Service Delivery

Building Healthier Communities by Establishing an Enterprise-Wide System of Care
The Los Angeles Department of Health Services (DHS) is the second-largest municipal health system in the nation, acting as a sprawling safety-net system, primarily serving Black and Hispanic and low-income populations – residents who are uninsured or covered by Medi-Cal. Despite continuous improvements DHS has undertaken to respond to changes... Read more
Increasing Equitable and Affordable Access to Transportation in King County
King County Metro is the largest public transportation agency in the Puget Sound region, delivering more than 130 million rides per year. In 2020, King County was the first in the nation to be impacted by Covid-19, with Metro ridership dropping to 90% below pre-pandemic levels. However, even at the... Read more
Redesigning Workflow to Increase Efficiencies
At the Los Angeles County Department of Workforce Development, Aging and Community Services (WDACS), staff handling frontline services can spend as much as 60% to 70% of their time on internal workflow. Rather than devoting such an outsized amount of time to procurement, approvals and other internal tasks, the team’s... Read more
Designing Systems to Capture and Share Institutional Digital Content
The Los Angeles Bureau of Engineering is experiencing increased demand for its services. At the same time, a quarter of its employees are nearing retirement. The Bureau recognizes the need to update its infrastructure and create a shared library of digital content to ensure an effective knowledge transfer of ongoing... Read more
Redesigning Physician Recruitment to Improve Access to Care
The Los Angeles County Department of Health Services (DHS) runs the nation's second-largest municipal health system, annually caring for more than 800,000 patients. But like many cities and communities across the country, DHS is experiencing a shortage of primary care physicians. To counter this deficiency, FUSE Executive Fellow Nancy Villasenor... Read more
Driving Continuous Improvement of Public Education
Laurel worked in Office of Governor Jack Markell of Delaware, where she built the infrastructure to ensure that Science, Technology, Engineering and Math (STEM) education reached every student in the state. She worked on developing and implementing systems and routines to ensure successful completion of major STEM initiatives. She identified... Read more
Developing a Strategic Plan for Clean, Safe, and Functional Public Facilities
The City of Pittsburgh is working to update facilities in its recreation and park infrastructure, including public safety buildings, recreation and senior centers, and more than 4,600 acres of parkland, to meet the city’s evolving needs. FUSE executive fellow Chris Hornstein worked with the city’s Office of the Mayor to... Read more
Designing a Strategy to Modernize the City’s Fleet
More than 2,000 vehicles that support the delivery of a wide range of public services fall under the purview of the City of New Orleans’ Equipment Maintenance Division (EMD). To support the agency with the management of the fleet system, FUSE executive fellow Monica Soileau worked with the EMD to... Read more
Lifting Minimum Wage Workers Out of Poverty Through Wage Enforcement
The city of Los Angeles recently enacted an ordinance to increase the minimum wage to $15 an hour by 2020. The city’s Bureau of Contract Administration worked with FUSE executive fellow Mark Lee to support implementation of the wage increase, which is expected to benefit more than half a million... Read more
Designing Denver’s Future Transportation System
Denver’s Public Works Department is seeking to bolster the city’s public transportation system in response to dramatic population growth over the last several years. To support this goal, FUSE Executive Fellow Chris Dishno developed a strategy to strengthen coordination and collaboration between the department and the state Regional Transportation District.... Read more