InsightsThe HHS Innovator’s PlaybookNurturing Bold Ideas in Health and Human Services Programs
洞察HHS创新者在健康和人类服务项目中培养大胆想法的剧本
Health and Human Services
健康与公共事业
For more than 45 years, Deloitte state health and human services professionals have worked side by side with state agencies. Our mission is to help you achieve your mission—protecting and improving the health, safety, and well-being of our fellow citizens. We are focused on helping you improve the efficiency,  effectiveness, and accountability of state services and benefits. Our breadth of offerings includes: eligibility and service integration, state health care, child welfare, childcare and early learning, and many others.
45年多来，德勤州卫生和人类服务专业人员一直与州政府机构并肩工作。我们的使命是帮助您实现您的使命，保护和改善我们同胞的健康、安全和福祉。我们致力于帮助您提高国家服务和福利的效率、效力和责任感。我们的服务范围包括：资格和服务整合、国家医疗保健、儿童福利、儿童保育和早期学习，以及许多其他服务。包括：
Beyond case management
超越案例管理
Better child welfare outcomes through relationship management
通过关系管理改善儿童福利结果
As child welfare caseworkers work to protect vulnerable children, legacy case management systems can hinder their work. Customer relationship management platforms can be a more effective alternative.
由于儿童福利工作人员致力于保护弱势儿童，遗留案件管理系统可能会妨碍他们的工作。客户关系管理平台可以是一个更有效的选择。
CHILD welfare caseworkers serve on the frontlines of protecting America’s most vulnerable children. Poverty, neglect, violence, parental substance use, and physical abuse are common among children that come into contact with the child welfare system. Ensuring their safety often involves working with fractured families and making difficult decisions—when to remove a child from a home, place a child in foster care, or reunify a child with his or her family—all while minimizing the trauma children experience. It’s a tremendous responsibility carried out under some of the most challenging circumstances.
儿童福利工作人员站在保护美国最脆弱儿童的前线。贫穷、忽视、暴力、父母吸毒和身体虐待在与儿童福利制度有联系的儿童中很常见。确保他们的安全通常需要与破裂的家庭合作，并在何时将儿童从家中带走、将儿童寄养或使儿童与家人团聚时做出艰难的决定，同时尽量减少儿童遭受的创伤。在一些最具挑战性的情况下，这是一项巨大的责任。
While a caseworker’s job is complex by nature, workplace realities make it even harder. High caseloads constrain the amount of time a caseworker can spend with any given family. According to the National Child Welfare Workforce Institute, the caseload of the typical child welfare caseworker is often twice the accepted national standard.1 Moreover, turnover rates for child welfare agencies hover around 30 percent nationally.2 The result is that cases frequently change hands and are touched by multiple caseworkers over time.
虽然办案人员的工作本质上很复杂，但工作场所的实际情况使其更加困难。高工作量限制了办案人员与任何特定家庭相处的时间。根据国家儿童福利工作人员研究所的数据，典型的儿童福利工作人员的案件数量往往是公认的国家标准的两倍。1此外，全国儿童福利机构的更替率徘徊在30%左右。2结果是，随着时间的推移，案件经常易手，并受到多个工作人员的接触。
In addition, many caseworkers rely on decades-old legacy case management systems (CMS) to support their day-to-day work. Time spent struggling with the shortcomings of these systems is time not spent with the children and families under their care.
此外，许多办案人员依靠已有数十年历史的遗留案件管理系统（CMS）来支持他们的日常工作。与这些制度的缺陷作斗争所花的时间，是没有花在照顾子女和家庭上的时间。
One problem with many CMS is that they lack an integrated view of a child’s or family’s engagement with various health and human services programs. That leaves caseworkers to manually piece together data from different sources to develop a holistic view of the children and families they serve.
许多CMS的一个问题是，他们缺乏对儿童或家庭参与各种健康和人类服务项目的综合看法。这使得办案人员可以手工拼凑来自不同来源的数据，以形成对他们所服务的儿童和家庭的整体看法。