Public Administration Commons^™

Using Pay-For-Performance Payment Methodology Framework For Medicaid Reimbursement Rate In State Government, Motunrayo S. Dindi

Walden Dissertations and Doctoral Studies

Medicaid Home Community Based Services (HCBS) program reimbursement rate policy plays a critical role in the rate determination and influences the type of care services received by program recipients. This qualitative case study evaluated the impact of the reimbursement rate policy on the quality of care received by Medicaid HCBS program beneficiaries. The practice-focused question for this study was from the Office of Rates and Reimbursements management perspective on how the state can implement an effective alternative reimbursement rate policy to achieve value-based care services that would result in better healthcare outcomes. To achieve the desired result, thematic and narrative …

Forest For The Trees: Collective Accountability And Trust As Groundwork For Systems Change, Shaady Salehi, Pia Infante

The Foundation Review

Since 2020, trust-based philanthropy has gained momentum as a strategy to alleviate inherent power imbalances between funders, nonprofits, and the communities they serve. The cornerstone of the approach is a set of grantmaking practices, such as multiyear unrestricted funding and streamlined paperwork, that support nonprofit self-determination toward achieving impact goals.

At a deeper level, trust-based philanthropy is driven by core values that position funders as collaborators and supporters working alongside nonprofits to advance a more just and equitable society. This requires a radically different stance on accountability from conventional philanthropic norms. Rather than reinforcing a sense of one-way transactional accountability, …

Tfr 16.2 Full Issue

The Foundation Review

No abstract provided.

Executive Summaries

The Foundation Review

No abstract provided.

A Philanthropic Theory Of Systems Transformation For Advancing Equity In The Polycrisis, Michael Quinn Patton, Ruth Richardson

The Foundation Review

The term “polycrisis” calls attention to overlapping, mutually reinforcing, and potentially disastrous trends and crises that are interconnected, like climate change, increasing global inequities, widespread disinformation, pandemic dangers, the ravages of war, and pollution of land, air, and water. Vulnerable and marginalized populations are most directly affected by the intensifying problems that are manifested in the polycrisis.

This article, on the occasion of the 15th anniversary of The Foundation Review, invites readers to ponder the risks posed by the polycrisis and how philanthropy might look beyond business as usual to respond to those risks. We review the evolution of philanthropic …

What Practices For Shifting Power Are Core To Advancing Racial Equity?, Kantahyanee W. Murray, Ji Won Shon, Ashley Barnes, Natalia Ibanez, Karuna Sridharan Chibber, Janelle Armstrong-Brown, Elvis Fraser

The Foundation Review

Power-shifting approaches are increasingly being recognized as practical solutions funders can employ to amplify the voice and agency of grant partners and communities, especially those historically under-resourced and marginalized.

Informed by a literature review and interviews with funders, grant partners, and thought leaders, this article describes four common practices for shifting power to advance equity: embed a racial equity lens into the process to shift power; demonstrate a genuine commitment to communities; give grant partners the power to define success; and embrace an internal systems change orientation.

This article explores the capabilities, mindsets, policies, skills, and resource considerations needed for …

Editorial, Hanh Cao Yu

The Foundation Review

No abstract provided.

Advocacy And Bridging Strategies Are Failing On Their Own. Multifaith Nonprofits Embody Six Solutions For A Pluralistic Democracy, Allison K. Ralph

The Foundation Review

This article clarifies a strategic dilemma between bridging difference or advocacy strategies for funders and their grantees seeking social change in the context of polarization, putting it in conversation with social science research on intergroup contact theory, on which bridging strategies are based, and advocacy. Based on a set of interviews and surveys, this article explores how multifaith organizations embody strategies that navigate the contact/advocacy divide.

This article posits that multifaith organizations — those intentionally formed of people or institutions with different faith identities — embody six practices that avoid the false dichotomy of bridging and advocacy strategies: “dual identity” …

Seeding Impact: Shifting From Orchestration To Emergence, Marilyn Darling, Veena Pankaj

The Foundation Review

The 2016 Foundation Review article “Emergent Learning: A Framework for Whole-System Strategy, Learning and Adaptation” talked about what an emergent strategy promises — to create a whole that is greater than the sum of its parts. Has this prediction played out in practice? Since it appeared in 2016, what has the growing community of Emergent Learning practitioners learned about what it takes to seed and grow impact?

This article addresses those questions, drawing on interviews with Emergent Learning Community members to illustrate what EL looks like in practice and how it is producing results that are emergent in nature. It …

Strategy For Now, Jara Dean-Coffey, Jill Casey

The Foundation Review

We are in a profound period of understanding who we are as a people, past and present. This applies to practices held as core to how society operates. If we are to thrive as a species, the present and future necessitate reimagining the structures, systems, and conventions that limit some and thus us all. This includes not defaulting to control, competition, and certainty as we navigate circumstances we created.

