Charter for the CESSA Technical Subcommittee on Technology, Systems Integration and Data Management
Approved by Members 10/17/2022
BACKGROUND AND PURPOSE
On August 25, 2021, Governor J.B. Pritzker signed into law, the Community Emergency Services and Support Act (CESSA). This legislation, also called the Stephon Watts Act, was passed following the police shooting of a 15-old African American male with autism while in his home. The stated intent of the legislation to "to provide emergency response, with or without medical transportation, to individuals requiring mental health or behavioral health services in a manner that is substantially equivalent to the response already provided to individuals who require emergency physical health care." The putative goal of the legislation is to, whenever capacity exists and its legally and medically appropriate given assessed risk level, first allow mental health providers to serve as initial responders in situations where an individual presents with a behavioral health crisis. The entry points into this 'behavioral health first response' can be 988, the new behavioral health crisis number launched nationally on July 16, 2022. The behavioral health responders for these crises will be the 66 Mobile Crisis Response teams (MCR) housed within community-based behavioral health providers across the state.
The CESSA Act created the Statewide Advisory Committee "to review and make recommendations for aspects of coordinating 911 and the 988 MCR system most appropriately addressed on a State level "to achieve the intent of the legislation. The Statewide Advisory Committee will serve as the oversight and governance structure for the implementation of this legislation under the auspice of the Secretary of the Department of Human Services. Regional Advisory Committees (RAC), utilizing the pre-existing EMS Medical Directors Committee structures under the Department of Public Health's eleven (11) EMS regions, will be charged with the development of regional best practices and protocols consistent with the realities of the locale. Technical subcommittees are proposed and described below.
Responsibilities, Deliverables, and legislation-specific expectations
- Identify a Chair and Co-Chair(s) of the Technical Committee to preside over the proceedings
- Identify and recommend to the Statewide Advisory Committee a system for gathering data related to the transfer of 911 calls to 988 for ongoing review for improvements.
- Establish a reporting format and cadence for complying with regional reporting requirements, and subcommittee reporting for ongoing system monitoring.
- The Technical Subcommittee on Technology, Systems Integration and Data Management is responsible for providing guidance and recommendations to the Statewide Advisory Committee, as a whole, and to the Regional Advisory Committees in the following areas:
- Documentation and evaluation of current data collection processes and systems by PSAPs, Lifeline Centers, Law Enforcement and Mobile Crisis Response (MCR)teams
- Planning for development of systems and processes to collect new data and indicators to monitor system performance to include indicators of the following general parameters in aggregate and by region. This is a non-exhaustive list and additional indicators may be identified by system participants as a part of the CESSA process.
- 911 calls to PSAPS for a behavioral health crisis
- 911 calls to PSAPS for a behavioral health crisis resulting in law enforcement dispatch
- 911 calls to PSAPs for a behavioral health crisis resulting in law enforcement response due to lack of availability of behavioral health response
- 911 calls to PSAPS for a behavioral health crisis resulting in law enforcement co-responder response
- 911 calls to PSAPs for a behavioral health crisis that are routed to 988
- 988 calls resulting in MCR dispatch
- Other indicators of coordination between 911, MCR and Emergency Medical System (EMS)
- Response times by incident type
- Response times resulting in law enforcement response due to MCR being unable to have a timely respons
- Investigation and research into call transfer methodology and technology between
- 911 and 98
- 988 and MCR
- Deliverables
- Data collection plan for aggregate statewide data and regional data including an assessment of gaps in data collection or recommendations for new data fields
- Sample reports
- Benchmarks to measure system performance
- Call transfer technology recommendation
- Recommendations regarding phased implementation of new processes and systems
- Data elements as included in the CESSA legislation
- (c) The Statewide Advisory Committee shall recommend a system for gathering data related to the coordination of the 9-1-1 and 9-8-8 systems for purposes of allowing the parties to make ongoing improvements in that system. As practical, the system shall attempt to determine issues including, but not limited to:
- (1) the volume of calls coordinated between 9-1-1 and 9-8-8;
- (2) the volume of referrals from other first responders to 9-8-8;
- (3) the volume and type of calls deemed appropriate for referral to 9-8-8 but could not be served by 9-8-8 because of capacity restrictions or other reasons
- (4) the appropriate information to improve coordination between 9-1-1 and 9-8-8
- (5) the appropriate information to improve the 9-8-8 system, if the information is most appropriately gathered at the 9-1-1 PSAPs.
MEMBERSHIP
Membership in the CESSA Subcommittees includes Statewide Advisory Committee members and members of the Statewide Expert Consultant Group. Public comment will be allowed as a part of each Subcommittee meeting, consistent with the Illinois Open Meetings Act.
MEMBERSHIP APPOINTMENT
TERMS:
The official term of the SAC expires January 1, 2023; however, the Secretary of the Department of Human Services may elect to extend the term to continue to monitor the progress of implementation. All appointed during the official term shall serve through January 1, 2023. All SAC deadlines will apply to the Technical Subcommittees as well.
MEMBER REPLACEMENTS AND SUBSTITUTES:
An opening on the subcommittee may occur due to a resignation. If there is an opening on the subcommittee, the co-chairs shall seek a replacement member to be appointed by the Secretary of the Department of Human Services prior to the next subcommittee meeting. Alternative members may serve at the discretion of the primary member of the organization. When a subcommittee member cannot attend a meeting, a substitute may attend for the purposes of monitoring the discussion.
EXPERT CONSULTATION
The Chair and Co-Chair(s) will determine what expertise is necessary to conduct the work of the Committee and communicate those requirements to the Statewide Advisory Committee. The Statewide Advisory Committee and technical subcommittees will seek assistance from the Expert Consulting Group working with and advising that committee or communicate those needs to state officials who will seek expert counsel. Regional Advisory Committee members are invited to participate in all expert presentations conducted by the state covering a variety and topics, and any learning collaboratives established to advance this work. These individuals are not official appointments to the RAC but may participate in discussions of the Subcommittee relevant to their area of expertise.
SUBCOMMITTEE MEETINGS
MEMBER MEETINGS:
The TISDM Subcommittee shall meet every two weeks or as often as agreed to by members through January 1, 2023, virtually and at a time determined by the Chair and Co-Chairs. All members are expected to be prompt and prepared to fully participate in the proceedings.
All meetings of the Technical Advisory Committees shall be held in accordance with the Illinois Open Meetings Act (5 ILC 129/1) requiring official minutes of proceedings, posted agendas and time for public comment.
PUBLIC COMMENT:
Citizens are invited to provide public comments to the Committee as designated at the time noted on the agenda. Committee meetings are open to the public but are not meetings of the public. The purpose of the meetings is to conduct the business of the Committee and to provide the members an opportunity to discuss issues with each other and with those scheduled on the agenda. Time limits for public comment may to established to ensure equitable time for each speaker and to ensure scheduled Committee business can be completed in a reasonable time.
DECISION STRUCTURE:
Subcommittee members agree to strive toward consensus on issues that may require a decision. When there is a disagreement, a vote will be conducted, and simple majority will rule. Only Subcommittee members can vote and when a substitute is attending on behalf of the primary member, the substitute may vote by proxy. A quorum, defined as a simple majority, must be present for any votes necessary to conduct the business of the Subcommittee.
