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Spring 2009 Edition BUSINESSOFGOVERNMENT.ORG SPRING 2009 The Business of Government 3 From the Editor’s Keyboard Smarter Governing in Challenging Times 5 Conversations with Leaders A Conversation with S. Ward Casscells, M.D. A Conversation with James Lockhart A Conversation with Kamal Bherwani 21 Profiles in Leadership Tom Allen Michael J. Astrue Tom Day Kay T. Ely Tom Allen Michael J. Astrue Kamal Bherwani Vice Admiral Robert B. Murrett Federal Accounting Standards Advisory Board U.S. Social Security Administration New York City’s Health and Human Services Vice Admiral Adam M. Robinson, Jr., M.D. 39 Forum:Transforming Healthcare through Collaboration, Innovation, and Technology Forum Introduction DoD and VA Partnership: Improving Healthcare through Shared Electronic Health Records Bringing Patient-Centered Medical Home to the U.S. Navy The Role and Use of Wireless Technology in the Management and Monitoring of Chronic Diseases S. Ward Casscells, M.D. Tom Day Kay Ely U.S. Department of Defense U.S. Postal Service U.S. Office of Personnel Management 58 Viewpoints Lions at the Gates of Government! Six Practical Steps to Improve Contracting 67 Management Government in 3D: How Public Leaders Can Draw on Virtual Worlds Strengthening Government’s Ability to Deal with the Financial Crisis Performance Management Recommendations for the New Administration Federated Human Resource Management in the Federal Government: The Intelligence Community Model James Lockhart VADM Robert B. Murrett VADM Adam M. Robinson, Jr., M.D. The Challenge of Contracting for Large Federal Housing Finance Agency National Geospatial-Intelligence Agency U.S. Navy Complex Projects: A Case Study of the Coast Guard’s Deepwater Program Transformation of the Department of Defense’s Business Systems 92 Research Abstracts 95 From the Executive Director Table of Contents From the Editor’s Keyboard Smarter Governing in Challenging Times By Albert Morales .....................................................................................3 Conversations with Leaders A Conversation with S. Ward Casscells, M.D., Assistant Secretary of Defense for Health Affairs, U.S. Department of Defense ..................... 5 A Conversation with James Lockhart Director of the Federal Housing Finance Agency ................................... 11 A Conversation with Kamal Bherwani, Chief Information Officer for New York City’s Health and Human Services and Executive Director of HHS-Connect ...................................................................... 16 Profiles in Leadership By Michael J. Keegan and Lauren Kronthal Tom Allen, Chairman Federal Accounting Standards Advisory Board ....................................... 21 Michael J. Astrue, Commissioner U.S. Social Security Administration ....................................................... 24 Tom Day, Senior Vice President, Intelligent Mail and Address Quality, U.S. Postal Service ...................................................... 27 Kay T. Ely, Associate Director, Human Resources Products & Services Division, U.S. Office of Personnel Management ...................... 30 Vice Admiral Robert B. Murrett, Director National Geospatial-Intelligence Agency ............................................... 33 Vice Admiral Adam M. Robinson, Jr., M.D., Surgeon General, U.S. Navy, and Chief, Bureau of Medicine and Surgery ........................ 36 Forum: Transforming Healthcare through Collaboration, Innovation, and Technology Forum Introduction: Transforming Healthcare through Collaboration, Innovation, and Technology ........................................... 39 DoD and VA Partnership: Improving Healthcare through Shared Electronic Health Records A Panel Discussion with Dr. Steven Jones, Dr. Gerald Cross, and Dr. Robert Kolodner .........................................................................41 Bringing Patient-Centered Medical Home to the U.S. Navy Interview with Lt. Commander Sunny Ramchandani, M.D. .....................47 The Role and Use of Wireless Technology in the Management and Monitoring of Chronic Diseases By Elie Geisler and Nilmini Wickramasinghe ..........................................52 Viewpoints Lions at the Gates of Government! By Steven L. Katz ....................................................................................58 Six Practical Steps to Improve Contracting By Allan V. Burman, Ph.D. ......................................................................62 SPRING 2009 IBM Center for The Business of Government 1 Table of Contents (continued) Management Government in 3D: How Public Leaders Can Draw on Virtual Worlds By David C. Wyld ...................................................................................67 The Business of Government Strengthening Government’s Ability to