CESSA - Region 9 Committee Meeting Approved Minutes 01/09/2023

Community Emergency Services and Support Act (CESSA) Region 9 Advisory Committee

Meeting Minutes - January 9, 2023 - 2:00-3:30 via WebEx

Meeting Minutes - Approved by Members 03/01/2023

Call to Order/Introductions
- Dr. Matthew Jordan called to order at 2:02pm
- Roll Call
- Attendees: Matthew Jordan, David Gomel, Jennifer Brothers, Andrew Kunstler, Amanda Teachout, Bernadette May, Christiane Harding, Jason Kern, Karen Bush, Frances Baker (Lore), Ryan Lettieri, Aimee K., Mathew Mannino, Jim Sowizral, Joseph Kreul, Daphne Sandouka, Grace Hong Duffin, Ariana Kitty, John Knebl, Lorrie Jones, Anthony Rigano, Matthew Fishback, Rosa Gonzalez, Leonetta Rizzi, LaToya Marz, Stephanie Hanson, Joe Schelstreet, Richard Neumann, Arthur Proust, David Hassard, J. Pacini, Patrick Camardo, Janeth Barba, Theresa (Tiki) Schulte, Dalila Alegria, Robb Cagann, Mohammed Sabit, Faizan Shakeel, Arthur Proust, David Hassard, James Klem
Approval of Minutes
- Minutes from 12/19/2022 meetings were approved at 2:10pm
Meeting Agenda
- Welcome and Call to Order (Roll Call)
- Open Meetings Act
- Approval of the Minutes from previous meeting
- Approval of Charter
- Introduction to System Partners and Roles
  1. IDPH / EMS Systems - presented by [Chair - EMS Director]
  2. DHS / Mental Health - presented by [Co-chair - 590 Leader]
  3. ISP / Public Service Answering Points (PSAPs) - presented by [PSAP representative to be identified]
- State Updates
  1. Project Plan: Sprint to July 1
- Next Meeting Date: 2/20/2023
- Public Comment
- Adjournment
Illinois DPH
- The Illinois Department of Public Health is an advocate for and partner with the people of Illinois to re-envision health policy and promote health equity, prevent and protect against disease and injury, and prepare for health emergencies.
- DPH is organized into 12 offices, each of which addresses a distinct area of public health. Each office operates and supports numerous ongoing programs and is prepared to respond to extraordinary situations as they arise.
- The Office of Preparedness and Response/ Division of EMS and Highway Safety is responsible for all overseeing the implementation of all aspects of the Emergency Medical Services System Act.
Emergency Medical Services (EMS) Systems Act: The EMS Act provides minimum standards for the statewide delivery of EMS services.
- It recognizes diversity in resources/facilities across the state and allows for accommodations geographically without jeopardizing standards of medical care.
- EMS Regions are identified in a specific geographic area in the EMS Act encompassing EMS Systems, trauma and stroke centers, in which emergency medical services, both pre-hospital and interfacility transports, are coordinated and are overseen by an EMS System thru their identified EMS Medical Director.
- Regions have multiple standing committees to set standards and oversee the delivery of emergency care:
  - Region's EMS Medical Directors Committee
  - Regional EMS Advisory Committee
  - Regional Trauma Advisory Committee
- The Region's EMS Medical Directors Committee is comprised of at a minimum :
  - Region's EMS Medical Directors,
  - The medical advisor to a fire department vehicle service provider
- The Region's EMS Medical Directors Committee shall address, among many other duties:
  - Protocols for inter-System/inter-Region patient transports, including identifying the conditions of emergency patients which may not be transported to the different levels of emergency department, based on their Department classifications and relevant Regional considerations (e.g. transport times and distances);
  - Regional standardization of continuing education requirement *Thus, the authority for approving protocol changes, and education training requirements rests with the EMS Medical Director with final approval by the Department of Public Health
Role of the EMS Medical Director
- The EMS Medical Director is responsible for the following:
  - Recommend to the Department licensure and relicense for all EMS System personnel to include EMTS, Paramedics, Prehospital R.N.s and P.A.s, Dispatchers and first responders
  - Oversee and approve EMS Providers and their vehicles both public, private and volunteer to function within their EMS System
  - Develop and authorize Standing Medical Orders and Policies and Procedures for all EMS System personnel to follow within their EMS System
  - Develop and/or approve all Dispatch protocols
  - Educate and train all EMS personnel in their EMS System
  - Responsible for supervising all personnel participating within the EMS System
  - Approve all equipment and medication carried on EMS Vehicles.
  - Develop or approve one or more patient care reports covering all types of patient care responses performed by System providers
  - Responsible for total management of the System, including the enforcement of compliance with the System Program Plan by all participants within the System
The New Behavioral Health Crisis Continuum
- The Vision: Crisis services provided to anyone, anywhere and at anytime.
- Crisis services will include:
- crisis lines accepting all calls and dispatching support based on the assessed need of the caller SOMEONE TO CALL
- mobile crisis teams dispatched to wherever the need is in the community (not hospital emergency departments) SOMEONE TO RESPOND
- crisis receiving and stabilization facilities that serve everyone that comes through their doors from all referral sources SOMEWHERE TO GO.
Someone to respond: Mobile Crisis Response Teams (DMH 590 Programs)
- Mobile Crisis Response Team programs offer community-based intervention to individuals in need wherever they are at home, work, or anywhere else in the community.
- Services are available to all, regardless of payor source (Medicaid, commercial insurance) or ability to pay (uninsured).
- Typically comprised of two-person teams, these teams support emergency department and justice system diversion.
- Emergency medical services (EMS) and law enforcement should partner as warranted.
83 Mobile Crisis Care Teams from 66 Community Providers
- Be staffed by individuals with lived expertise partnered with mental health professionals trained to provide crisis response
- Respond where the person is (home, work, park, etc.) and not restrict services to select locations or particular days/times
- Assist in resolving the crisis and creating a plan for safety/follow-up care
- Connect individuals to facility-based care as needed through warm hand-offs and coordinating transportation when and only if situations warrant transition to another location
988 provides:
- Universal and convenient access to everyone in the United States experiencing a behavioral health crisis
- A high quality and personalized experience with trained crisis counselors
- Connections to local resources and follow-up
- Unlike 911, that has telecommunicators trained to rapidly make dispatch decisions, 988 counselors provide crisis intervention counseling averaging 20 minutes a call.
- 988 call response is confidential, free, and available 24/7/365, connecting those experiencing a mental health, substance use, or suicidal crisis with trained crisis counselors.
- Access is available through every land line, cell phone, and voice-over internet (VOIP) device in the United States
- 988 services are available in Spanish, along with interpretation services in over 150 languages.
- The 988 dialing code is available for call, text, and chat.
- 988 call centers are intended to be the central point for dispatching Mobile Crisis Response Teams, as appropriate.
- Regional Lifeline Centers
  - PATH Inc (Bloomington)
  - Memorial Behavioral Health (Springfield)
  - Suicide Prevention Services (Batavia)
  - DuPage County Health Department (Wheaton)
  - Community Counseling Centers of Chicago (Chicago)
  - Lake County Health Department (Waukegan)
- Statewide Lifeline Center: Path Inc (Bloomington)
  - Provide coverages for all previously uncovered regions in the state
  - Provide backup coverage to all existing regional Lifeline Call Centers
  - Provide text and chat statewide
Illinois State Police /Office of the 911 Administrator

