Systems Integration Project


The Monroe County Systems Integration Project aims to establish connections between 300 local health, education and human services organizations by building technology and establishing relationships across sectors. This project is a priority identified by the Regional Economic Development Council, the Rochester-Monroe Anti-Poverty Initiative (RMAPI), and others as a critical need for our community, as well as a key need and priority identified by people living in poverty.

Over the upcoming months and years, the Systems Integration Project and key community partners will shift the way our community works together to help individuals and families seeking support. This means people will have better access to services and information, and providers will be better informed to help their patients and clients.

When fully implemented the SIP will both enable and evaluate coordinated cross-sector interventions that support a family’s transition from crisis to stable to thriving.

The core components of the SIP, which will be implemented through 2024, include:

  • Improved access and integrated service delivery created via advanced front-door protocols and right sized program capacity

  • A robust change management process inclusive of community driven design, prototyping, multi-sector pilots, rapid cycle improvements, training and technical support, adaptive leadership and technology utilization

  • A shared digital dashboard that offers multi-sector users a 360-degree view of more than 150,000 individuals and a shared digital closed-loop referral system used by more than 300 health, education and human services providers

  • A shared data hub and analytic engine that compiles new and existing data to both inform implementation of new cross-sector workflows and provide a means for measuring shared accountability for sector-specific outcomes, including evaluation of return on public and private investments

  • Consumer-driven informed consent management

The SIP is innovative and unique in both scope and scale.  As such, the SIP will be a cutting-edge, replicable path to improved prosperity and wellbeing across New York while concurrently creating efficiency and cutting cost.

Collective Vision

The greater Rochester community is working across a diverse network of committed providers to build an interconnected, person-centered system of health, human services, and education leveraged by a unified information platform, to improve the health and economic well-being of individuals and families, especially those who are vulnerable and/or impacted by poverty.

How We Work

Some History
In 2015, a team of experts from IBM analyzed Rochester’s high rates of poverty, including the highest rate of child poverty (50.1%), the highest rate of extreme poverty and the second-highest rate of poverty overall in the nation. IBM’s Smarter Cities Challenge study found Rochester to be “program rich but results poor,” and cited to a number of reasons why Rochester needs to make fundamental changes to reduce poverty. This led to community leaders and people living in poverty, confirming the need for an integrated system. Thus, the Systems Integration Project was identified as a priority by the Regional Economic Development Council and the Rochester-Monroe Anti-Poverty Initiative (RMAPI). As a demonstration project, NYS will benefit from the SIP by investing in a single integrated system with an eye toward how to replicate this work in other areas.

Meet the Staff
Systems Integration Team Members
ACT Rochester Monroe County Department of Human Services
Action for a Better Community, Inc.  Monroe County Medical Society
Boys and Girls Club of Rochester Monroe County Public Health
Catholic Family Center Monroe County School Boards Association
Children's Institute Monroe County Sheriff
City of Rochester Nazareth College
Common Ground Health NYS Commissioner of Education/ BOCES
Congressman Joe Morelle's office RTS: Regional Transit Service
Education Success Foundation ROC the Future
ESL Charitable Foundation Rochester City School District
Excellus BCBS Rochester Monroe Anti-Poverty Initiative
Farash Foundation Rochester Police Department
Finger Lakes Performing Provider System      Rochester Regional Health
FLREDC c/o Empire State Development Seventh Judicial District
Foodlink The Children's Agenda
Greater Rochester RHIO United Way of Greater Rochester
Lifespan University of Rochester Medical Center

Additional Participating Organizations
ABVI- Goodwill Ibero-American Action League, Inc.
Accountable Health Partners Jewish Family Service
Anthony L. Jordan Health Center Judicial Process Commission
Baden St. Settlement Kids Thrive 585, Inc
Center for Governmental Research Mary Cariola
COMET New York State e-Health Collaborative
Coordinated Care Services Inc. RIT
Diocese of Rochester Rochester Spinal Association
EnCompass: Resources for Learning Rochester/Monroe County Homeless Continuum of Care, Inc
Exercise Express LLC St. James Mercy Hospital
FLACRA St. John Fisher College
Greater Rochester Health Foundation St. Josephs Neighborhood Center
Greater Rochester Summer Learning Association / GRSLA The Legal Aid Society of Rochester
Greece Central School District Trillium Health, Inc.
GRIPA Underberg & Kessler
Harter Secrest & Emery Villa of Hope
Hillside-Catholic Charities Behavioral Health Care Collaborative              Wegmans
Human Service Development  

Shared Language Lunch & Learn 
The Shared Language Lunch and Learn will provide insight into the protocol designed to provide a common language for service providers across different sectors to communicate about an individual’s current state of well-being in the seven domains. Shared language facilitates communication between service providers through the development of common, cross-sector definitions of individual assets and risks, across prioritized domains and life stages. It also enables a 360-degree view of a person and provides consistent documentation into a longitudinal record.

Click here to register - please register no later than January 20, 2020.

Systems Integration Prototyping Project:
Prototypes are used to make ideas real by creating low-cost experiments to test those ideas. The prototyping process will help teams develop, test and iterate workflow prototypes. The workflow prototypes will help teams identify the most desirable, viable and feasible designs to move forward for piloting and implementation.
  Systems Integration Project (SIP) Request for Information: Technology Vendors
The Monroe County Systems Integration Project (SIP) is seeking information from interested and qualified vendors to develop a future, request for proposal (RFP) to design, develop and implement an integrated data ecosystem also referred to as a Community Information Exchange (CIE) that spans the health, human services and education sectors.
Please note: The RFI response period closed on September 30, 2019. We are reviewing responses and will be in touch with the vendors who responded by December 31, 2019.
   Please check back for more updates or contact Margaret Whelehan at