Reforming an outmoded institution will be a labour of love. You're tired of watching people suffer from antiquated rules and outdated expectations. Schedule a meeting with the officers in charge. By explaining the organisation's challenges in a straightforward way, you can enact some changes. If this talk doesn't result in any improvements, notify the media. Negative publicity has a way of motivating even the stuffiest officials to adopt better policies. You have a way of forcing the opposition's hand without ever being confrontational.