title: Data-driven human rights: using the electronic health record to promote human rights in jail.
abstract: The electronic health record (EHR) is a commonplace innovation designed to promote efficiency, quality, and continuity of health services. In the New York City jail system, we implemented an EHR across 12 jails between 2008 and 2011. During the same time, our work increasingly focused on the importance of human rights as an essential element to the provision of medical and mental health care for our patients. Consequently, we made major modifications to the EHR to allow for better surveillance of vulnerable populations and enable reporting and analysis of patterns of abuse, neglect, and other patient concerns related to human rights. These modifications have improved our ability to find and care for patients injured in jail and those with mental health exacerbations. More work is needed, however, to optimize the potential of the EHR as a tool to promote human rights among patients in jail.
authors.affiliation: Director of Policy and Evaluation in the Bureau of Correctional Health Services at the New York City Department of Health and Mental Hygiene.
authors.forename: Sarah
authors.initials: S
authors.lastname: Glowa-Kollisch
authors.affiliation: Development Specialist in the Bureau of HCAI Information Technology and Initiatives at the New York City Department of Health and Mental Hygiene.
authors.forename: Kelly
authors.initials: K
authors.lastname: Andrade
authors.affiliation: Assistant Commissioner of the Bureau of HCAI Information Technology and Initiatives at the New York City Department of Health and Mental Hygiene.
authors.forename: Richard
authors.initials: R
authors.lastname: Stazesky
authors.affiliation: Director of Program Support and Evaluation in Transitional Health Care Coordination, Bureau of Correctional Health Services at the New York City Department of Healthand Mental Hygiene.
authors.forename: Paul
authors.initials: P
authors.lastname: Teixeira
authors.affiliation: Program Evaluator in the Bureau of Correctional Health Services at the New York City Department of Health and Mental Hygiene.
authors.forename: Fatos
authors.initials: F
authors.lastname: Kaba
authors.affiliation: Medical Director of the Bureau of Correctional Health Services at the New York City Department of Health and Mental Hygiene.
authors.forename: Ross
authors.initials: R
authors.lastname: Macdonald
authors.affiliation: Deputy Medical Director of the Bureau of Correctional Health Services at the New York City Department of Health and Mental Hygiene.
authors.forename: Zachary
authors.initials: Z
authors.lastname: Rosner
authors.affiliation: Executive Director of Mental Health in the Bureau of Correctional Health Services at the New York City Department of Health and Mental Hygiene.
authors.forename: Daniel
authors.initials: D
authors.lastname: Selling
authors.affiliation: Deputy Commissioner of the Division of Health Care Access and Improvement, at the New York City Department of Health and Mental Hygiene.
authors.forename: Amanda
authors.initials: A
authors.lastname: Parsons
authors.affiliation: Assistant Commissioner of the Bureau of Correctional Health Services at the New York City Department of Health and Mental Hygiene.
authors.forename: Homer
authors.initials: H
authors.lastname: Venters
mesh_terms: D057286:Electronic Health Records; D006806:Human Rights / Q000706:statistics & numerical data; D006801:Humans; D009519:New York City; D011159:Population Surveillance / Q000379:methods; D011329:Prisoners / Q000706:statistics & numerical data; D011330:Prisons / Q000458:organization & administration