CESSA - Region 10 Committee Meeting Approved Minutes 01/12/2023

Community Emergency Services and Support Act (CESSA) Region 10 Advisory Committee

Meeting Minutes- January 12, 2023 - 9:00 - 10:30 AM via Zoom

Meeting Minutes - Approved by Members 02/09/2023

• Welcome/Call to Order/Roll Call
  • Meeting called to order at 9:00 am by Chair Dr. Ben Feinzimer
  • Attendees:
    • Via Zoom: Dr. Ben Feinzimer, Sam Johnson, Miriam Smith, Jodi Newmark, Brian Baker, Jason Seeley, Christopher Mayer, Emily Mysel, Alicia Atkinson, Christopher Voss, Nancy Vaccaro, Elizabeth Moss
  • Absences - Laura Banks, Jennifer Brothers, Jeremy Gaughan, Thomas Jones
  • Dr. Lorrie Jones joined at 10:01 am

• Approval of Minutes
  • No comment/corrections to 12/19/2022 meeting minutes
  • Motion to approve by Member Brian Baker, second by Member Jason Seeley
  • Motion approved by all members present

• Approval of Charter
  • Co-chair Sam Johnson stated a correction to the Charter: Under Membership Appointment, change committee expiration date to July 1, 2023, and change official term date through July 1, 2023
  • Motion to approve with changes by Member Alicia Atkinson, second by Member Chris Voss
  • Motion approved by all members present

• Introduction to System Partners and Roles
  • IDPH/EMS Systems - presented by Chair Dr. Ben Feinzimer
    • Resource hospitals are Highland Park, Condell, Lake Forest, Vista, and St. Francis
  • DHS/Mental Health - presented by Co-chair Sam Johnson
  • ISP/Public Service Answering Points - presented by Member Alicia Atkinson
  • Questions and Comments:
    • Member Jodi Newmark: In the protocols for patient transport and specifically identifying conditions, which may not be transported, what are some of those considerations and are those things we should know and understand when we think of this population?
      • Chair Dr. Ben Feinzimer provided examples to Jodi's question. Examples included things like false alarms, low acuity illness or injury that do not require hospital transport. As it pertains to CESSA, examples provided included scenarios of non-transport and lower acuity complaints. Further examples include persons needing mental health assistance but do not warrant transport to the ER. Some police departments have a social worker on staff, and they call the social worker who arrives at the person's home. They assess the client and determine they don't need the hospital but can benefit from an urgent outpatient follow-up. Police, fire, and ambulance are either not needed or if already dispatched may return, and social worker stays to help establish care for an appointment the next day. The person is left in their home.
    • Member Jodi Newmark: When calling 911, Taking a person to the hospital has nothing to do with ability to pay for services correct? We don't want them to be denied access because of ability to pay. Could there be a different response that would put them on a better outcome?
      • No, paramedics or police officer will never ask for insurance or that be a deciding factor to bring them to the hospital. Insurance will never come into the discussion. That is the motivation of this committee and the legislation. Our primary objective is to get the right people to the right person to ensure, most likely, the best outcome.
    • Member Nancy Vaccaro: Getting questions from dispatch about comfort level of transferring calls to 988. Are they going to listen in? Will there be a check-in after the call to let dispatch know there was a response?
      • Member Alicia Atkinson stated that the state is having conversations on how best to address those concerns and how to get dispatchers comfortable with transferring those calls. We want the public to call 988 instead of 911 for mental health issues. Getting the public to know to call 988 instead will take some time. That is why we will work on the protocols to know when 911 should transfer to 988 and when 988 should transfer to 911.
    • Member Chris Mayer: When 911 transfers a call, will they be able to transfer right to the mobile response team or will they have to go through 988? Also, if a person is going through crisis, having to keep explaining themselves could cause a person to hang up.
      • Seems redundant and taxing have every 911 call being transferred to go through 988 to get a mobile crisis response team dispatched. We will have to keep an eye on that when writing our protocols.
    • Member Beth Moss: As responders, if we are out on a call and we feel like we need a mobile crisis response team, how do we dispatch to get them out? Should they call 988 or will there be a direct way to call them? Also, what about people with drug and alcohol issues? Now we must get someone medically cleared first.
      • These are the things we must keep in mind when writing our protocols. Mobile response teams will have a working knowledge on who would take what kind of clients. For example, Trilogy has access to the police frequency and can take calls directly from the local PSAP.
• State Updates:
  • Law changed to extend date to July 1, 2023.
  • Put together a project plan and presented to the statewide advisory committee which lays out the deliverables across a map from now until July 1st, 2023. We feel that if we are able to meet these deliverables, we can meet the goal of getting the work done by July 1st. It's an aggressive timeline and we do not know if the regional committees will be able to do it, but we are going to give you that roadmap.
  • There will be requirements around protocols and standards, data collection and management, communications, and guidelines for training.
  • Risk matrix could be sent out as soon as February.

• Open for Public Comment
  • Matt Fishback - Protocols and standards next meeting information is not online. In other regional committee meetings, there has been comment that some regions are taking more members but that its only by approval of the co-chairs of that region. A person wanting an application would need to contact the co-chairs so is there an email specific for the co-chairs which would be helpful to the public. From a Cook County perspective, we are in five different regions and the concern is that the standards will be different, and it will be extremely confusing for our 911 centers and police response. We are looking to apply to more regions to have some kind of voice in the discussions to make sure that the protocols aren't too far different. Would like to see that the lived experience is getting a voice. One of my concerns with the 988 systems, and I'm not sure how it works, there is like a 30 second delay to answer when a person calls 988. Is that the same for 911 when they transfer calls to 988 or is there some kind of direct connection between them? When 988 dispatches the MCR's, is there a contact with local law enforcement, medical response, and 911 when they are in the field? Have had very excellent conversation about these things in this meeting.

• Next meeting is February 9th, 2023, at 9:00-10:30 am via Zoom
• Adjournment
  • Motion to adjourn by Member Jason Seeley, second by Member Jodi Newmark. Meeting adjourned at 10:30 am