--is experienced by leaders charged with implementing it to improve health…

Awareness that educational equity and health care equity are intrinsically linked is becoming more commonplace, but because a significant share of states are providing much less school funding than they were a decade ago, there are fewer local education dollars allocated to addressing the health care issues of children in school. In December 2018,…

A school's primary responsibility is to provide students with a high-quality education. However, children cannot learn to their fullest potential with unmet health needs. For over thirty years, Medicaid has helped cover the costs for certain medically necessary services provided in school-based settings to children eligible for special education…

The Survey of Head Start Grantees on Training and Technical Assistance (T/TA) was conducted in program year 2019-2020 with a nationally representative sample of Head Start program directors and Head Start managers/coordinators to understand how Head Start grantees use T/TA of all types and from all sources. Head Start program directors completed…

Approximately 1.3 million K-12 public school students across the United States were identified as experiencing homelessness in 2019-20. In all cases, the stress, instability, trauma, and school mobility created by homelessness increase risks to physical, social, and emotional health and to educational engagement and achievement. Districts play an…

Administrator Jennifer Stanton attempts to adopt an Electronic Health Records system at ComprehensiveCare, a multispecialty healthcare practice. Consultants from the vendor provide guidance to the organization, but do not provide that guidance in a way that the non-technical administrator understands. The project experiences escalation of…

The Bureau of Prisons (BOP) is responsible for managing the care and custody of approximately 175,000 federal inmates--an estimated 20 percent of whom have been diagnosed with a substance use disorder. The Government Accountability Office (GAO) was asked to review BOP's efforts to provide drug treatment to federal inmates. This report (1)…

After a prior failed adoption, ComprehensiveCare plans for a second attempt in adopting Electronic Health Records. The owner-physicians on the board of directors have replaced the administrator due in part to the missteps of the prior adoption. William Shoemaker, the new administrator, must grapple with several important decisions to provide the…

ComprehensiveCare, a multi-specialty healthcare organization, struggles to implement Electronic Health Records. The first adoption failed outright because the customizations made the system unusable. The second attempted adoption has not officially failed yet, but the system fails to live up to the expectations. It lingers on the edge of…

The FNS Research Corner provides a continuing series to summarize recently completed and current research conducted by the U.S. Department of Agriculture's Food and Nutrition Service (FNS) in the area of child nutrition. Summaries of recently completed research projects and in-progress research are provided in this article.

The ability to think in terms of a system is critical to achieving common direction, alignment, and commitment in highly distributed health systems. In Canada, provincial and territorial ministries of health provide leadership on the direction of health reform while leadership to align system levels is determined by a far more distributed group of…