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Citizen participation: New approaches to social programs

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Because everyone matters.
IBM Health and Social Programs Summit October 2014

Read the Health and Social Programs presentations by:
Tiago Cordeiro Oliveira
Business and Customer Manager
Bolsa Familia
Caixa

Tim Burch
Director
Department of Social Services
Clark County, Nevada

Ambrogina Canobbio
IT Projects Manager
Human Resource Administration
NYC Access

Published in: Healthcare
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Citizen participation: New approaches to social programs

  1. 1. Citizen participation: New approaches to social programs 1 Tiago Cordeiro Oliveira Business and Customer Manager Bolsa Familia Caixa
  2. 2. _____ ___The_Program  Reaches almost 14 million families, around 50 million people in all Brazilian cities.  Total cost less then 1% of Brazilian GDP  The largest cash transfer program in the developing world  It contributes to break the intergenerational poverty cycle, by means of conditionalities  Integration with other government policies/actions
  3. 3. _Features of the Program  Granting the benefits according to the characteristics of the family.  To get into and continue in the program, families have to fulfil the established conditionalities in the areas of health, education and social assistance  Direct payment to the family, without any intermediaries, at CAIXA's agencies, ATMs, bank correspondents and lottery stores.  Benefit paid preferably to the wife
  4. 4. _Features of the Program  Autonomy of the family to use the financial resource  Assistance to the poor and to the extremely poor families  Families remain in the program while their income is lower than the eligibility criterion: there is no deadline for permanence in the program  Shared management among government levels  Participation of the society  National coverage, based on an estimate of poor families
  5. 5. ________Eligibility Criteria  Families with monthly per capita income between R$ 77,01 (US$ 32.01) and R$ 144,00 (US$ 64.00), with children among 0 and 17 years old  Families with monthly per capita income of up to R$ 77,00 (US$ 32.00), regardless of the family composition
  6. 6. Types of financial benefits  Basic Benefit - R$ 77,00 (US$ 32.00)  Paid exclusively to the families with monthly per capita income of up to R$ 77,00 (US$ 32.00)  Variable Benefit - R$ 35,00 (US$ 15.00),  Paid to the families with children, adolescents of up to 15 years old, pregnants or nursing babies (Up to 5)  Variable Youth Benefit - R$ 42,00 (US$ 18.00)  Paid to the families with young members aged 16-17 years old. (Up to 2)  Poverty Overcoming Benefit  It is paid to the families that continue with monthly per capita income, with the others benefits, up to R$ 77,00 (US$ 32.00).
  7. 7. • _____________________ ___Conditionalities  Education: school enrolment and minimum attendance of 85% for children and adolescents aged 6-15 years old and 75% for adolescents aged 16 and 17 years old  Health: fulfillment of the vaccination calendar and the growth and development for children under 7 years old, prenatal care for pregnant women and monitoring of the nursing women  The conditionalities are monitored in integration of the Ministry of Social Development with the Ministries of Health and Education.
  8. 8. _ _________________________ Financial Impacts A survey conducted by IPEA (2011) found that the Bolsa Família Programa is the greatest multiplier of GDP and family income. GDP will increase by R$1.78 for each R$1.00 spent on the program, after taking into account the entire income multiplication circuit in the economy. The report concludes that the BFP generates more economic benefits than it costs. IPEA - Institute for Applied Economic Research
  9. 9. _______________ Other Information  1.7 million families left the program voluntarily  75% of beneficiaries older than 18 years are working  42% of beneficiaries are less than 18 years old  22 million people left extreme poverty since 2011 with Bolsa Família Program  1.43 million people have already done some professional course  3.2 million people have small business
  10. 10. Thank you tiago.c.oliveira@caixa.gov.br
  11. 11. 1111 Citizen participation: New approaches to social programs Tim Burch Director Department of Social Services Clark County, Nevada
  12. 12. Clark County, NV Think now. Innovate now. Act now. 12 • 12th largest county in U.S. • Size of New Jersey • 70% state population • 2 million residents • 43 million visitors • 10,000 employees • 38 departments • $6.2 billion budget
  13. 13.  Serve as the public safety net per Nevada Revised Statute 428  Provide direct and coordinated services, and gap services  Serve primarily adults ages 18-64  $140 million general fund budget  150 FTEs Think now. Innovate now. Act now. 13 Department of Social Service Providing a safety net of human services to a growing community
  14. 14. Direct Services  Financial Assistance  Housing, Transportation, Burials and Cremations  Senior and Disability Services  LTC/AHC/HHHA  T.A.Y. Programs Think now. Innovate now. Act now. 14
  15. 15. Coordinated Services  HELP HOPE HOME – So Nevada CoC  Coordinated Intake/Assessment HUB for Homeless Adults  Outreach/MOST/MOHR/InViVo  PSH projects o Healthy Living, New Beginnings, TLP  Ryan White Think now. Innovate now. Act now. 15
  16. 16. System Issues and Needs Main Frame built in 1984  Unsupported code  Not HIPPA compliant  Eligibility only  No integration with Finance  No case management Think now. Innovate now. Act now. 16
  17. 17. System Issues and Needs (continued)  Primitive reporting capabilities  Zero performance measurement  Numerous databases outside the system  Not Windows 7 compliant  Required redundant data entry and promoted multiple manual, paper-based processes  Unable to track provider referrals and share information among agencies Think now. Innovate now. Act now. 17
  18. 18. IBM/Curam  Curam 6.0  +Modules  Customization  SAP bridge  Client Flow  Interfaces Think now. Innovate now. Act now. 18
  19. 19. 1199 Citizen participation: New approaches to social programs Ambrogina Canobbio IT Projects Manager Human Resource Administration NYC Access
  20. 20. 20 Benefits Re-Engineering HRA Benefits Re-Engineering Initiative NYC Human Resources Administration October 2014 IBM Health and Social Programs Summit: Citizen Participation
