CESSA Technology, Systems Integration & Data Management Subcommittee Meeting - Approved Minutes 10/17/2022

CESSA Technology, Systems Integration & Data Management Subcommittee Meeting October 17, 2022 - 2:30 PM - 4:00 PM

Meeting Minutes - Approved by Members 10/31/2022

  • Welcome and Call to Order
    • Meeting called to order at 2:32 pm by Peter Eckart, UIC Crisis Hub
  • Meeting Logistics/OMA
    • Eckart confirmed that the meeting minutes are being taken but that the meeting is not being recorded.
    • Eckart confirmed that OMA training is still requested for all members.
  • Roll Call and Approval of Minutes from TSIDM meeting on September 26, 2022
    • Member Attendees Present: Brent Reynolds, Lee Ann Reinert (David Albert designee), Richard Manthy, Jr., Jim Kaitschuk
    • With five of seven members present, a quorum is established.
    • Expert Consulting Group Attendees Present: Daniel Lee
    • Motion to approve the minutes from the previous meeting was made by Manthy and seconded by Reynolds and passed unanimously.
    • Motion to approve the Subcommittee Charter as delivered to the members was made by Reynolds and seconded by Manthy and passed unanimous, with Kaitschuk abstaining.
  • Approval of Chair
    • Eckart explained that the Subcommittee requires a chair or co-chairs to help set the agenda, run the meeting, and report to the CESSA Statewide Advisory Committee.
    • Reynolds, Manthy, and Reinert all indicated their wiliness, with the caveat that they are already in other leadership positions within CESSA. Given Reinert's place as designee, Eckart thanked Reynolds and Manthy for volunteering and committed to fully supporting their participation as co-chairs.
  • Review of CESSA legislation for specific direction to TSIDM
    • Eckart presented the direct language from CESSA and invited comment from the members.
    • Discussion:
      • It was suggested that some of the data would be difficult to collect, such as (1) the volume of calls between 911 and 988, (5) the appropriate information to improve the 988 system.
      • The language of "appropriate and "improve" is imprecise.
      • And number 3 is difficult because there is no current system to track referrals between systems.
      • The difficulty with the heterogeneity of the 911 and 988 systems across different providers and vendors, with EMS and fire as additional complications.
      • Can we get comprehensive data from the PSAPs? We'll have to ask the 911 Administrator.
      • The legislation did not appear to be written with an understanding of the current technical systems.
      • We need to think specifically about what data we need if the purpose is to monitor and improve the system.
      • EMS data, fire, 911 centers; who has this data?
      • And after we pick the data we need, who has it and how will it be collected and who will have access to it?
      • Possible uses:
        • Resource allocation and funding needs
        • When someone calls 988 or 911, were they helped, did they get the relevant help?
        • How do people move through the system?
      • It was suggested that we review the legislation again to get a sense of the intention of the legislation and determine if it's practical.
      • For example, the legislation calls for a non-police response, but EMS and fire sometimes want a police response.
      • The SAC will be looking at matrices that are being used in other jurisdictions that guide the kinds of crisis response and who should be included, and that will be an important part of the conversation in this subcommittee.
      • It's important to recognize that the dispatcher doesn't always have perfect information, and sometimes must make a quick determination based on limited data. So, it will be something for us to learn what data actually goes into dispatch decisions.
  • Discussion regarding data needs and collection
    • This centered on a presentation from Daniel Lee of IDPH, who is the data steward for the state's prehospital dataset: emergency medical services to emergency patients before they are admitted to a hospital.
    • The slides will be made available upon request.
    • High-level takeaways:
      • The provider's primary impression is suggestive of a mental-health-related issue for as many as 1 in 17 of 911 responses by EMS.
      • Mental health is the most prevalent syndrome for 911 responses. Syndromes suggestive of mental health issues (alcohol, overdose, and self-harm) are also highly prevalent.
      • The provider's primary impression is mental health related for 98% of EMS 911 responses classified as involving a mental health syndrome.
      • Conclusion: Mental health responses consume a large proportion of EMS resources in Illinois.
    • Insights from the follow-up discussion
      • It's possible for calls to be tagged as mental health-related and other syndromes. Daniel will do a separate analysis on this and report back.
      • There is a process to add additional question fields or data items to the prehospital dataset, as we might want for CESSA, and that process is just kicking off in Illinois.
  • State Updates
    • The Statewide Advisory Committee met recently, and those minutes will be posted soon.
    • DHS/DMH have issued appointment letters to the members of some of the 11 Regional Advisory Committees and so those meetings will begin taking place in November.
  • Public Comment
    • There was no public comment.
  • Adjournment
    • Manthy moved to close the meeting, Reynolds seconded that motion, and it passed unanimously.
    • The meeting was closed at 3:53 pm.