If the point of this article was to dishearten related to child welfare services - it succeeded by describing reduced funding, forfeited funding (due to failure to report accurately) and closure of nonprofit services. The article did not describe whether or not the need for Child Welfare Services was increasing or not. Are there any entities seeking support from anyone else whose needs are not increasing? Is the increase a fact of life? or a fact of politics.

From a training industry experience I wonder about onboarding, M&A employee assimilation and "right sizing." These are perhaps analogous to Child Welfare in that we have groups of people that need help for what may be a temporary yet critical time in the formation of their careers.

How do you know when you are spending too much or perhaps not enough in each of these three areas? What is the measure of effectiveness of the investments?

Permalink Reply by Paul Terlemezian on September 21, 2019 at 3:08pm

2017 18 California Counties Launch Medi-Cal Whole Person Care Pilot Prog...

An effort to focus on the needs of special populations with challenges is very important. What deficiencies might occur with a program like this? How might they be overcome?

Permalink Reply by Paul Terlemezian on September 21, 2019 at 3:13pm

2018 Addressing Social Determinants—The Measurement Challenge

What motivates a need to measure something?

Permalink Reply by Paul Terlemezian on February 6, 2020 at 4:06pm

2020 3 Self-Insured Employer Priorities Shaping Consumer Care In 2020

What are the most urgent challenges that we face?

How are we proactively adapting our priorities to address these urgent challenges?

Permalink Reply by Paul Terlemezian on June 20, 2023 at 9:07am

2021 The Biden Agenda – What Will Change For Specialty Provider Organiza...

Why are agendas needed?

How are they created? managed? adapted? Does it matter who, how, and when - if the purpose is the performance outcomes of those impacted by the agenda?

Why are course outlines needed?

Permalink Reply by Paul Terlemezian on June 25, 2023 at 5:11pm

2022 Going For The Gold? Optimization Is Key

What small change can we make that will yield a big difference?

What small changes have we tried?

What prevents us from considering small changes and expecting big differences?

Permalink Reply by Paul Terlemezian on June 28, 2023 at 9:08am

2023 State Medicaid Managed Care Plans Can Spend Up To 5% Of Premiums On...

What percent of your training budget would you defer from learning to the social determinants of learning (SDOL) if you knew it would create better performance outcomes for the learners?

Would you want to do this?

Would you be allowed to do this?

Does your team have the skills to do this?

Do you have the tools to do this?

Permalink Reply by Paul Terlemezian on February 7, 2024 at 3:44pm

2024 Reading The Chessboard: The Most Read 2023 OPEN MINDS Executive Bri...

What does the chessboard look like for the training industry?

How many dimensions do we have to deal with?

Which is our strongest dimension? Our weakest? Are we improving with all dimensions?

Permalink Reply by Paul Terlemezian on February 6, 2025 at 7:53pm

2025 Surprise! The Most Watched OPEN MINDS Executive Roundtable Sessions...

Do you remember the game of telephone we played as children?

What did you learn from that?

Do you remember the term co-morbidity? I learned this during COVID-19?

What did you learn from that?

Who did we blame for the errors in "telephone?" The first person, the most recent, or all?

Who did we blame for the deaths in COVID? The first co-morbidity, the worst, or COVID?

Who is to blame for the current turmoil in healthcare? The first bad decision, all the decisions, the most recent decision?