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7

American Public Human Services Association

INNOVATION IN ACTION

To generate solutions to challenging issues, creative agency leaders

in Milwaukee, Wisconsin have reached across programs, other county

departments, and even across sectors to collaborate and provide

a range of holistic services to improve practice delivery and impact

outcomes of its constituents. The county’s

Department of Health

and Human Services (DHHS)

and

Department of Aging (DOA)

have

worked together to provide effective and comprehensive services to

people with Alzheimer’s disease. DHHS made accessible to DOA a wide

range of life-sustaining and life-saving services provided by its divisions

of Management Services, Behavioral Health, Disabilities Services,

Housing, and Emergency Medical Services. The success of this system

transformation also rested on changes in legal process; enhanced family

and community education and engagement; and greater collaboration

with partners from medical and psychiatric hospitals to long-term care

facilities, home caregivers, first responders (fire, police and first aid

personnel), and the courts. As a result, preventable crises are averted,

support services are better utilized, cost savings are achieved from fewer

residential placements, and Milwaukee’s citizens enjoy a higher quality

of life. Juvenile Justice has also made significant strides in promoting

education and evidence based services that are centered on the family,

rather than the juvenile. By diverting youth from the state facilities, the

county has spent about $2.5 million less on juvenile corrections than it

did in 2010, and is producing young people who are ready to participate

more richly in community life.

For

Connecticut’s Department of Social Services (DSS

), navigating

a “perfect storm” of obsolete systems and mounting enrollment has

meant tapping a host of new technologies to bring the agency and

its 950,000 enrollees closer together. DSS’ multi-faceted service

modernization initiative—“ConneCT”—has resulted in such reforms

as online applications and hard copy document scanning, a toll-free

interactive voice-response line, and online client accounts that offer

24/7 access. Low-cost yet impactful marketing techniques were used

to build awareness of the ConneCT web services, including caseworker

voicemail scripts and email signatures. The initiative has increased

access for clients to the department and to the health, food, and many

other vital services DSS provides. The agency has now embarked on a

major effort to replace its 1980s-vintage eligibility management system

with a modern and fully integrated system through the Affordable Care

Act’s funding opportunities for states.

“The membership is very valuable to us”

– Tennessee