The Department of Homeland Security's inadequate medical technology and record-management for thousands of migrants are contributing to poor care and even deaths
rejected a CDC recommendation to administer flu shots to people in its custody; two children later died of flu in the agency's facilities.“You can’t take proper care of patients if you don’t document care,” said Stan Huff, chief medical informatics officer at Intermountain Healthcare in Utah, who reviewed the paper trail of many of the deaths for POLITICO.
Rep. Lauren Underwood drew attention to the inadequate records during a visit to the Texas border this summer. At one facility, the Ursula Border Patrol detention center, Underwood said, agents were conducting visual assessment of migrants for signs of illness. “They are not keeping records/charts on each individual," she wrote in a memo filed with the House Oversight Committee, which was investigating children separated from their familiesUnderwood subsequently introduced the U.S.
In 2013, when detainee Raul Ernesto Morales-Ramos complained of persistent gastrointestinal pain, staff found blood in his stool and requested a referral through the ICE software, called ICE Health Services Corp Medical Payment Authorization Request. Homeland Security has touted efforts to digitize its record keeping, announcing in 2014 that ICE was adopting an eClinicalWorks digital health." But that's just one set of records in the bureaucratic snarl where the health of detainees is documented — or fails to be.
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