Building Stronger Nonprofits Through Better Financial Management: Early Efforts in 26 Youth-Serving Organizations

Outlines the Financial Management in Out-of-School Time initiative to improve nonprofits' long-term financial management capacity and reform funding practices that weaken it, challenges participating nonprofits faced, progress to date, and early lessons

Building Stronger Nonprofits Through Better Financial Management

The Wallace Foundation's four-year Strengthening Financial Management in Out-of-School Time initiative(SFM) was designed to improve the financial management systems of 26 well-respected Chicago nonprofits that provide out-of-school-time (OST) services. SFM grew out of the Foundation's longstanding commitment to improving the quality of services for youth during nonschool hours and the realization that even successful nonprofits face financial management challenges that have an impact on their ability to achieve their missions. To address these challenges, the initiative is working to reform public and private funding practices that strain OST organizations' financial management capacity and providing participating organizations with financial management training and peer networking opportunities (using one of two models that vary in intensity and in the balance of individual vs. group-based training and support)

Achieving the Potential of Health Care Performance Measures: Timely Analysis of Immediate Health Policy issues

The United States is on the cusp of a new era, with greater demand for performance information, greater data availability, and a greater willingness to integrate performance information into public policy. This era has immense promise to deliver a learning health care system that encourages collaborative improvements in systems-based care, improves accountability, helps consumers make important choices, and improves quality at an acceptable cost. However, to curtail the possibility of unintended adverse consequences, it is important that we invest in developing sound measures, understand quality measures' strengths and limitations, study the science of quality measurement, and reduce inaccurate inferences about provider performance

Semi-Annual Report to Congress for the Period of April 1, 2009 to September 30, 2009

[Excerpt] I am pleased to submit this Semiannual Report to Congress, which highlights the most significant activities and accomplishments of the U.S. Department of Labor, Office of Inspector General (DOL-OIG), for the six-month period ending September 30, 2009. During this reporting period, our investigative work led to 214 indictments, 221 convictions, and $123.1 million in monetary accomplishments. In addition, we issued 22 audit and other reports. OIG audits and investigations continue to assess the effectiveness, efficiency, economy, and integrity of DOL’s programs and operations. We also continue to investigate labor racketeering and/or organized crime influence against unions, employee benefit plans, and workers. From an audit perspective, the OIG is highly engaged in ensuring the integrity of DOL activities related to the American Recovery and Reinvestment Act of 2009 (Recovery Act) funding. During this reporting period, we issued five reports to that end. Among our findings are that DOL implemented procedures for the accounting of Recovery Act financial activity, acted quickly to implement the premium-assistance provisions for workers who temporarily maintain their health insurance at group rates after losing their jobs, and effectively implemented the temporary program for additional unemployment compensation for eligible recipients. We also identified areas for improvement related to financial and performance reporting and programmatic coordination with states. An audit found shortcomings with DOL’s new iCert system, which is designed to identify inaccuracies in H-1B labor condition applications (LCAs) for foreign workers. We found that, because of missing electronic checks, manual reviews of the LCAs by analysts are necessary. However, increases in the volume of applications may result in analysts not being able to perform a 100 percent review. This increases the risk of LCAs being improperly certified. Our audits also continue to reveal that some Job Corps centers do not comply with requirements for reporting performance for student attendance and accountability. We also found that, at three centers, a contractor had not ensured compliance with procedures to address student misconduct. An audit of the handling of injured Federal employees’ reemployment status at two Federal workers’ compensation district offices found that the Department did not ensure that consistent intervention actions were taken toward removing cases from the periodic roll. This increased the risk of claimants continuing to receive full Federal Employee’s Compensation Act benefits after they were able to return to work or after their compensation could have been reduced. Our investigations continue to combat organized crime and/or labor racketeering involving the monies in union- sponsored benefit plans, internal union corruption, and labor-management relations. A major OIG investigation disclosed more than 30 years of organized crime control of the International Longshoremen’s Association Local 1235, which represents port workers in New Jersey. In another investigation, the business manager for the Electrical Workers Local Union No. 3, who was a former New York State assemblyman, was sentenced to 10 years’ imprisonment on racketeering, bank fraud, and false statement charges involving a number of schemes carried out for personal gain. OIG investigations also identified vulnerabilities and fraud in DOL programs, such as the foreign labor certification (FLC) program. One OIG investigation led to the recent sentencing of Viktar Krus and his co-conspirators to various periods of incarceration for fraudulently obtaining visas for more than 3,800 foreign nationals and defrauding the government of$7.4 million in payroll taxes. Because of our investigative expertise, the OIG is a member of the International Organized Crime (IOC) strategy headed by the U.S. Attorney General. The IOC is committed to combating crime by international organized groups. Finally, I would like to express my sincere gratitude to former DOL Inspector General Gordon S. Heddell, who is now serving as the Inspector General at the U.S. Department of Defense. During his leadership of more than eight years, the DOL-OIG consistently achieved significant results similar to those presented in this report. As Acting Inspector General, I look forward to continuing to work with the Secretary of Labor and her management team in ensuring the effectiveness of DOL in delivering services and protecting the rights and benefits of American workers and retirees

