CESSA Technology, Systems Integration & Data Management Subcommittee Meeting - Approved Minutes 11/14/2022

CESSA Subcommittee for Technology, Systems Integration & Data Management (TSIDM) - November 14, 2022, 2:30 - 4:00 pm

Meeting Minutes - Approved by Members 11/28/2022

Subcommittee members: Brent Reynolds, Cindy Barbera-Brelle, David Albert (Designee-Lee Ann Reinert), Richard Manthy, Alice Cary, Jim Kaitschuk

Expert Consultant Group (ECG) members: Peter Eckart, Daniel Lee

Welcome and Call to Order
- Meeting called to order at 2:33 pm by Brent Reynolds, Co-Chair
Meeting Logistics/OMA
- Eckart confirmed that the meeting minutes are being taken but that the meeting is not being recorded.
- Reynolds confirmed that OMA training is still requested for all members.
Roll Call and Approval of Minutes from TSIDM meeting on October 31, 2022
- Member Attendees Present: Brent Reynolds, Lee Ann Reinert (David Albert designee), Richard Manthy, Jr., Jim Kaitschuk, Cindy Barbera-Brelle
- With five of seven members present, a quorum is established.
- Expert Consulting Group Attendees Present: Daniel Lee, Brenda Hampton
- Manthy motioned to accept the minutes, Reynolds seconded.
- Reynolds, yes
- Kaitschuk, yes
- Reinert, yes
- Manthy, yes
- Barbera-Brelle, yes
Discussion regarding data needs and collection
- Eckart opens the conversation based on the specific data management deliverables in the legislation, referenced below by the number of the bullets.
  - (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-
    - (5) the appropriate information to improve the 9-8-8 system, if the information is most appropriately gathered at the 9-1-1 PSAPs
- (1)
  - Barbera-Brelle said that it might be easier for the 5 988 centers to track, easier and more accurate than from 180 PSAPs
  - Reynold supports this
  - Barbera-Brelle talked with Lorrie about many types of incident type codes across the different CAD systems, so she's reached out to a random sample, suggests that it might be possible to standardize the type codes
  - Reinert: will confirm, if the 988 will know when they've gotten a call FROM 911.
  - Barbera-Brelle: maybe one of the things we can do is to ensure that the protocol across the state is for the 911s to clear they are a 911,
- (3)
  - Manthy: how to track these?
  - Reinert: this language in the CESSA reflects a misunderstanding of the 988 system. All calls to 988 WILL be answered, but we need to understand warm transfers, because the Vibrant system is national, and we're trying to figure out how to circumvent the national backup bounces.
  - Kaitschuk: This goes back to the lack of understanding between CESSA and 988.
  - Reinert: Number three is probably referring to the capacity for a mobile crisis response and not that 988 is itself sending MCRTs.
  - Reinert: there are multiple parties asking for changes to the legislation in the spring session. So perhaps we can take that back to them.
  - Eckart: let's add that to a future agenda.
  - Reinert: for data, there are requirements in the legislation, to make some decisions, but not much specific on timeframes for ongoing reporting and accountability.
  - Reynolds: agre
- Eckart opens a conversation about the responsibilities
  - Barbera-Brelle: some PSAPs don't collect anything, so it still makes sense for the PSAPs, but perhaps there are some data we need to collect, like how often law enforcement is being sent out, and by codes
  - Reynolds: every PSAP is different, primary is calls received and wireless/wire line. For CAD data, its call type of the original caller. Dispatching protocols questions regarding medical (DMB protocols). That data is collected in most systems running integrated DMB/CAD solutions (but still some using flip charts). So the amount of data collected in the PSAP is limited.
  - The vendors sell a product, that has the script/protocols. Not all PSAPs have that automation, some still use flip charts. That data isn't recorded anywhere.
  - Barbera-Brelle: we did a survey but didn't get that level of detail.
  - Barbera-Brelle: perhaps we could maybe ask a question of the vendors?
  - Kaitschuk: most of our data is kept in the CAD, if there is a criminal element, it's going to get tagged with a single element, rather than
  - Kaitschuk: the vast majority of law enforcement agencies are moving to automatic CAD reporting,
  - Eckart: two kinds of data we're concerned with: outcome data and process data
  - Reynold: clarifies to the public that we want to be successful; this isn't as easy as it might seem.
  - Changing processes that have been in place for years, and some data that we would have wanted to have for a long time. Not as easy to implement.
  - Reinert: There are a whole lot of legal concerns to consider. At the federal level, data sharing is complicated by PHI that is subject to protection. HIPPA and HITEC and mental health confidentiality. Some states are already grappling with this. LE want to know the outcome after dispatch, but can't be shared
  - Kaitschuk: Lee Ann is spot-on. And Law Enforcement has specific information that we can't share with others.
- (2)
  - Manthy: State reporting system on region
  - The dispatch centers will overlap, and the 988 and MCRTs overlap with EMS regions.
  - Reynolds: the current routing of the 988 calls should be to the correct area, not of the phone number
  - Reinert: the state doesn't have an impact on where those calls go. Vibrant does the routing. The only way that will change is if the FCC changes federal law. There is great debate now. The largest function of 988 is to provide service directly to callers and without dispatch anywhere. Some callers do not WANT folks to know where they are calling from. At the state level, we can't change.
  - Reynolds: on the 911 side, we've struggled with finding those who call from wireless phones.
  - Reinert: In May, there was a day-long hearing at FSCC on this issue, without a resolution. People who think equally in geo-location and those who do not.
State Updates
- Next SAC, Subcommittees
- RAC co-chairs approved for de facto membership on Expert Consultant Group
- RACS appointed and starting to meet
Wrap Up
- Next agenda will include a review of the CESSA legislation for more guidance and more discussion about the Subcommittee responsibilities
Public Comment
- No members of the public seeking to speak.
Motion to adjourn:
- Barbera-Brelle moved, Reynolds seconded. Pass unanimously.