  21. 21. 21 Benefits Re-Engineering NYC Social Service Population: SNAP and Cash Assistance MISSION STATEMENT: The New York City Human Resources Administration/ Department of Social Services (HRA/DSS) provides temporary help to individuals and families with social service and economic needs to assist them in reaching self-sufficiency. HRA serves more than 3 million New Yorkers through essential and diverse programs and services that include: temporary cash assistance, public health insurance, nutritional support (food stamps), home care for seniors and the disabled, child care, adult protective services, domestic violence, HIV/AIDS support services and child support enforcement. SNAP & CA RECIPIENTS: NYC & NYS COMPARISON NYC Population 8.6M NYS Population 19.65M NYC SNAP Clients 1.75M Rest of State SNAP Clients 1.33M NYC CA Clients 331K Rest of State CA Clients 231K
  22. 22. 22 Benefits Re-Engineering Benefits Re-Engineering The Benefits Re-Engineering Vision Develop a self-directed service model that will improve customer experience and realize cost efficiencies while enhancing integrity, through the use of modernized technology, and simplified business processes and policies. Enhanced Customer Experience Improved Worker Experience Greater Program Integrity  Greater Access – The Virtual Client Service Center (VCSC) gives clients convenient and confidential 24 x 7 access to HRA.  Better Communication – Client accounts make it easy to check the status of an application, review notices, return documentation, or report a change,  Faster Service –Self service areas in centers, online access, and HRA’s “one number” call center means quicker answers to simple questions.  Increase Timeliness – Clients can enter information themselves, which means more accurate information and a quicker eligibility decision.  Crowd Reduction – Online access, self-service areas in Centers, expanded community partnerships, and a citywide caseload allow clients to decide where they want to do business with HRA; Center staff can focus effort on clients that need extra intervention/support.  Direct Access to Information – Information provided through the VCSC, including documents, is available to workers in real-time, no more waiting for mail or in-person return.  Better Access to Information – Integrating data sources into a consolidated view for workers provides better integrity for HRA, and additional convenience to clients when used for eligibility verification.  Reduction in Identify Fraud – Including security questions into the online application process protects both the applicant and the Agency from identity fraud.  Eliminate unnecessary transactions due to documents requests.
  23. 23. Integrating the Benefits Re-Engineering initiatives to Streamline Eligibility Determinations On-Demand Interviews Applicants/clients will be informed of an interview timeframe and will have the opportunity to call the agency at their convenience during business hours for their interview. 23 Benefits Re-Engineering Information Verification Information Verification System (IVS) The IVS will provide eligibility workers and investigators with an integrated view of available external data sources for an application or case. Virtual Client Services Center (ACCESS NYC client portal) The VCSC will provide enhanced user functionality and Account Management Services to become a one-stop client portal through ACCESS NYC. Clients and applicants will be able to access the VCSC at home as well as through Self Service Areas at HRA Centers and Community Based Organizations (CBOs). work queues for a citywide caseload and track the different stages of processing tasks from receipt to completion. Streamlined POS Work Tracking System (WTS) A WTS will support task-based The overall POS interview process will be streamlined in order to shorten the average length of eligibility interviews. Virtual Client Services Center (ACCESS NYC client portal) The VCSC will provide enhanced user functionality and Account Management Services to become a one-stop client portal through ACCESS NYC. Clients and applicants will be able to access the VCSC at home as well as through Self Service Areas at HRA Centers and Community Based Organizations (CBOs). Communication: Communication activities are being conducted to address Client, CBO, and staff information needs. This includes outreach to CBOs, center signage, and client mailers. Change Management: Change Management focuses on staff engagement, learning and development (including eLearning), and transitioning staff to support the new operating model.
  24. 24. 24 Benefits Re-Engineering Future Service Delivery and Facility Utilization
  25. 25. 25 Benefits Re-Engineering SNAP Self-Service Today in ACCESS NYC IBM Cúram v5: Rising utilization The online SNAP application rate was level for the past several years - ~25%. Once PC Banks were implemented in SNAP Home Centers, starting in April 2013, a significant increase in online applications was seen since - ~ 69%
  26. 26. Future State SNAP and CA Self-Service 26 On-Demand Interviews Benefits Re-Engineering . One Number: HRA call center with self-service options Agency-wide technology upgrade will direct all customer inquiries to one-number that offers easy to use self-service options and live call center agents. This includes routing all the existing calls that are currently received at the Centers. Self-service options may include: Check status of application and EBT card balance Check for next benefit issuance and amount Schedule and reschedule interviews Virtual Client Services Center (ACCESS NYC IBM Cúram v6) Leverage ACCESS NYC to increase client access to HRA by building additional capabilities to the online client portal:  Online SNAP and Cash Assistance applications/ recertifications  Access to electronic case record  Upload documents  Request case changes  24x7 confidential and convenient transactions Self-Service Areas and Community Partners Creation of HRA self-service areas within our SNAP Centers which offer applicants and clients the tools they need to conduct business with HRA. Including:  PC Banks  Scanners and copiers  Document return  Check-in Creating a strategy to expand community partner network to offer:  Facilitated assistance submitting online applications  Computers, scanners, and copiers Clients will have the option to call the agency to be interviewed at their convenience. This is expected to increase the number of clients who complete their interview. This will be available to clients for: SNAP Applications SNAP Recertifications

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