Amid growing desires to integrate and embody practices aligned with equity, emergence, and complexity, concepts and points of view that dominate business continue to lead conversations about strategy formation in philanthropy …

A Systems And Innovation Approach To Attune Grantmaking For Early Childhood To What Matters Most At The Point Of Service, Wally Patawaran

The Foundation Review

This article discusses how and why The JPB Foundation, a nationally focused private philanthropy in the United States, promoted multistakeholder innovations as it evolved its strategy for early childhood health equity. Through coordinated grantmaking, its cross-sector partnerships over the past decade shifted the science, clinical practice, and public discourse on early life stress.

Building on field learning and trusted relationships, JPB and its partners paved the way for a reimagined paradigm of care that brings ecosystem stakeholders together to overcome competing frictions inhibiting their mutual flourishing. Working collaboratively with grantees as their champion and thought partner, JPB formulated an agenda …

Enticing Institutions To Become More Inclusive And Responsive: Lessons From The Colorado Health Foundation’S Locally Focused Work, Douglas Easterling, Jehan Benton-Clark, Scott Downes, Phillip Chung

The Foundation Review

Equity-focused foundations have generally sought to change institutions, systems, and structures through advocacy, policy change, and community organizing — either on their own or by supporting activist organizations. This article examines an alternative philanthropic strategy: directly engaging and supporting the institutions that need to become more diverse, inclusive, and responsive to the communities they should be serving.

The Colorado Health Foundation has “enticed institutions” as one element of its Locally Focused Work effort, launched in four Colorado communities in 2017. With LFW, program officers actively seek to build supportive relationships with a wide range of community-based organizations and actors who …

Front And Back Matter

The Foundation Review

No abstract provided.

The Weight Of Power: Reframing Evaluation In Philanthropy To Amplify The Voices Of Communities Of Color, Martena Reed, Blanca Flor Guillen-Woods, Kantahyanee W. Murray, Dabney Brice, Ashley Barnes, Liza Mueller

The Foundation Review

Philanthropy’s current structure and practices perpetuate a relationship with nonprofits led by people of color that can keep foundations removed from the work and keep these nonprofits fighting to stay effective and sustainable. When equitable and responsive strategies to support grant partners are implemented, however, relationships and power begin to shift.

This article explores the complexities of philanthropy’s relationship with POC-led nonprofit and grassroots organizations as mediated by evaluation and reporting practices. By critically analyzing these practices and power dynamics within philanthropy, it aims to uncover the root causes of disparities and establish a basis for creating pathways toward greater …

Resourcing Transformational Strategies: How Funding With The Right Timescales, Places, And Relationships Can Advance Multiracial Feminist Democracy, Lauren Jacobs, Elly Matsumura, Rachel Rosner, Eric Wat

The Foundation Review

This article explores how philanthropy can support movement organizations and networks organizing for long-term power building that transforms who holds governing power. PowerSwitch Action, a network of influential regional advocacy and organizing groups in the U.S., draws on a recent evaluation that laid out key elements of its approach to the work to share learnings in hopes that they will benefit both other movement organizations and the philanthropic sector that provides critical backing to the field.

Specifically, the article identifies three recommendations for funders: 1) support long-term efforts to shift governing power rather than expecting quick victories; 2 recognize how …

The Role Of Policy Entrepreneurs In Understanding Oral Health Care Policy: A Case Study Approach Analyzing Multiple Streams Framework In Nc Oral Health Policy, Lori Gordon Hendrick

School of Public Service Theses & Dissertations

The United States Surgeon General has defined oral diseases as a “silent epidemic” that affects the most vulnerable citizens. More often, this includes those from low socio-economic backgrounds, children, elderly, and many members of ethnic minority groups. Although preventative and treatment modalities have improved over the past fifty years, some Americans continue to have little to no access to educational and preventative programs. The lack of access to dental care for all ages and oral health care literacy remains one of the largest health concerns for American citizens making it a “wicked problem”. Historically, raising Medicaid enrollment has failed to …

تفعيل تطبيق تقنيات المحاسبة القضائية للتخلص من ممارسات الاحتيال المحاسبي في الدوائر الحكومية, ميثم نعمة عبيد

