Mark Struckman
Portals
Workforce
Seventy-seven million baby boomers will soon begin retiring, said Struckman, with implications for state and local governments' servicing of the public. Governments are planning to spend $100 million just to upgrade retirement systems. Many of the retirees will be government employees, and that alone will continue to drive change and adoption of new technology as the skilled government workforce shrinks.
Efficiency
To meet these new demands, state and local governments are turning to centralization and consolidation of older systems in a third wave of shared services. "Some governments still have 15 e-mail systems out there and multiple networks going to the same points of presence," said Struckman. Trends include data center consolidation and single messaging platforms.
Health
Struckman said that most hospitals are run by counties, and 31 percent of state budgets involve some form of health care. Medicaid cost containment is a growing trend, in such areas as fraud reduction, case management systems and integrated eligibility. Texas will be the first with a fully-integrated eligibility system, said Struckman, and Virginia has a $1.2 billion project in the works. California figures it costs $750 to $1,200 on average to process one application, and that an integrated system will save around $200 per application. Tennessee, New York City, Indiana and Arizona are looking at systems as well.
Medicaid Management Systems are also coming up for rebid, said Struckman. Newt Gingrich's Center for Health Transformation is pushing the Bush administration to move more technology into health care, arguing that medical records should be electronic and under the control of patients, not drug and insurance companies. Rules-based engines can be used to warn about drug interactions, etc. And, said Struckman, President Bush's tort-reform message also addressed health care IT.
Justice and Homeland Security
Homeland security funding at first focused on "boots and suits," and other equipment, but is now turning to technology, surveillance, handhelds, intelligence and case-management systems. And, said Struckman, since intelligence is delivered by officers on the street, the federal systems need to reach down to the local level.
Telecommunications
Wireless is a trend in local governments as varied as Philadelphia, and Walla Walla, Washington, said Struckman. And the import is not just wireless, but all the applications that can sit on that infrastructure.
The 911 emergency number, and 411 information number, are now joined by 211 for social services referral. A bill by Sen. Hillary Clinton to fund 211 didn't get out of committee, but will be reintroduced, said Struckman.
New York City, Baltimore, Chicago and other cities are using 311 for non-emergency city services. Virginia is looking at a platform that all local governments could share. Universities are putting 311 services in on campus. 311 could cover state and regionalized federal services, said Struckman, and departments of transportation are now setting up 511 traveler information numbers, currently deployed in 14 states. Supporting traveler information systems are traffic cameras and other technology. Automatic toll-payment transponders have been equipped in some areas to monitor the time between toll booths, and thus provides an automated measure of traffic flow.
Most 911 systems still cannot locate cell phone callers, even though 32 percent of 911 calls are now from cell phones and growing rapidly. That means a "dramatic refresh" is coming to 911 call centers.
Projects to integrate amber alerts are growing. Fourteen states have Web-based systems now. And NASCIO is piloting an all-alert system, a national network of alerts.