Beginning in August 1996, researchers at the Massachusetts Institute of Technology (MIT), Cambridge, Mass., examined options for strengthening the managerial capacity of states to implement and sustain innovative health care programs.
Limited managerial capacity at the state government level was a widespread problem, often jeopardizing programs in health care reform.
The investigators examined three examples of organizational mechanisms for maintaining expertise in state government that could be applied to the health policy arena. They were:
From all three case studies, the investigators found that to achieve long-term success, a talented team that combines technical, organizational, and political skills must continue staffing the program.