Participatory budgeting, an innovation in direct citizen participation
in government decision making, began 25 years ago
in a town in Brazil. It has since been adopted by 1,000 other
cities worldwide and by some U.S. cities as well.
With each edition, my goal is straightforward: to introduce readers to the works, insights,
and advice from some of today’s key government executives, who are tackling significant
management challenges and seizing opportunities to lead.
A critical factor that will move the transformation of the healthcare industry from the initial efforts of early adopters to general acceptance is payment reform. The existing model of fee for service perpetuates retention of information rather than sharing and interoperability. Shifting payment for care to an outcomes based model will reward practices that take a more comprehensive view of the patient.
How does a new leader of an organization in crisis take on the task of restoring trust by citizens, stakeholders, and employees, while transforming the agency to meet the challenges of the next decade?
What is the state of State government finances as states grapple with their own short and long-term fiscal challenges and the prospects of the continuing “trickle down” impact of tighter federal budgets given the interdependency of the levels of government on one another? And how can States best address the difficult road ahead?
The Department of Defense faces a challenging budget scenario over the coming decades, as it will be tasked with improving its cross-cutting operational effectiveness and mission excellence with constrained financial resources.