Route to Success:Route to Success: What are the keys to What are the keys to

creating system creating system change?change?

2006 NACDD Conference2006 NACDD ConferencePittsburgh, PAPittsburgh, PA

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

Involves “making changes in the way Involves “making changes in the way major parts of community service major parts of community service systems…are linked together and systems…are linked together and how they function.”* how they function.”*

Focuses on goals or outcomesFocuses on goals or outcomes Is usually a result of small steps over Is usually a result of small steps over

timetime Typically has a dedicated group of Typically has a dedicated group of

advocates or an individual champion advocates or an individual champion Sees individual advocacy as essentialSees individual advocacy as essential

*Center for Civic Partnerships, 2001.*Center for Civic Partnerships, 2001.

Project PartnersProject Partners

Human Services Research InstituteHuman Services Research Institute– Sarah Taub: Sarah Taub: staub@hsri.orgstaub@hsri.org

Temple University Institute on Temple University Institute on Disabilities/UCEDDDisabilities/UCEDD– Celia Feinstein: Celia Feinstein: shoes100@temple.edushoes100@temple.edu

Route to SuccessRoute to Success Project Goals Project Goals

Identify a set of indicators of system Identify a set of indicators of system changechange

Identify strategies used to make Identify strategies used to make system change happensystem change happen

Describe the extent to which system Describe the extent to which system change has occurred in the areas of change has occurred in the areas of transportation and housingtransportation and housing

Describe the DD Council’s role in Describe the DD Council’s role in system change system change

So far, we’ve…So far, we’ve…

Interviewed people in transportation Interviewed people in transportation and housingand housing

Generated a set of indicators of Generated a set of indicators of system changesystem change

Organized the indicators using a Organized the indicators using a framework based on the work of framework based on the work of Richmond & KingdonRichmond & Kingdon

Draft Model of System Change*Draft Model of System Change*

*Adapted from Richmond, J.B. & Kotelchuck, M. *Adapted from Richmond, J.B. & Kotelchuck, M. “Political Influences: Rethinking National “Political Influences: Rethinking National Health Policy.”Health Policy.” Handbook of Health Professions Education. Handbook of Health Professions Education.

Improve Knowledg

e Base

Create Political

Will

Use Clear Social

Strategies

System Change

Improve the Knowledge BaseImprove the Knowledge Base What are the problems, trends, unmet What are the problems, trends, unmet

needs? What are potential solutions and needs? What are potential solutions and current best practices used to address current best practices used to address the problem?the problem?

Specific strategies: Specific strategies: – Conduct an assessment to collect data Conduct an assessment to collect data

about transportation access issuesabout transportation access issues– Sponsor local cross-disability work groupsSponsor local cross-disability work groups– Organize a statewide summit Organize a statewide summit

Use Clear Social StrategiesUse Clear Social Strategies

Establish clear goals and methods Establish clear goals and methods for achieving them. Identify key for achieving them. Identify key players. Analyze constraints. players. Analyze constraints. Articulate responsibilities. Evaluate Articulate responsibilities. Evaluate results. Celebrate success.results. Celebrate success.

Specific strategies:Specific strategies:– Relentless advocacy effortsRelentless advocacy efforts– Publicize and celebrate successesPublicize and celebrate successes

Create Political WillCreate Political Will Who cares about the problem? How does Who cares about the problem? How does

it relate to other problems? Is there an it relate to other problems? Is there an existing constituency? Is there work existing constituency? Is there work already to be built upon? Does it appear already to be built upon? Does it appear too complex? Is there a sense of too complex? Is there a sense of urgency?urgency?

Specific strategies:Specific strategies:– Seek out and develop political championsSeek out and develop political champions– Recognize existing resources and build on Recognize existing resources and build on

themthem

Other ConsiderationsOther Considerations LeadershipLeadership

– “ “Policy entrepreneurs”* – rated as very Policy entrepreneurs”* – rated as very or somewhat important in 15 out of 23 or somewhat important in 15 out of 23 case studies of critical factors in policy case studies of critical factors in policy changechange

– Key to sustainable changeKey to sustainable change ““Magical” eventsMagical” events

– Unpredictable, accidentalUnpredictable, accidental– Be prepared and ready to seize Be prepared and ready to seize

opportunitiesopportunities

*Kingdon, J.W. (2003). Agendas, Alternatives, and Public Policies.*Kingdon, J.W. (2003). Agendas, Alternatives, and Public Policies.

COUNCIL COUNCIL MISSIONMISSION

CREATE CREATE KNOWLEDGE KNOWLEDGE

BASEBASE

SELECT SELECT SOCIAL SOCIAL

STRATEGIESSTRATEGIES

FIND FIND POLITICAL POLITICAL

WILLWILL

Support people with Support people with disabilities in taking disabilities in taking control of their own control of their own liveslives

Ensure access to Ensure access to goods, services and goods, services and supportssupports

Build inclusive Build inclusive communitiescommunities

Pursue a cross Pursue a cross disability agendadisability agenda

Change negative Change negative societal attitudes societal attitudes toward people with toward people with disabilitiesdisabilities

Change Strategies - Change Strategies - TransportationTransportation

COUNCIL COUNCIL MISSIONMISSION

CREATE CREATE KNOWLEDGE KNOWLEDGE

BASEBASE

SELECT SELECT SOCIAL SOCIAL

STRATEGIESSTRATEGIES

FIND FIND POLITICAL POLITICAL

WILLWILL

““Magical” Magical” EventsEvents

Policy Policy EntrepreneursEntrepreneurs

Ensure Ensure access to access to goods, goods, services services and and supportssupports

Conducted Conducted assessment of assessment of transportation transportation needsneeds

Collecting Collecting statisticsstatistics

Built trust Built trust among among advocatesadvocates

Celebrating Celebrating SuccessSuccess

DOT and DOT and utility utility commission commission buy-inbuy-in

Transp.Transp.Audit Audit

Rolling Rolling Justice Justice 20002000

Sen. Rhodes - Sen. Rhodes - champion for champion for Shared Ride Shared Ride for 10 yearsfor 10 years

Potential Uses of the ModelPotential Uses of the Model

Evaluate past or current strategies Evaluate past or current strategies used by the organization as a whole – used by the organization as a whole – are there any gaps?are there any gaps?

Promote the use of a variety of Promote the use of a variety of strategies by individual projects to strategies by individual projects to achieve successachieve success

Facilitate the development of project Facilitate the development of project goals, logic models, and evaluation goals, logic models, and evaluation plansplans

Route to SuccessRoute to Success – next steps – next steps

Identify two Council funded projectsIdentify two Council funded projects Work directly with them to apply the Work directly with them to apply the

framework and monitor system framework and monitor system change change

Report back to the Council about the Report back to the Council about the effect of our TA and any system effect of our TA and any system change that resultschange that results

Two projects selected will have…Two projects selected will have… System change identified as a System change identified as a

component of its work or as an component of its work or as an outcome or goaloutcome or goal

An interest in trying out the draft An interest in trying out the draft framework with the various framework with the various components of its project components of its project

A willingness to work with project A willingness to work with project staff to monitor activities and to staff to monitor activities and to give feedback about progressgive feedback about progress

Representation from different Representation from different committees on the Council committees on the Council