Emergency Telephone System Act: The General Assembly declares that it is in the public interest to shorten the time required for a citizen to request and receive emergency aid .

Provision of a single, primary three-digit emergency number, 9-1-1 through which emergency services can be quickly and efficiently obtained. A 9-1-1 system is the geographic area that has been granted an order of authority by the Illinois Commerce Commission (prior to 2015) or the Statewide 9-1-1 Administrator (beginning in 2016) to use "9-1-1" as the primary emergency telephone number.

Public Safety Answering Point (PSAP)

"Public safety answering point" or "PSAP" is a set of call-takers authorized by a governing body and operating under common management that receive 9-1-1 calls and asynchronous event notifications for a defined geographic area and processes those calls and events according to a specified operational protocol.

PSAPs Roles
- PSAPs are required to meet technical and operational standards set by the Department.
- PSAPs receive 911 calls from several sources that include wireline, wireless, VoIP, TTY and transfers.
- 911 Authorities are responsible for ensuring that its PSAPs provide continuous and uninterrupted operation 24 hours per day, 7 days a week.
- They are required to meet the National Emergency Number Association's (NENA) 9-1-1 Call Processing Standard.
- If a PSAP dispatches emergency medical service providers, they are required to follow emergency dispatch protocols in accordance with the State's Emergency Medical Services (EMS) Systems Act.
EMD Protocols In Use
- Most PSAPs throughout the State are using software that guides the dispatch decision process, provided by the following vendors:
- Priority Dispatch
- PowerPhone
- APCO
- Some PSAPS use independently developed protocols, including those developed by EMS leads or PSAP.
Next Meeting Date:
- Next Meeting: February 20th, 2023 at 2:00pm
Meeting adjourned at 3:06pm by Dr. Matthew Jordan