ICMA’s Program Excellence Award for Innovations in Local Government Management recognizes one or more local governments that have successfully applied the concepts of reinvention, reengineering, TQM, customization, or other cutting-edge organizational tool or have successfully enhanced an existing program or service. In 2005, ICMA presented the award in the greater-than-50,000 population category to Roanoke, Virginia, and City Manager Darlene L. Burcham for their efforts in managing the rising cost of health care. Tools used used to meet the challenge of managing health care costs efficiently include: development of the city's employee occupational health clinic, creation of a health care fund, and educational programs designed to inform city employees how health care rates are developed. Learn more about ICMA's Annual Awards program.