hiive health for
Border & Correctional Facilities
Ensuring Constitutional Healthcare Delivery in High-Security, High-Volume Detention Environments
the overview
The Federal Bureau of Prisons faces healthcare staffing shortages with rates ranging from fully staffed to less than 50% at individual facilities1 while CBP processes rapidly changing detention populations with an 85% reduction in southwest border apprehensions from January 2024 to January 2025.2
Federal detention facilities require healthcare workflow solutions that maintain security protocols while delivering constitutionally mandated medical care. Hiive Health provides a secure, scalable platform that enables CBP detention centers and BOP facilities to manage medical intake, chronic care, mental health services, and emergency response—all while maintaining chain of custody documentation and meeting federal healthcare standards despite severe staffing constraints.
the challenge
For federal correctional healthcare administrators and detention facility medical staff, current systems create dangerous gaps:
Critical Staffing Shortages
BOP healthcare positions experience severe understaffing that limits institutions' ability to provide treatment and programs that can help mitigate the risk of inmate deaths
Intake Processing Bottlenecks
CBP facilities must conduct medical screenings for thousands of detainees within constitutional timeframes, yet lack systems to efficiently document and track medical needs
Suicide Prevention Failures
From January 2022 through March 2024, Lewisburg federal prison had 16 suicide attempts highlighting systemic gaps in mental health monitoring and intervention protocols
Transfer Documentation Voids
Medical records frequently don't follow detainees between CBP, ICE, USMS, and BOP custody, forcing repeated medical evaluations and missed chronic care
These deficiencies result in preventable deaths, constitutional violations, Congressional investigations, and hundreds of millions in legal settlements.
Hiive Health empowers federal detention facilities to deliver constitutional healthcare despite staffing shortages through intelligent automation, predictive risk assessments, and seamless inter-agency transfers.
competitive advantage
Unlike correctional healthcare systems designed for state facilities or commercial EHRs that can't handle security requirements, Hiive Health offers:
Federal Detention Expertise
Purpose-built for CBP and BOP requirements, not adapted from state correctional or civilian healthcare systems
Multi-Agency Interoperability
Proven data exchange across DHS and DOJ components maintaining chain of custody integrity
Secure Telemedicine Integration
Connect facilities with remote specialists through HIPAA-compliant video platforms that maintain security protocols and chain of custody
Constitutional Compliance Engine
Automated tracking of Eighth Amendment healthcare obligations with built-in legal documentation
Rapid Crisis Response
Deploy emergency mental health protocols or pandemic response workflows in hours, not weeks
To see our established contract vehicles serving Department of Defense, Intelligence Community, and civilian agencies visit our Contract Vehicles page.
