customer

U.S. Immigration and Customs Enforcement (ICE) / Office of Health Security (OHS)

location

• Naval Station Guantanamo Bay

• Camp East Montana

executive summary

Hiive Health was originally engaged by ICE and the Office of Health Security (OHS) to support employee health and Employee Assistance Program (EAP) operations for federal personnel. The initiative focused on modernizing workforce health engagement, care coordination, scheduling, telehealth, behavioral health support, and longitudinal employee wellness workflows through a secure, configurable digital platform.

After months of configuration, workflow design, and operational preparation, the platform was only days away from production deployment for the ICE employee health and EAP program. The implementation included employee engagement workflows, behavioral health support capabilities, care coordination tools, telehealth functionality, scheduling, and secure clinical documentation workflows intended to support distributed federal personnel across operational environments.

In early 2025, shifting federal operational priorities created an urgent need to rapidly expand healthcare support for detainee populations across federal detention environments. As detainee intake operations accelerated under the new administration, ICE made the decision to repurpose the original employee health contract and associated platform licenses to support detainee healthcare operations instead of the planned EAP production rollout.

Because Hiive’s platform was built around configurable workflows, care coordination, behavioral health support, and operational flexibility, the system was rapidly transformed from an employee health and EAP platform into a detention-health electronic health record (EHR) capable of supporting intake screening, medication administration, behavioral health assessments, medical dispositions, and federal detention compliance requirements.

The platform was operationally deployed at Naval Station Guantanamo Bay and Camp East Montana, demonstrating Hiive’s ability to rapidly adapt an operational employee health platform into a mission-critical healthcare delivery system under compressed federal timelines and evolving operational demands.

the original mission: modernizing employee health & EAP operations

ICE and OHS initially sought a modern digital platform capable of improving workforce health engagement and employee support services across distributed operational environments.

The program focused on creating a secure, scalable employee health and EAP platform that could support:

• Employee Assistance Program (EAP) workflows

• Behavioral health engagement

• Care coordination

• Longitudinal employee wellness tracking

• Telehealth and virtual care

• Appointment scheduling and automated notifications

• Secure employee communications

• Clinical documentation

• Population health reporting

• Workflow automation

• Self-service employee engagement tools

Hiive’s platform enabled federal employees and care teams to coordinate services through configurable digital workflows designed to improve access, streamline administrative processes, and support workforce readiness.

Core capabilities included:

• Digital intake and assessment workflows

• Care pathways and case management

• Behavioral health support workflows

• Telehealth integration

• Automated reminders and outreach

• Centralized documentation

• Reporting and analytics dashboards

• Role-based security controls

• API-first interoperability architecture

The platform was designed to support rapid configuration and operational scalability without requiring lengthy custom development cycles.

rapid transformation into a detention healthcare EHR

Using its configurable no-code workflow architecture, Hiive rapidly transformed the employee health platform into a purpose-built detention healthcare EHR.

The solution included:

Core Clinical & Operational Capabilities

• Structured digital clinical documentation

• Centralized detainee medical records

• Clinical decision support

• Care coordination and triage workflows

• Population health analytics and reporting

• HL7, FHIR, and API-based interoperability

• Telehealth integration

• Automated workflows and conditional logic

• Role-based access controls and audit logging

Detention-Specific Workflows

Hiive configured operational detention-health functionality including:

• Search by Alien Number

• Book In / Book Out workflows

• Medication Administration Record (MAR)

• Pill Line management

• Keep-on-Person medication tracking

• ECFax medication ordering

• Medical housing disposition workflows

• Confinement-to-quarters tracking

• Limited duty profiles

• Medevac coordination

• Return-to-clinic workflows

• Transfer-to-higher-level-of-care workflows

• Medical clearance for general population placement

federal detention documentation & compliance

Hiive rapidly configured detention-health forms and workflows aligned to ICE Health Service Corps (IHSC) operational requirements, including:

• Alien Initial Health Interview Questionnaire (F 2500)

• Behavioral Health Initial Suicide Risk Assessment

• Medical Consent Form (IHSC Form 793)

• Medical Transfer Summary (IHSC Form 849)

• Refusal Form (IHSC Form 820 S)

• Use of Force Medical Assessment (IHSC Form 011)

• TB Clearance Screening

• Intake Screening Forms

• Interpreter Identification workflows

• Behavioral Health Follow-Up workflows

Traditional detention EHR implementations often require 12–18 months or longer to operationalize. Hiive’s configurable workflow architecture enabled rapid deployment of operational workflows and documentation requirements without lengthy custom development cycles.

security & compliance

Hiive deployed the platform within a secure federal-ready architecture designed to support sensitive healthcare operations, including:

• AWS GovCloud environment

• HIPAA-compliant architecture

• FedRAMP-authorized infrastructure alignment

• PBNDS documentation standards support

• NCCHC-aligned clinical workflows

• Role-based access controls

• Full audit logging

outcomes & impact

The project demonstrated Hiive’s ability to support both employee health operations and mission-critical healthcare delivery under rapidly evolving federal requirements.

Key outcomes included:

• Successful deployment of employee health and EAP workflows for ICE/OHS personnel

• Rapid reconfiguration of the platform to support detainee healthcare operations

• Operational deployment at Guantanamo Bay and Camp East Montana

• Accelerated delivery timelines compared to traditional EHR implementations

• Centralized and structured healthcare documentation

• Enhanced behavioral health and care coordination workflows

• Configurable workflows adaptable to changing operational requirements

• Secure and scalable federal-ready architecture

key differentiators

conclusion

Hiive Health’s work with ICE and OHS demonstrated the flexibility of a modern configurable healthcare platform to support both employee health operations and rapidly evolving federal healthcare missions.

Originally deployed to support workforce health and EAP services, the platform was rapidly transformed into a detention-health operational EHR supporting federal detainee healthcare delivery at Guantanamo Bay and Camp East Montana.

The project validated Hiive’s ability to rapidly configure mission-specific workflows, support behavioral health and care coordination, and operationalize healthcare technology under compressed federal timelines without requiring lengthy traditional implementation cycles.