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Division of Immigration Health Services
Homeland Security

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Client Profile
The Division of Immigration Health Services' (DIHS) mission is to protect America by providing health care and public health services in support of immigration law enforcement. DIHS promotes global health through the delivery of primary care to undocumented migrants. The Division's relationship with the Immigration and Customs Enforcement (ICE), formerly the Immigration and Naturalization Service (INS), dates back to 1891 when the Immigration Act authorized the Public Health Service to examine and quarantine aliens at Ellis Island. Since 1985, the ICE Detention and Removal (D&R) Program has had an interagency agreement with the Public Health Service (through the Health Resources and Services Administration, Bureau of Primary Health Care) to provide health care personnel to staff the ICE Service Processing Center Medical Facilities, and other measures of health care support.

Executive Summary
Prior to 2003, DIHS did not have the necessary LAN/WAN infrastructure or automated tools to properly support its mission. DIHS contracted with DYONYX to define requirements and design, develop and deliver a turnkey outsourced solution to support the Enterprise Multi-Service Network (EMN) of DIHS' Washington DC headquarters and 15 Service Processing Centers (SPC's) located throughout the U.S. and Puerto Rico. This network would become the highly-secured information system for the management of primary healthcare and managed care services for the US Bureau of Immigration & Customs Enforcement's (BICE) undocumented migrant (detainee) population. The original DIHS user population began with 75 staff and today has grown to over 300 workstations, 46 servers and 400 users in a 2-year period. Network misuse and security lapses through improperly trained employees.

Solution
DYONYX currently provides outsourced eMR, IT network/applications/helpdesk support for this new network infrastructure which includes two redundant data centers. In addition to the evaluation, procurement and management of all WAN communications circuits, installation of network, server, and workstation equipment at all facilities (fully cooperating with other government organizations present), DYONYX worked with DIHS to define and obtain interconnection agreements for access to and integration with applications belonging to other government departments.

Key Benefits
In support of the DIHS mission, DYONYX was tasked with assisting in purchasing an Electronic Medical Records (eMR) and Utilization Management System to automate the management of primary healthcare and managed care services. DIHS required an eMR that would focus on their unique process to identify infectious diseases, provide healthcare in a detention environment, and manage healthcare services provided outside of DIHS clinics.

eMR Solution: CaseTrakker
CaseTrakker is distinguished from other healthcare software packages in that it is an infrastructure support solution customized for healthcare management. All the modules needed to automate healthcare management functions are in the basic program. However, the data to be collected, reporting, etc. can be customized to meet each individual customer's needs as part of a complete solution. For DIHS, this meant the system could be configured to track information on the case, the patient, the provider, the episode of care, the outcome - or any other configuration required. This basic framework and customization capability enabled DIHS to quickly deploy a customized solution, with the cost and manageability benefits of a commercial off the shelf (COTS) solution. As part of the implementation of the CaseTrakker solution, DYONYX defined all of the forms, data fields, documents and assessments to be included in the customized solution, oversaw the system configuration, and assisted in the deployment and training of the solution to DIHS facilities.

Key Benefits
DYONYX continues to integrate CaseTrakker eMR with other DIHS applications, such as the Criminal Institution Pharmacy System (CIPS), TeleRadiology System, and Lab Corp., as well as future enhancements to support DIHS's evolving mission. The key benefits to DIHS thus far have been:

• JACHO, ACA, NCCHC Accreditation Process Streamlined & Automated
• Identification of At-Risk Patients Resulting in Reduced Risk
• Enhanced Health Care Cost Benefit Analysis
• Enabled Treatment Outcomes Analysis
• Contract Health Care Provider Costs Reduction
• Custom Capabilities with COTS Cost and Manageability
• Rapidly Scaleable Solution
• Robust Reporting Standard Features
• Initial eMR Prototype was Deployed in Less Than 4 Months

 

To learn more, visit www.dyonyx.com

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Client Profile
El Paso Electric Company (EPE) is a medium sized integrated electric utility operating in the Rio Grande Valley in west Texas and southern New Mexico with over 347,000 customers. With approximately 1,000 employees, EPE has an installed net generation capacity of 1,500 MW including about 16% interests in the Palo Verde nuclear plant. While EPE is moderate in size when compared to many corporations, as an electric utility, the technology infrastructures are very complex incorporating real-time systems, large customer databases, multi-layered geographic information systems, communication and dispatch systems, and comprehensive facilities management systems all supporting the delivery of electricity to the customers. This environment, coupled with the key responsibility to operate and maintain the critical electric grid infrastructures for the region, sets the stage for the need of a robust set of information system infrastructures. These infrastructures, which include hardware architecture, application system architecture, network architecture, and supporting organizational resources, need to incorporate appropriate technology, integrated design concepts, and efficient processes to meet the needs of the corporation.
Executive Summary
EPE retained the services of DYONYX to perform a cooperative technical examination and assessment of various aspects of the current technical environment considered by leadership to be of high importance and worthy of focus. Our team concentrated on the methods and support of functional interfaces for core business applications, the design of EPE's LAN/WAN infrastructure, server strategies and storage architecture, desktop and software management, and secure communications.
Upon completion of this assessment DYONYX was awarded the contract to virtualize the EPE server environment to reduce the physical footprint required to provide current business functions while minimizing any disruptions to the current production environment. The intent of this consolidation was to reduce the physical footprint only and not change the logical infrastructure design as EPE was preparing to move their data center to a new location. DYONYX was asked to respond to an RFP on the data center relocation to determine if continuing to support their IT internally, hosting their services in a third party hosting facility or fully outsourcing all of IT was the most cost effective solution. Upon completion of the RFP, DYONYX was requested to respond to a full outsource RFP, which was also awarded to DYONYX.
End User Support
DYONYX provides technical personal computer, laptop and software assistance to all EPE personnel. Service Desk Level I personnel located in our centralized ITIL compliant Service Desk respond to employee questions and requests for service. Software support includes operating system, word processing, e-mail, presentation graphics, spreadsheet, drawing, illustration, file compression, workflow management, database, networking, web browser, and industry specific Commercial off the Shelf (COTS)