Building Effective and Efficient Program Monitoring Systems for Human Services

Attached is a paper that describes the basic tenets/elements of building an effective and efficient program monitoring system for human services.  State administrators are constantly under pressure to ensure the health and safety of clients (effectiveness) while not being overly burdensome on the providers of care (efficiency).  This paper highlights how effectiveness and efficiency are tied together and in how efficiency efforts can overshadow effectiveness under certain conditions.

Basic Tenets of Effective and Efficient Monitoring Systems3

Richard Fiene, Ph.D., Senior Research Psychologist, Research Institute for Key Indicators (RIKILLC), Professor of Psychology (ret), Penn State University, & Senior Consultant, National Association for Regulatory Administration (NARA).

Contact Dr Fiene at or or



About Dr Fiene

Dr. Rick Fiene has spent his professional career in improving the quality of child care in various states, nationally, and internationally. He has done extensive research and publishing on the key components in improving child care quality through an early childhood program quality indicator model of training, technical assistance, quality rating & improvement systems, professional development, mentoring, licensing, risk assessment, differential program monitoring, and accreditation. Dr. Fiene is a retired professor of human development & psychology (Penn State University) where he was department head and director of the Capital Area Early Childhood Research and Training Institute.
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