Muthanna Journal of Administrative and Economics Sciences

يسعى البحث الى تحقيق هدفه في تسليط الضوء على تقنيات المحاسبة القضائية للحد من ممارسات الاحتيال المحاسبي الحاصلة في الوحدات الحكومية العراقية، اذ تتمثل مشكلة البحث في ضعف نظام الرقابة المطبق في تلك الوحدات وعدم قدرته في الكشف عن حالات التلاعب والاحتيال سواء في الجانب المالي او الإداري واستند البحث على فرضيتين رئيسيتين لقياس علاقة الارتباط والتأثير بين تطبيق تقنيات المحاسبة القضائية الحد من عمليات الاحتيال المحاسبي. وتم اثبات صحة الفرضيات عن طريق نتائج التحليلات الإحصائية لإجابات عينة البحث بالاعتماد على استمارة الاستبيان التي خصصت لهذا الغرض اذ تم جمع وتحليل بيانات الاستقصاء لآراء عينة من الموظفين والأكاديميين ذوي الاختصاص …

العلاقة بين المساءلة المدركة والقلق في مكان العمل: الدور التفاعلي للتمكين النفسي, علي عصام لطيف, عدنان رحيم نور, علي عبد الرزاق لفته

Muthanna Journal of Administrative and Economics Sciences

تهدف الدراسة الحالية الى اختبار العلاقة بين المساءلة المدركة والقلق في مكان العمل من خلال الدور التفاعلي للتمكين النفسي، إذ حاولت تقديم إطار نظري لأهم ما عرضه الكتاب والباحثون حول متغيرات الدراسة، إلى جانب إطار عملي تحليلي لآراء (131) من العاملين في مصرف الرشيد فرع الديوانية. وقد تم التعبير عن المساءلة المدركة بوصفها متغيراً مستقلاً احادي البعد، فيما تم التعبير عن التمكين النفسي بوصفه متغيراً تفاعلياً يضم أربعة أبعاد هي (معنى العمل، المقدرة، الاستقلالية، والتأثير)٬ في حين تم التعبير عن القلق في مكان العمل بعِّده متغيراً معتمداً احادي البعد. واعتمد الباحث الاستبانة أداة رئيسة لقياس متغيرات الدراسة والتي تتكون من …

العقل الاستراتيجي ودوره في تلبية متطلبات الجامعة الذكية: دراسة استطلاعية لآراء عينة من القيادات الإدارية في الجامعة التقنية الشمالية, محمد حيدر علي, شهاب محمد محمود, عدنان مصطفى السنجاري

Muthanna Journal of Administrative and Economics Sciences

يهدف البحث الى تحديد دور العقل الاستراتيجي في توفير متطلبات الجامعة الذكية، وبيان امكانية تعزيز قدرات التفكير النظمي المنهجي وقدرة إعادة الصياغة وقدرة الانعكاس في الجامعة التقنية الشمالية لتوفير المتطلبات الضرورية للتحول الى الجامعة الذكية، وتمثلت المشكلة الرئيسة للبحث حول كيفية توفير متطلبات التحول نحو جامعة ذكية عصرية ودور العقل الاستراتيجي في توفير واستدامة وتطوير الرؤية الاستراتيجية التقنية والبنية التحتية التعليمية ودعم المورد البشري ليصبح مؤهلاً تقنياً بما يؤدي الى تعزيز البيئة التعليمية الذكية، لذا عمد الباحثون الى الجامعة التقنية الشمالية بوصفها ميداناً لدراستهم، وتمّ اختيار القيادات الإدارية العاملة فيها بوصفهم مجتمعاً للدراسة، وقد استعان الباحثون في دراستهم بعينة من …

دور ديمقراطية العمل في تعزيز القيمة التنظيمية لدى الأفراد العاملين في ديوان مديرية تربية المثنى, زينة فالح حميد, عباس عبد الخضر عبد الله

Muthanna Journal of Administrative and Economics Sciences

هدف البحث لتعزيز القيمة التنظيمية لدى الافراد داخل مكان العمل من خلال تعميم مفهوم ديمقراطية العمل داخل بيئة العمل وخلق بيئة مريحة يعملون فيها ويشعرون بحرية التعبير, وقد تمثلت مشكلة البحث بعدم قدرة المنظمات فى تحديد القيم التنظيمية واولوياتها او الجمع بينها, حيث اجري البحث في ديوان مديرية تربية المثنى وتألفت عينة البحث من مجموعة من رؤساء الاقسام والموظفين، وقد بلغ عدد العينة المستجيبة (120) موظف خلال العام 2023، وافترض البحث ان الديمقراطية العمل تؤثر على القيم التنظيمية لدى الافراد العاملين, واشتق من هذه الفرضية فرضيات فرعية اخرى تختبر مدى تاثير ابعاد الديمقراطية (حق التصويت, الاجراءات القانونية, المفاوضات الجماعية) على …