Policy Analysis

The Role of Design-Build Procurement

The Role of Design-Build Procurement
Rudin Center for Transportation, sponsored by RBC Capital Markets and the Association for a Better New York


In 2011, the New York State Legislature approved and Governor Andrew Cuomo signed into law the New York State Infrastructure Investment Act. The new law authorized five state agencies – the Department of Transportation, the Department of Environmental Conservation, the Office of Parks, Recreation and Historic Preservation, the New York State Thruway Authority, and the New York State Bridge Authority – to manage the delivery of construction projects using a method known in the industry as “Design-Build.”

Design-Build is a form of project delivery in which a public agency or private sector owner enters into a single contract with a single entity (usually a construction firm) that takes full responsibility for both design and construction of the project. The 2011 law also authorized the five agencies to hire firms based on qualifications and innovation, not just the lowest bid.

When used appropriately, Design-Build can effectively reduce the time required to complete a project, reduce the cost of a project, provide clearer accountability for a project, and encourage more innovation in design and construction.

Using Comparative Analysis to Address Health System Caricatures

Using Comparative Analysis to Address Health System Caricatures
International Journal of Health Services; 44(3): 547–559. doi: http://dx.doi.org/10.2190/HS.44.3.g

Gusmano, MK. Rodwin, VG. and Weisz, D.

To learn from health care systems abroad, we must move beyond simplistic characterizations and compare different systems with respect to salient performance measures. Despite findings from recent cross-national studies suggesting that many health care systems outperform the United States, claims by U.S. public officials often fail to acknowledge the actual accomplishments of health care systems abroad. We document significant variation among the United States and France, Germany, and England, which provide universal coverage, albeit in different ways. As previously documented, the United States has the highest rate of mortality amenable to health care. We extend this work by adding two indicators: (a) access to timely and effective primary care as measured by hospital discharges for avoidable hospital conditions; and (b) use of specialty services as indicated by coronary revascularization (bypass surgery and angioplasty), adjusted for the burden of coronary artery disease. Our findings indicate that: (a) the United States suffers the gravest consequences of financial barriers to primary care; (b) in all four countries, older people (65+) receive fewer revascularizations than their younger counterparts once we account for disease burden; and (c) in France, patients receive the most revascularizations, after adjusting for the burden of disease.

Decentralization in Uganda: Reforms, Reversals, and an Uncertain Future

Decentralization in Uganda: Reforms, Reversals, and an Uncertain Future
In Tyler Dickovich and James Wunsch, eds., Decentralization in Africa: A Comparative Perspective. (Boulder, CO: Lynne Rienner Publishers, 2014).

Smoke, P., W. Muhumuza and E. Ssewankambo

Uganda was long considered one of the most successful cases of public sector devolution in the developing world. The post-conflict national government began robust empowerment of local governments in the early 1990s. The drive for reform emerged largely from domestic political forces with little involvement of the external donor agencies that have often promoted decentralization in countries with similar development profiles. Two decades after this highly touted reform began, the system has severely deteriorated on almost every aspect by which decentralization is usually judged. This chapter documents the economic, political and social dynamics that led to the rise of decentralization and also laid the foundation for its decline. The chapter concludes by suggesting possible future scenarios for the intergovernmental system in Uganda and drawing potential lessons for other countries considering such bold reforms.

What Passes and Fails as Health Policy and Management

What Passes and Fails as Health Policy and Management
Journal of Health Politics, Policy and Law; 39 (5): 1113-1126. doi: 10.1215/03616878-2813719

Rodwin, VG. and Chinitz, DP.

The field of health policy and management (HPAM) faces a gap between theory, policy and practice. Despite decades of efforts at reforming health policy and health care systems, prominent analysts state that the health system is ‘‘stuck’’ and that models for change remain ‘‘aspirational.’’ We discuss four reasons for the failure of current ideas and models for redesigning health care: (1) the dominance of microeconomic thinking; (2) the lack of comparative studies of health care organizations and the limits of health management theory in recognizing the importance of local contexts; (3) the separation of HPAM from the rank and file of health care, particularly physicians; and (4) the failure to expose medical students to issues of HPAM. We conclude with suggestions for rethinking how the field of HPAM might generate more promising policies for health care providers and managers by abandoning the illusion of context-free theories and, instead, seeking to facilitate the processes by which organizations can learn to improve their own performance.

Can Democracy Survive Democracy

Can Democracy Survive Democracy
Public Administration Review Vol 74 Issue 4

David Elcott

A review of Cornell W. Clayton and Richard Elgar, eds, Civility and Democracy in America: A Reasonable Understanding (Pullman, Washington: Washington State University Press, 2012).The focus is on the historical activist role of religion in policy formulation and implementation in the U.S. and the implications for present day faith communities' engagement in the public arena.

The State of New York City’s Housing and Neighborhoods in 2013

The State of New York City’s Housing and Neighborhoods in 2013
Furman Center for Real Estate and Urban Policy, New York University

I.G. Ellen et al.

The State of New York City’s Housing and Neighborhoods in 2013 report , published annually by the NYU Furman Center, provides a compendium of data and analysis about New York City’s housing, land use, demographics, and quality of life indicators for each borough and the city’s 59 community districts.

The report combines timely and expert analysis of NYU Furman Center researchers with data transparency. It is presented in three parts:

Part 1: Focus on Economic Inequality

Each year, the State of New York City’s Housing and Neighborhoods describes, contextualizes, and provides analysis on a pressing and policy-relevant issue affecting New York City. In 2013, the report focuses on economic inequality in New York City, analyzing changes over time in the distribution of the city’s income, economic segregation of city residents, and the neighborhood environments experienced by people of different incomes.

Part 2: City-Wide Analysis

The City-Wide Analysis provides a broad, longitudinal analysis of the New York City's housing and neighborhoods. The chapter is divided into five parts: land use and the built environment; homeowners and their homes; renters and their homes; income and workers; and neighborhood services and conditions.

Part 3: City, Borough, and Community District Data

The data section provides current and historical statistics for over 50 housing, neighborhood, and socioeconomic indicators at the city, borough, and community district levels. It also includes indicator definitions and rankings; methods; and an index of New York City’s Community Districts and Sub-Borough Areas.

‘‘Do Something’’ Politics and Double-Peaked Policy Preferences

‘‘Do Something’’ Politics and Double-Peaked Policy Preferences
Journal of Politics 76(2): 333-349.

Egan, Patrick J.

When a public problem is perceived to be poorly addressed by current policy, it is often the case that credible alternative policies are proposed to both the status quo’s left and right. Specially designed national surveys show that in circumstances like these, many Americans’ preferences are not single-peaked on the standard left-right dimension. Rather, they simply want the government to ‘‘do something’’ about the problem and therefore prefer both liberal and conservative policies to the moderate status quo. This produces individual and collective preferences that are double-peaked with respect to the left-right dimension. Double-peakedness is less prevalent on issues where no consensus exists regarding policy goals, and it increases when exogenous events raise the public’s concern about the seriousness of a policy problem.

Introduction: Special issue on housing policy in the United States

Introduction: Special issue on housing policy in the United States
J. Housing Econ. (2014), http://dx.doi.org/10.1016/j.jhe.2014.02.001

Bostic, R. and Ellen, I.G

The recent housing crisis has spawned much reflection among academics, practitioners and policy-makers regarding both the causes and the consequences of this upheaval, especially in the market for owner-occupied homes. But many questions remain. This special issue of the Journal of Housing Economics features a series of articles that seeks to answer some of these questions, with attention given to both the ownership and rental markets. We hope the nine articles in this issue help to provide some insights for both policy makers and researchers.


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