Working Paper: Measuring Job Creation in Private Sector Development

The Donor Committee for Enterprise Development (DCED) Standard offers a best practice by outlining the key elements for practically and credibly estimating the results of Private Sector Development programmes, in a process which can be managed by programmes internally. It involves a few common impact indicators to ensure that donors will be able to add up their results across country programmes. The Standard is being piloted on a multi-agency basis; the DCED invites new programmes to join in adopting the approach

Improve Intra-Operative Nurse-to-Nurse Communication Using a Safety Checklist

Poor and inadequate handoff, or transfer of care of the surgical patient care from the primary to the relief operating room registered nurse circulators, can result in irreversible patient harm, or sentinel events, such as retained foreign items. In this study, Rogers\u27 diffusion of innovation theory was the framework for implementing the handoff safety checklist. Also, Donabedian\u27s structure process and outcome was the model to investigate the feasibility, acceptability, and improvement in the quality of patient handoff communication and improvement of nurse satisfaction over time. Nineteen-statement surveys, conducted at multiple timeframes, were completed by volunteer operating room nurse participants. In comparison, outcomes of the pre-intervention and post-intervention surveys illustrated significance in the quality of nurse communication and satisfaction of the handoff safety checklist. The value of standardized handoff safety checklists is evident in the study. However, further research of handoff safety checklists in the intraoperative arena is warranted

Reporting on Pathways to Health Insurance Coverage: California's Experience

The Affordable Care Act opened new and expanded pathways to public health insurance coverage. Since 2014, many states have broadened their eligibility criteria for Medicaid, and have introduced new access points for Medicaid enrollment. During this time, publicly subsidized health insurance coverage also became available through state health insurance exchanges and through the federal health insurance marketplace. Recognizing there is a great deal to learn about who applies for and obtains these types of public coverage, the federal government and some states have established new data reporting efforts on how people use both new and existing pathways to health insurance coverage. In 2014 and 2015, Mathematica Policy Research supported the launch of such a reporting effort in California, with funding from the California Health Care Foundation. In this brief, we describe California's experience in reporting on applications, eligibility determinations, enrollments and coverage renewals for public insurance, highlight some of the practical implications of California's first few reports, and offer lessons for other states that are launching comparable reporting efforts. Key Findings: The open enrollment period drives enrollment growth for both qualified health plans and Medi-Cal, even though Medi-Cal enrollment remains open year-round. Insurance coverage was more stable over time than expected. During the second open enrollment period, 92 percent of individuals enrolled in qualified health plans in California renewed their coverage from the previous year. During that same period about 80 percent of Medi-Cal beneficiaries remained eligible for coverage. California's experience with reporting on public insurance coverage suggests that significant effort is needed to carefully define measures, produce data that are meaningful to multiple audiences, and communicate findings clearly. Public data reporting can be a powerful tool for advancing transparency and identifying areas for improvement. State officials in California now have an opportunity to examine local variation in application and enrollment measures to identify policy or process differences that might be driving different outcomes across the state

Bolstering State Efforts to Implement the National HIV/AIDS Strategy: Key Indicators and Recommendations for Policymakers and Community Stakeholders

The report builds upon the Centers for Disease Control and Prevention's (CDC) 2014 "State Prevention Progress Report," which provided state-level data on indicators related to national HIV prevention goals. The release of the report coincides with the release by the White House Office of National AIDS Policy of the National HIV/AIDS Strategy Update, which sets priorities to guide the nation's HIV response through 2020. While significant progress has been made since the release of the National HIV/AIDS Strategy in 2010, the report indicates that states can, and should, do more to align their efforts with the national goals of 1) reducing new infections; 2) increasing access to care and improving health outcomes for people with HIV; and 3) reducing HIV-related health disparities

Options for basing Dietary Reference Intakes (DRIs) on chronic disease endpoints: report from a joint US-/Canadian-sponsored working group.

Dietary Reference Intakes (DRIs) are used in Canada and the United States in planning and assessing diets of apparently healthy individuals and population groups. The approaches used to establish DRIs on the basis of classical nutrient deficiencies and/or toxicities have worked well. However, it has proved to be more challenging to base DRI values on chronic disease endpoints; deviations from the traditional framework were often required, and in some cases, DRI values were not established for intakes that affected chronic disease outcomes despite evidence that supported a relation. The increasing proportions of elderly citizens, the growing prevalence of chronic diseases, and the persistently high prevalence of overweight and obesity, which predispose to chronic disease, highlight the importance of understanding the impact of nutrition on chronic disease prevention and control. A multidisciplinary working group sponsored by the Canadian and US government DRI steering committees met from November 2014 to April 2016 to identify options for addressing key scientific challenges encountered in the use of chronic disease endpoints to establish reference values. The working group focused on 3 key questions: 1) What are the important evidentiary challenges for selecting and using chronic disease endpoints in future DRI reviews, 2) what intake-response models can future DRI committees consider when using chronic disease endpoints, and 3) what are the arguments for and against continuing to include chronic disease endpoints in future DRI reviews? This report outlines the range of options identified by the working group for answering these key questions, as well as the strengths and weaknesses of each option

Health Challenges for the People of New Orleans: The Kaiser Post-Katrina Baseline Survey

Presents detailed findings from a household survey of Greater New Orleans area residents conducted in Fall 2006. Examines the health care status of residents and their access to health care services after the Hurricane Katrina disaster