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Futurism: Rewiring the Human Service Sector to Become a Responsive Whole

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Over the last decade or so, the human service sector in the U.S. has started down the road toward an extraordinary transformation.

Here the doubtful or desperate reader may retort: Yes, it’s started down the road toward losing its funding. Fair enough; austerity is everywhere and it’s not clear whether, when or how that might change.

But looking toward a farther horizon, a more hopeful transformation becomes visible too. There’s nothing dramatic about it. Progress is happening in quiet fits and starts. It’s coming together without a guiding hand. And the drivers are separate movements that only occasionally notice each other’s existence.

What’s happening might be imagined as a wiring project: autonomous organizations are becoming wired together by shared information. But that image, borrowed from electronics, isn’t enough. When information is shared quickly enough and intensively enough, coordinated behavior can emerge in an almost biological way. Eventually, the human service sector could begin to behave almost as though it were a single organism. It could become routinely able to respond quickly, and with collective intelligence, to significant events—whether at the level of an individual client’s crisis or an emerging social problem.

That may seem fanciful. It certainly crosses into the realm of futuristic speculation. But at least three major trends can be observed today that are leading the sector in that direction.

The first is the rise of data interoperability. A few years ago the National Information Exchange Model (NIEM) began to develop standards so that human service agencies can easily build automated exchanges of data between their information systems. As a result, it’s now cheaper and more feasible to wire together, say, a family court and a county child welfare agency. A child’s service plan is instantly transmitted to the court, and the court’s approval (or otherwise) is transmitted back to the child welfare agency. The NIEM tools can be deployed wherever organizations agree that they have a business process in common that they want to streamline electronically.

How will data interoperability change the way agencies do their work? Most obviously, it makes communication faster. But the impact isn’t merely to speed up the work that agencies have always done. More agile communication tends to improve the quality of decision-making. And as multiple agencies become accustomed to communicating more quickly and in more depth, agency leaders are more likely to discover ways of reengineering the way they work together. That will lead, also, to subtle shifts in how people think about the borders of their agencies’ work. Formerly isolated silos will be connected—not only through shared data but also in the minds of the people who operate them.

The second trend is the push toward common performance measures. Since the 1990s, public and nonprofit programs have been under pressure to report measures that will show how well they’re fulfilling their missions. Now there’s a growing notion that there ought to be, for each specific type of program, a common set of measures. Already, funding agencies that pay multiple programs to do the same kind of work usually require all of them to report similar data. The next step will be to coordinate decisions about measures across multiple funders. There are plenty of efforts to pinpoint what the measures should be. (The Urban Institute’s Outcome Indicators Project, for example, suggests measures to be used by transitional housing, employment training and prisoner re-entry program, among others.) Eventually, that kind of coordination will lead to online platforms that allow stakeholders to compare the work and results of multiple organizations and programs. That’s already a reality in the world of arts and cultural organizations, where common measures are collected and distributed by the Pew Cultural Data Project. For the human services, it’s happening more slowly. Right now it’s easy to look up estimates of homelessness, or outcomes in child welfare cases at the level of states or cities; and other federal programs offer similar reports. As the thirst for information increases, it’s only a matter of time before platforms emerge that will offer more finely grained indicators.

As human service programs become empirically comparable, that fact will invisibly wire them together. The connection will happen through the awareness of all the people who will be able to look at a panorama of programs in comparison with each other. When executives can easily compare other programs’ numbers to their own, that will influence their decision-making. Ready access to common measures will guide funders and new program planners. Statistics on outputs, outcomes, costs and quality will no longer languish in obscure internal reports—they’ll be out in the world affecting the actions of a broad range of human service stakeholders.

And the third trend is open civic data. It’s the idea that data collected and maintained by the government is of potential use to civil society; if it doesn’t compromise individuals’ privacy or national security, then it ought to be open to the public. As more and more public data becomes available, common human service performance measures will get mashed up with economic, ecological, public health and criminal justice statistics. Those mash-ups will give stakeholders a more textured understanding of the interplay of factors that impact human service efforts. They’ll help program managers to fine-tune their interventions. And they’ll allow planners to identify emerging needs. Of course, researchers have always sought out this kind of information. Right now, though, that’s laborious and costly. As the ecosystem of available data grows, it will become easier, cheaper and therefore more commonplace.

These three trends come from very different origins. The idea of common performance measures was born out of the frustration of funders who felt that they were often flying blind. The National Information Exchange Model arose out of justice agencies’ need to exchange information. And the open civic data movement is related, by ethos, to the ideas of open source software and open copyright licenses. Each one is mostly talked about within its own circle of constituents, and the areas of overlap are only beginning to be explored. All of them, though, are pushing the human service sector toward coalescing into a more responsive whole.

And one more thing they have in common: none of these trends is really about technology innovation per se. This is a different kind of innovation. It’s the creation of new kinds of conversation in the human service sector: a conversation about common uses of data; a conversation about collective choices for structuring data; and—the hardest part—a conversation about defining the common meaning behind the data.

—Derek Coursen

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8 Comments on “Futurism: Rewiring the Human Service Sector to Become a Responsive Whole”

  1. Dick Schoech says:

    Derek

    Good article and links. I agree that interoperability is coming, but the incentives for it are very weak currently. The implications for human service practice are huge.

    For those wanting more information on human service interoperability, see the Journal of Technology in Human Services: The Evolution of Worker Connect: A Case Study of a System of Systems by Isidore Sobkowski and Roy S. Freedman in Vol 31/2 (2013) and Interoperability and the Future of Human Services by Dick Schoech, Vol 28 (1-2) 2010.

    Dick Schoech

    • Thanks, Dick. You’re right, the incentives are still very weak. I think the eventual success of interoperability largely depends on changing expectations. Over the last decade people have increasingly come to expect simple government transactions to be offered via the web. In the same way, as initial successes become better known, stakeholders at various levels will begin to expect agencies to work on wiring themselves together more tightly. Derek

  2. Mike Abels says:

    In an era of complex interoperability new leadership will have to emerge. For disparate organizations to operate as single organisms leaders will be required to ignore organizational boundaries; allocating resources and establish accountability within a system vs the organization. Operational effectiveness will see leaders “going back to the future” and following what in the 1920s Mary Parker Follett called integrative decision making.

  3. drrwebber says:

    On the technology front this is all very attainable. What I see is an adoption gap. Getting people to actually commit to using what is there. This is NOT a huge cost and resource hurdle; we are talking lightweight and self-sustaining here. The three solutions we have illustrating this—pharmacies, shelters and farmers markets—all use the same open source, open platform infrastructure that can be hosted easily (see http://www.verifyXML.org) and loading data into these to seed the initial deployment is quick and straightforward.

    Having solid trackable data is key to then being able to report and compare to enable effective management and resources to be applied.

    Any takers to seriously go for this in 2014, instead of talking but not following through?

  4. […] operate in concert, as though they were parts within a single whole. Making that happen will mean rewiring the sector to share more information across organizational borders. That, in turn, depends on developing […]

  5. […] operate in concert, as though they were parts within a single whole. Making that happen will mean rewiring the sector to share more information across organizational borders. That, in turn, depends on developing […]

  6. Daniel says:

    When procuring organizations actually value Organizational Change Management there will be more hope of accelerating Interoperability and achieving successful outcomes. I believe that it is unusual for projects to include any more than 1.00% of the total budget for OCM. (Not technical change management, I mean the people change mgmt stuff). I am not sure we need more money in the system, just a slightly different allocation of the $50-$100 million IT budgets going to build new E&E, MMIS, child support or SACWIS systems.


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