Deal with the Financial Crisis A Publication of the IBM Center for The Business of Government By Thomas H. Stanton ............................................................................71 Performance Management Recommendations for the Albert Morales New Administration Managing Partner By Shelley Metzenbaum .........................................................................74 Jonathan D. Breul Federated Human Resource Management Executive Director in the Federal Government: The Intelligence Community Model By James R. Thompson and Rob Seidner ................................................80 John Kamensky The Challenge of Contracting for Large Complex Projects: Senior Fellow A Case Study of the Coast Guard’s Deepwater Program By Trevor L. Brown, Matthew Potoski, and David M. Van Slyke ..............84 Michael J. Keegan Managing Editor Transformation of the Department of Defense’s Business Systems By Jacques S. Gansler and William Lucyshyn ..........................................88 The Business of Government magazine and Producer, The Business of Government Hour Research Abstracts Lauren Kronthal Contracting Series Marketing Director The Challenge of Contracting for Large Complex Projects: A Case Study of the Coast Guard’s Deepwater Program ........................ 92 Ruth Gordon Six Practical Steps to Improve Contracting ............................................ 92 Business and Web Manager Human Capital Management Series Consueline Yaba Federated Human Resource Management in the Federal Administrative Assistant Government: The Intelligence Community Model ................................. 92 Presidential Transition Series Performance Management Recommendations for the New Administration .............................................................................. 93 Transformation of the Department of Defense’s Business Systems.......... 93 IBM Center for The Business of Government 1301 K Street, NW, Fourth Floor, West Tower Financial Management Services Washington, DC 20005 Strengthening Government’s Ability to Deal with the Financial Crisis .... 93 Managing for Performance and Results For subscription information, call (202) 515-4504. World Wide Moving Toward Outcome-Oriented Performance Web page: www.businessofgovernment.org. Copyright 2009 Measurement Systems ........................................................................... 94 IBM Global Business Services. All rights reserved. No part of this publication may be reproduced in any form, by microfilm, Increasing Transparency and Accountability in Federal Performance xerography, or otherwise, without the written permission Reporting: Lessons from the OMB Pilot Program ................................... 94 of the copyright owner. This publication is designed to provide accurate information about its subject matter, but Organizational Transformation is distributed with the understanding that the articles do not Transforming Information Technology at the Department of constitute legal, accounting, or other professional advice. Veterans Affairs ...................................................................................... 94 From the Executive Director Challenging Times Demand Practical Ideas, Original Thinking By Jonathan D. Breul ..............................................................................95 How to Order Recent Publications ........................................................99 2 www.businessofgovernment.org The Business of Government From the Editor’s Keyboard By Albert Morales Smarter Governing in Challenging Times President Barack Obama says the big problems we face offer new opportunities for doing things differently. He has put forth an audacious agenda for change that addresses both short-term as well as the longer-term challenges facing our country. In our observations 100 days into the new Obama administration, this seems to be the president’s approach. Though there is yet a grand management scheme, there have been pragmatic approaches applied to specific problems—whether in improving food safety, implementing the Recovery Act, or tackling climate change. These approaches seem to be interconnected and largely network-based. Albert Morales is General Manager, General Government Industry Leader, IBM Global Professor Don Kettl, a keen observer of government, says the key issue today is to figure Business Services, and out how to match the government we need with the big problems we face. “We don’t Managing Partner, IBM Center have a structure that matches our problems,” he notes. “The challenge is how to make for The Business of Government. His e-mail: things work.” Professor Kettl says the leadership approach in large, complex networks is to [email protected]. “manage the problem, not the organization.” That
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