The Accountable Juggler

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Format: Paperback
Pub. Date: 2002-03-01
Publisher(s): Cq Pr
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Summary

PUBLIC AFFAIRS AND POLICY ADMINISTRATION SERIES Edited by Donald KettlHow should a manager handle different accountability expectations? While a commonplace term in government lexicon, accountability has escaped precise definition, leaving managers at a disadvantage when trying to monitor the performance of their programs.Including more than 300 programs, over 60,000 employees, and a budget of over $400 billion, the U.S. Department of Health and Human Services is an ideal canvas for starkly illustrating competing accountability demands. With a bird's-eye view of the agency's inner workings, Radin tackles big issues such as strategies of centralization and decentralization, coordination with states and localities, leadership, and program design, while using the apt analogy of a juggler to show how managers must keep in the air disparate demands and developments.

Author Biography

Beryl A. Radin is professor of government and public administration at the University of Baltimore. An elected member of the National Academy of Public Administration, she is also the managing editor of the Journal of Public Administration Research and Theory. She served as a special adviser and consultant to the assistant secretary for management and budget at HHS. She has written a number of books and articles on public policy and public management issues and is the recipient of the 2002 Donald Stone Award, given by the American Society for Public Administration's Section on Intergovernmental Relations and Management to recognize a scholar's distinguished record

Table of Contents

Foreword ix
Donna E. Shalala
Preface xi
Annotated List of Abbreviations and Terms xiii
Introduction
1(9)
An HHS Primer
6(2)
This Book
8(1)
Notes
9(1)
Thinking About Accountability
10(17)
Accountability in the U.S. Context
11(1)
Traditional Approaches to Accountability
12(4)
Reaching for a Broader Definition of Accountability
16(4)
Contemporary Demands on Accountability
20(2)
Thinking About Accountability as a Juggling Process
22(3)
Notes
25(2)
Can Anybody Manage This Organization? The HHS Case
27(14)
HHS/HEW History: Strategic Choices
28(3)
An Internal Centralization Strategy
31(4)
The HHS Portfolio Circa 2001: The Pieces in the Portfolio
35(4)
Conclusion
39(1)
Notes
39(2)
Accountability and the Policy Lens
41(18)
Types of Federal Aid
43(2)
Issues of Policy Design
45(4)
Multiple Strategies
49(1)
The Extent of the Federal Role
50(3)
A Collection of Separate Cultures
53(4)
Conclusion
57(1)
Notes
57(2)
Accountability and the Politics Lens
59(29)
Dealing with Interest Groups and Constituencies
62(8)
Congressional Expectations and Roles
70(9)
Politics and the White House
79(5)
Conclusion
84(1)
Notes
85(3)
Accountability and Management Processes
88(30)
Public/Private Differences
90(1)
The Context of the Management Responsibilities
91(2)
Managing HHS
93(5)
The Office of the Secretary
98(14)
Sources of Oversight
112(3)
Conclusion
115(1)
Notes
115(3)
Dealing with the Public
118(11)
HHS Staff Offices
120(4)
Advisory Committees
124(1)
The Department Tells Its Story
125(2)
Conclusion
127(1)
Notes
128(1)
Advice to a New HHS Secretary
129(9)
A Matter of Life and Death
131(1)
Controversy and Conflicting Values
132(1)
The Federal Government as Partner
133(1)
A Range of Well-Honed Professional Identities
134(1)
Fragmentation of Approaches
135(1)
Living in a Web of Accountability Expectations
136(1)
Notes
137(1)
Appendix 1. HHS Historical Highlights 138(2)
Appendix 2. Secretaries of HEW and HHS 140(1)
Appendix 3. HHS Regional Offices 141(1)
Appendix 4. The HHS Portfolio 142(10)
Suggestions for Further Reading 152(2)
Index 154

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