New York City Integrates Social Services to Better Serve Citizens

For his work as the assistant deputy commissioner for management information systems at New York City's Human Resources Administration (HRA), Meyer Michael Elbaz toggles between numerous case management systems to get a complete picture of a person's case history. He says it's a struggle to find basic information, like the medical, financial and housing services for which a client may be eligible. That kind of challenge persists across the HRA, a huge frontline agency that serves a client base of 3 million, many of whom are in crisis.

The agency's case management struggles are monumental. "We need to have a total picture of a client's situation in order to manage their cases properly," Elbaz explained. "But we've never had a consolidated view because the systems can't talk to one another."

Help is beginning to emerge in the form of a unique, integrated social services initiative called HHS-Connect. The project gives some city workers, like Elbaz, the capability to view data from some shared databases involving HRA and city agencies that handle services for the elderly, homeless and children. And that's just the beginning.

Eventually caseworkers -- whether they work for the city or for the many nonprofit agencies that are contracted to deliver critical services to its neediest residents -- will be able to see a client's history, family composition, and immediate and future needs. They will have the most comprehensive view of any health and human services agency in the country.

The vision for providing New York's poor with speedy and comprehensive service has existed for several years, but technology has been a major roadblock, according to Linda Gibbs, deputy mayor for Health and Human Services (HHS). "We realized we couldn't achieve the vision until we have the tools," she said. Those tools, in the form of software applications, middleware and databases, could revolutionize how government helps those in need. They could solve what Gibbs calls the "perennial problem" of getting siloed organizations to share data. Caseworkers could give families the resources to stay on their feet rather than just solve a crisis.