IHSC 101 - Industry Day.pdf

ICE HEALTH SERVICE CORPS

JULY 2021

U.S. IMMIGRATION AND CUSTOMS ENFORCEMENT

ENFORCEMENT AND REMOVAL OPERATIONS

PRESENTATION OUTLINE

• IHSC strategy Detention Health Framework

• IHSC structure History

Health care system

IHSC 101: STRATEGY, STRUCTURE, AND LEADERSHIP

THE IHSC DETENTION HEALTH FRAMEWORK:

HEALTH CARE FOR PEOPLE IN ICE DETENTION

Vision

To be the best health care delivery system in detention and correctional health care

Mission

Provide the safe delivery of high-quality health care to those in ICE custody.

Values

Integrity Commitment Accountability Service Excellence

Guiding Principles

Flexible & agile;

continual improvement while adapting to change.

Culture of innovation aligned with authority & accountability.

Performance-based, cost-effective, efficient, customer-focused.

Continuous improvement in health & resilience.

Patient-centered care.

THE DETENTION HEALTH FRAMEWORK*

* Essential Reading:

IHSC Detention Health Framework 2.0: The Governing Document, Oct 2020.

https://icegov.sharepoint.com/sites/ihsc/cos/GetToKnowIHSC/Forms/AllItems.aspx?id=%2Fsites%2Fihsc%2Fcos%2FGetToKnowIHSC%2FIHSC%20Detention%20Health%20Framework%20%2D%20August%202017%2Epdf&parent=%2Fsites%2Fihsc%2Fcos%2FGetToKnowIHSC

HISTORY

Immigration Act authorizes U.S. Public Health Service (PHS) to examine and quarantine at Ellis Island.

1980s Division of Immigration Health Services

(DIHS). U.S. Public Health Service provided direct health care to detainees at Krome

Service Processing Center near Miami, FL.

DIHS aligned with the

U.S. Department of Homeland Security.

Name change to IHSC

Present Over 1,400 IHSC PHS, civilian, and contract personnel at HQ and 22 facilities nationwide.

Immigration Act authorizes PHS to examine and quarantine at Ellis Island.

Reference: Mullan, F. (1998). Plagues and Politics: The Story of the United States Public Health Service. DHHS: Washington, DC.

U.S. Public Health and Marine

Hospital Service name changed to U.S. Public Health

Service.

Congressional Act to Regulate

Appointments in the Marine Hospital Service establishes the uniformed service (future Commissioned Corps) of the U.S.

Marine Hospital Service: a “professional, mobile corps of medical specialists who could be deployed anywhere.”

Congressional Act for the Relief of Sick and Disabled Seamen leads to the creation of a network of Marine hospitals, administered by the U.S.

Marine Hospital Service, the precursor to PHS.

U.S. PUBLIC HEALTH SERVICE (PHS)

• Commissioned by ICE Director in 2020 as a new annual requirement

• Inaugural report published November 4, 2020; accessible via www.ice.gov

MILESTONE: FY20 IHSC ANNUAL REPORT

http://www.ice.gov/

HEALTH CARE SYSTEM

ICE HEALTH CARE WORKFORCE

IHSC comprises approximately 1,700 employees that includes federal civil servants, U.S. Public Health Service officers, and contract health professionals.

ICE HEALTH SERVICE CORPS

The nursing team at Montgomery Processing Center (L-R): Mr. Charles Ogongo, Ms. Elizabeth Guajardo, Ms. Alexa Castillo, Ms. Susan Bodunde, Ms. Elaine Holder, Ms. Ugochi Diokpa, Ms. Geraldine Okpara, Ms. Ngozi Osagie, LT Thelma Cancam, Ms.

Susan Wessman, Ms. Mary Fruge, Ms. Donna Jeter, Mr. Edwin Udeh, LCDR Gabriel Garza, and LT Chevay Hampton.

IHSC HEALTH CARE SYSTEM

Provides direct care in IHSC-staffed facilities

Oversees compliance in non-IHSC-staffed facilities

Reimburses for detainee off-site referrals and treatment

Supports ERO special operations

Photo credit (second from left): Associated Press 2019 Photo credit (third from left): iStock

In FY 2020, IHSC spent over $315 million on direct medical, dental, mental, and public health services for individuals in ICE custody.

ICE HEALTH SERVICE CORPS

• Delivered care to ~100,000 detainees in 20 IHSC-staffed facilities in FY 2020

• Provides timely medical care:

• Complies with national standards & professional peer-reviewed guidance

12 hours: receive an initial health screening

14 days: a comprehensive health assessment

Daily: sick call

24/7: urgent and emergency care as needed

IHSC HEALTH CARE SERVICES IN FY 2020

• Comprehensive medical, nursing, dental, mental and behavioral health, pharmacy & public health services

• Socio-culturally competent and translated to native language

• Negative pressure units for active and suspect TB patients

• Universal electronic health care record use

DIRECT DETAINEE CARE

ON-SITE IHSC-STAFFED MEDICAL FACILITIES IN FY 2021

1. 26 Federal Plaza, New York, NY

2. Alexandria Staging Facility, Alexandria, LA

3. Berks County Family Shelter, Berks, PA

4. Buffalo Federal Detention Facility, Buffalo, NY

5. Caroline Detention Facility, Bowling Green, VA

6. South Texas Family Residential Center, Dilley, TX

7. El Paso Processing Center, El Paso, TX

8. Elizabeth Contract Detention Facility, Elizabeth, NJ

9. Eloy Detention Center, Eloy, TX

10. Florence Service Processing Center, Florence, AZ

11. Folkston ICE Processing Center, Folkston, GA

12. Houston Contract Detention Facility, Houston, TX

13. LaSalle Detention Facility, Jena, LA

14. Krome Service Processing Center, Miami, FL

15. Montgomery Processing Center, Conroe, TX

16. South Texas ICE Processing Center, Pearsall, TX

17. Port Isabel Service Processing Center, Los Fresnos, TX

18. Northwest Detention Center, Tacoma, WA

19. T. Don Hutto Residential Center, Taylor, TX

20. Varick Staging Facility, New York, NY

21. York County Prison, York, PA

*IHSC ensures any and all medically necessary health care services are available and provided, whether directly or indirectly, to all ICE detainees.

IHSC HEALTH SERVICE CORPS

HEALTH SERVICES

Direct and Indirect Health Care Services*

Primary care and preventive care (e.g., vaccinations).

• Dental and mental health.

• Specialty care, including tele-health.

• Community obstetrics specialist referrals for all pregnant detainees.

• Urgent/emergent care and hospitalization (available 24/7).

Public Health

• Dedicated IHSC unit monitors potential health threats to communities.

−At IHSC-staffed facilities.

−At large (HQ), in partnership with local, state, and federal health authorities.

IHSC: ONE TEAM, ONE MISSION...

LEADING THE WAY IN IMMIGRATION HEALTH CARE.