Structured like most states, Iowa's correctional community has county jails and a state department of corrections (DOC). Both the prisons and the Iowa DOC need to provide healthcare data for inmates. They must manage the inmate population to minimize the potential spread of infectious diseases, including but not limited to COVID-19. Correctional facilities also need to provide updated healthcare information to community providers if or when an offender goes on probation, pre-trial supervision, or is released to the community.
Sharing such vital information has been hampered through the years because it traditionally was paper-based. Information often was not collected adequately and, in some cases, not collected.
Data gathering has increasingly become digitized in recent years, making it easier to manage and archive information. The need now shifts to ensuring secure and timely information sharing between offender management systems and healthcare providers' electronic health record/medical record (EHR/EMR) systems. The state of Iowa recognized that those data systems largely are siloed.
Iowa hired Mission Critical Partners for a justice to health pilot project, which is primarily funded through a grant authorized by the Coronavirus Emergency Supplemental Fund (CESF) program, which is the justice component of the Coronavirus Aid, Relief and Economic Security Act (CARES) Act. MCP developed standards-based reusable interfaces designed to enable the vendors to implement a data-sharing capability more easily.
Bidirectional sharing of continuity-of-care documents has begun. These documents identify medical diagnoses and procedures related to each inmate and their prescribed medications. The healthcare provider(s) use the data-sharing capability to send information to the correctional facility at the point of incarceration. When the correctional facility releases the individual into society, the facility reciprocates by providing the current health status.
The next step will be to enable the sharing of admission-discharge-transfer (ADT) system information.