Implementation of an Electronic Health Record in the New York City Jail System

In New York City, the administration of health care provided within the jail system is markedly different from that in other jurisdictions across the country. By virtue of the city charter, the Department of Health and Mental Health (DOHMH) manages all aspects of health care within the jail system, while the Department of Correction (DOC) supervises the rest of the jail system. This means that the same government agency that oversees health and health care for the community at large also oversees health and health care for the jail-involved population. The jail population is considered part of—not separate from—the general population, and the health of both is seen as linked.