Front Cover

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Title Page, Copyright Page

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pp. i-vi

Table of Contents

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pp. vii-viii

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Acknowledgments

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pp. ix-x

...and all of them, some deserve special thanks. Tony Saich, Sandy Borins, Archon Fung, Tim Burke, Gigi Georges, and Stephen Kosack at Harvard University’s Kennedy School of Government have provided us with helpful comments on various parts of the manuscript. We would also like to thank Gowher...

Part 1: Chess Masters and Acrobats

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Introduction

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pp. 3-12

...difficult to realize: improving the quality of perinatal care in Japan while reducing the costs. As a gynecologist, he knew that sharing patient information with professionals...

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Strategies and Tactics

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pp. 13-23

...certain changes could add public value—how an online platform for data exchange could help doctors avoid medical errors or how a new law could effectively create incentives to modify behavior. They may even have a detailed plan about how to realize their...

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Crafting the Case: The Art of Making a Start

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pp. 24-31

...that we studied did not climb out on a shaky limb; rather, they carefully analyzed their challenges and crafted their cases for change.1 The innovators knew that the burden of proof would be on them; their innovations would not be easily embraced by bureaucrats...

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Prompting Progress: The Art of Moving Things Forward

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pp. 32-43

...challenge, but certainly not the last. At some point preparation has to meet opportunity, and that is where strategy and tactics come in. If opportunities do not present themselves quickly enough, innovators may have to help their luck a bit by steering the course...

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Managing Meaning: The Art of Making Sense

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pp. 44-54

...want to but because they have to. An innovative idea rarely speaks for itself. It needs to be articulated and polished to appeal to constituents. This involves more than simply selling the idea or crafting a perfect sales pitch. It requires talking with all the key stakeholders...

Part 2: Frontline Innovations

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Under the Radar: Medical Informatics in Japan

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pp. 57-74

...of relief. Princess Kiko had given birth to a healthy baby boy. Although the imperial law dictating that only boys may become emperor had come under scrutiny after forty-one years without a male birth in the imperial family, the people had waited anxiously...

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Relentless Incrementalism: Financial Literacy Training for Newcomers in Canada

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pp. 75-94

...hell; you are doomed to endless tweaking with your screwdriver and it seems that it never gets any better.” Switching tones, becoming serious, he explained, “Poverty is such a complicated problem, and there are no simple solutions. And if you introduce an...

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Just a Tool? Implementing the Vulnerability Index in New Orleans

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pp. 95-114

...The workers offered each of them a five-dollar gift card for a Subway sandwich in exchange for their participation in a medical assessment. The assessment was the vulnerability...

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Joins the Club: The Emergence of Alzheimer Cafes in the Netherlands

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pp. 115-130

...lecture hall. Bère Miesen, a psychogerontologist at the university, had hung the signs in an effort to publicize his new idea: a venue designed to focus attention, in an unprecedented...

Part 3: Innovations in Governance

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The Sun Kings: The Emergence of Solar Energy in Germany

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pp. 133-153

...the final draft of a new act—the Renewable Energy Act. It had already passed through parliament, and all it needed to come into effect was Schröder’s signature. Schröder knew that his approval...

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Change on Steroids: Public Education in New Orleans

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pp. 154-172

...Orleans, Louisiana, a visitor is immediately aware that this is not a typical American public high school. The first striking thing is the sight of tall, older kids studying alongside their...

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The Value of Values: Higher Education in Virginia

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pp. 173-192

...So wrote Thomas Jefferson, the third president of the United States (1801–09). Jefferson had a dream of establishing a university for all Americans—even the poorest. According to Jefferson, enlightened, welleducated citizens were essential for the...

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The Cat out of the Bag: Institutional Reform in Denmark

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pp. 193-210

...Danish parliament—was convened. In his address to the parliamentarians, Prime Minister Anders Fogh Rasmussen focused more attention on administration problems than on anything else. To the surprise of many, he an - nounced that the government...

Part 4: Conclusions

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Innovating Strategically

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pp. 213-222

...nor more dangerous to conduct, nor more doubtful in its success, than to be a leader in the introduction of changes.” This cautionary lesson applies just as well to twenty-first century...

References

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pp. 223-230

Index

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pp. 231-238

Back Cover

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