Route to Success: What are the keys to creating system change

1
Route to Success What are the keys to creating
system change?

• 2006 NACDD Conference
• Pittsburgh, PA

2
What is system change and who makes it happen? It

• Involves making changes in the way major parts
  of community service systemsare linked together
  and how they function.
• Focuses on goals or outcomes
• Is usually a result of small steps over time
• Typically has a dedicated group of advocates or
  an individual champion
• Sees individual advocacy as essential

• Center for Civic Partnerships, 2001.

3
Project Partners

• Human Services Research Institute
• Sarah Taub staub_at_hsri.org
• Temple University Institute on Disabilities/UCEDD
• Celia Feinstein shoes100_at_temple.edu

4
Route to Success Project Goals

• Identify a set of indicators of system change
• Identify strategies used to make system change
  happen
• Describe the extent to which system change has
  occurred in the areas of transportation and
  housing
• Describe the DD Councils role in system change

5
So far, weve

• Interviewed people in transportation and housing
• Generated a set of indicators of system change
• Organized the indicators using a framework based
  on the work of Richmond Kingdon

6
Draft Model of System Change

• Adapted from Richmond, J.B. Kotelchuck, M.
  Political Influences Rethinking National Health
  Policy. Handbook of Health Professions
  Education.

7
Improve the Knowledge Base

• What are the problems, trends, unmet needs? What
  are potential solutions and current best
  practices used to address the problem?
• Specific strategies
• Conduct an assessment to collect data about
  transportation access issues
• Sponsor local cross-disability work groups
• Organize a statewide summit

8
Use Clear Social Strategies

• Establish clear goals and methods for achieving
  them. Identify key players. Analyze constraints.
  Articulate responsibilities. Evaluate results.
  Celebrate success.
• Specific strategies
• Relentless advocacy efforts
• Publicize and celebrate successes

9
Create Political Will

• Who cares about the problem? How does it relate
  to other problems? Is there an existing
  constituency? Is there work already to be built
  upon? Does it appear too complex? Is there a
  sense of urgency?
• Specific strategies
• Seek out and develop political champions
• Recognize existing resources and build on them

10
Other Considerations

• Leadership
• Policy entrepreneurs rated as very or
  somewhat important in 15 out of 23 case studies
  of critical factors in policy change
• Key to sustainable change
• Magical events
• Unpredictable, accidental
• Be prepared and ready to seize opportunities

Kingdon, J.W. (2003). Agendas, Alternatives, and
Public Policies.
11
(No Transcript)
12
Change Strategies - Transportation
13
Potential Uses of the Model

• Evaluate past or current strategies used by the
  organization as a whole are there any gaps?
• Promote the use of a variety of strategies by
  individual projects to achieve success
• Facilitate the development of project goals,
  logic models, and evaluation plans

14
Route to Success next steps

• Identify two Council funded projects
• Work directly with them to apply the framework
  and monitor system change
• Report back to the Council about the effect of
  our TA and any system change that results

15
Two projects selected will have

• System change identified as a component of its
  work or as an outcome or goal
• An interest in trying out the draft framework
  with the various components of its project
• A willingness to work with project staff to
  monitor activities and to give feedback about
  progress
• Representation from different committees on the
  Council