U.S. Immigration and Customs Enforcement

The electronic Health Records (eHR) Program is developing a centralized electronic Health Records system that supports comprehensive medical services management for Immigration and Customs Enforcement (ICE) detainees, which will replace multiple systems and manual processes by leveraging advancements in the healthcare industry.

The eHR Program is designed to address the Government Accountability Office (GAO) and Department of Homeland Security (DHS) Inspector General concerns regarding detainee healthcare. The centralized eHR will streamline the care provided to detainees, automate medical documentation, reduce paper workloads, enhance ICE medical management and oversight, enhance the standardization of care provided to detainees, reduce risk and legal liability of the overall system and improve the accuracy and timeliness of performance measurement.

Why This Matters To You

The ICE eHR Program purpose is to support DHS's strategic goal to strengthen American Bio-Security. The eHR will provide near real-time reporting of histories, alerts, and special needs, share bio-security information, and allow better policy enforcement and improved accountability. The ICE eHR Program also supports the White House Homeland Security Strategy by providing early detection and reporting of potential biological threats (e.g., infectious diseases). The eHR will support protecting the public health and safety through early detection of biological threats to forecast trends of potential health security standards.

The eHR will reduce the current cost of managing medical documentation for ICE detainees and potential support a more streamline process for processing detainees.

How We Helped

Phase One supported ICE Health Service Corps (IHSC) in their review, analysis, and creation of eHR acquisition planning documentation and requirements validation to ensure that DHS adequately addresses the requirements and analysis necessary to successfully acquire an eHR system. Phase One conducted studies and analyses for Federal detention healthcare environment regarding operational and technical needs and requirements. As a result of the successfully performed acquisition support, alternative feasibility studies, and financial analysis of estimates and benefits, the client was able to move through the department mandated acquisition reviews and enterprise architecture reviews.

Upon completion of the of the initial stages of support, Phase One was asked to provide assessments and recommendations for future eHR system impacts to these areas of program communications (strategy, branding, planning, and execution), staffing including new roles and responsibilities for medical, health informatics, technology, and management positions, organizational data governance practices, legacy data migration, and future IT system interfaces. Phase One provided the eHR system program management team with the strategic business initiatives to facilitate business transformation.