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 Medical Society
Action for a Better Community, Inc.  Monroe County Public Health
Boys and Girls Club of Rochester Monroe County School Boards Association
Catholic Family Center Monroe County Sheriff
Children's Institute Nazareth College
City of Rochester NYS Commissioner of Education/ BOCES
Common Ground Health RTS: Regional Transit Service
Congressman Joe Morelle's office ROC the Future
Education Success Foundation Rochester City School District
ESL Charitable Foundation Rochester Monroe Anti-Poverty Initiative
Excellus BCBS 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
Monroe County Department of Human Services    

Additional Participating Organizations
ABVI- Goodwill Human Service Development
Accountable Health Partners Ibero-American Action League, Inc.
Anthony L. Jordan Health Center Jewish Family Service
Baden St. Settlement Judicial Process Commission
CCCS Kids Thrive 585, Inc
Center for Governmental Research Law NY
COMET Mary Cariola
Coordinated Care Services Inc. New York State e-Health Collaborative
Diocese of Rochester RIT
EnCompass: Resources for Learning Rochester Spinal Association
Exercise Express LLC Rochester/Monroe County Homeless Continuum of Care, Inc
Farash Foundation 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

Shared Language Lunch & Learn 
If you work in healthcare, human services, or education, and you provide direct service to individuals or families, please join us. During the 90-minute conversation, you will learn more about the common, cross-sector language that the project team is designing. We want your input to help create a shared language that enables clearer communication between providers and the people they serve.

Click here to register 
Systems Integration Prototyping Project
On March 6th, teams from around the community will showcase their prototyping projects at the Systems Integration Team Public Meeting. In human-centered design, prototypes are used to make ideas real by creating low-cost experiments to test those ideas. The prototyping process was used to develop, test and iterate ideas about how to integrate and improve the way that individuals receive services in our community.
Systems Integration Information Sessions  
Each session will start with a high-level summary and then allow for conversation and a question and answer session. We are hoping in this setting you will be able to engage in deeper conversations regarding the Systems Integration project and engage with staff in a smaller setting. Please feel free to invite others from your organization as well.

Click here to register

Systems Integration Project - Data Ecosystem
In 2019, the Systems Integration Project conducted a request for information (RFI) to identify interested and qualified vendors to design, develop and implement an integrated data ecosystem that spans the health, human services and education sectors. The information gathered through the RFI, has helped to inform the project’s business requirements which will be published on this site in March 2020. A public request for proposal (RFP) is forthcoming, and details will be posted this Summer.

Please check back for more updates or contact Margaret Whelehan at