CESSA Subcommittee for Technology, Systems Integration & Data Management (TSIDM) March 6, 2023, 9:00 - 10:30 am
Meeting Minutes - Approved by Members 03/20/2023
https://uic.zoom.us/rec/share/koZZyIhIHIxynh2v8svScPpdlGpMPEV8_og51ewkjQhmTFmE_XI4_4jgTzeL8SFf.PztekNIKt5OeEhk9
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, Chris Baldwin
- Welcome and Call to Order
- Meeting Logistics/OMA
- Roll Call and Approval of Minutes from previous TSIDM meeting
- Discussion regarding data needs and collection
- State Updates
- Wrap Up
- Public Comment
- Adjournment
The meeting was opened by Chair Brent Reynolds at 2:04 pm
Roll call:
Present: Reynolds, Barbera-Brelle, Manthy, Kaitschuk
Approval of previous meeting minutes
Reynold makes a motion for the minutes to be approved, during roll call. Approved by Reynolds, Barbera-Brelle, Manthy
State Updates:
Cindy Barbera-Brelle
- Ongoing conversation with IDHS and DMH working on wanted changes
- Met with regional committees and co-chairs from regional committees. Exchanged information including the PCAP and EMS law enforcement landscape survey
- Working with the Training Committee on a survey regarding training for the PCAPs
Presentation from Sherrie L Crabb, MS, QMHP, Chief Executive Officer of Arrowleaf on Mobile Crisis Response Data - Opportunities and Gaps
- As a 590 provider Arrowleaf collects their own data including:
- Age, address, insurance provided, reoccurrence in which we are coming in contact with those individuals and their reoccurrence in service, background and demographic information, mode of service: face to face service or phone assessments, referral sources for trend casting (are there repeats or lack of referrals from expected places? Do we need to expand outreach education to resources we hope would be providing referrals?), 988 call specific tracking (is there an increase as more people become educated about 988?), place of response - when responding where are we responding to? Is it face to face? Is this increasing based on the goals of the 590 program?, who is QMHP and dispatch, referral reason (to track trends in suicidality - during Covid when diagnoses were at higher rates in our community we did see an increase in suicidality crisis calls, external factors and trends in the environment (ie homelessness), outcomes (hospitalization vs staying safe in community, contact with DCFS), placements (hospital, home, shelter, residential program, ED, hotel voucher, family placement), substance use or co-occurring disorders (need for preventative or follow-up treatment), police involvement (out of 272 calls over the past few months only 73 had police involvement),
- Based upon our data, some of our lowest referral sources are police
- First get information on general referral source then actual referral source (ie hospital - specific doctor)
- Reynolds: What are some of the communities in your region? Region 5
- Southern part of the state, very rural in nature. Alexander County, Pulaski, Massac, Union, Johnson, Harden and Pope. Some counites still in region 5 north of me are Celiene, Gallatin, Williamson and most of Jackson.
- Reynolds: Is there a specific program you use to track data?
- We are using an electronic health record CareLogic. Most providers have electronic health records, or should at this point.
- Depending on the size of the organization it could be a staff member assessing the outcome of a situation, you could do it in an excel type of tracking sheet, but it can get out of hand pretty quickly.
- What we are doing isn't necessarily a requirement, but it helps us be a better provider in our community and help provide a better level of care
- Reynolds: Do you report this data outside of your organization? Do you have a standard reporting that you have to provide anyone in the state of Illinois or elsewhere?
- No. The 590 contract deliverables do not request this. There are three areas you report on one being the number of individuals your providing to, that you are providing 24/7 crisis response, you have a to have a full time crisis director employed or project director
- This may be something to consider for DMH if they want more information from a data perspective. We use it internally, include it on our annual report, for a quality assurance standpoint.
- Reynolds: If you were asked to provide data such as time of request, response time, was it requested by law enforcement or EMS; would you have the ability to collect that data? Are you collecting that data today?
- Yeah. I think all 590 providers are getting that just based upon how their referrals come in and how they are received. There are specific tools that 590 providers are supposed to be completing each time and some of those tools require that data to be submitted to them.
- This may look different in a different community based upon what resources they may have or geographic distance or rural nature. Most providers are used to ensuring they have a 60-90 minute response time.
- Reynolds: In situations where you have been contacted and are either on your way to it or got delayed, have you had to go back to the requester and ask them to go because you're not able to get to that person in a timely fashion?
- I'm sure that has happened before, but in our area we are used to operating in an environment where there's a lack of resources, so I'm sure we have had to tirage the calls based upon what the reasoning is for the referral but I wouldn't say that's common in our area.
- We can send somebody out that maybe isn't going to do the screening, but can be there in person and provide support while we are waiting for a screener to get there
- Reynolds: How do you communicate with local authorities when you go out on an incident? Do you use your cell phone? Do you call 911 if you need further assistance?
- I always have a supervisor available by phone. The 590 contract now says a crisis response worker will also have a peer or community engagement specialist to attend as well. And there is consistent mental health screening and communication.
- We also have birdies which are an alert for crisis response workers that's a key chain that makes a very loud obnoxious sound and will contact 911 as well.
Review of Risk Matrix
- Reynolds: Any comments or feedback anyone would like to provide?
- Mary Smith - Reminder that this is an interim matrix.
- Reynolds: We have been able to make contact with Craig Kowalski and we are looking at dates. Either March 20th or 21st, waiting for Peter to lock it in. Hope is to have a preliminary meeting with Amazon to talk about data collection and what they have to offer and a better idea of what their abilities are.
- Barbera-Brelle: Working with Mary on a landscape survey to identify what resources each region has through Pilot Group. Putting finishing touches on this then sending it out to PSAPs.
Public Comment
No hands raised
Chair Reynolds declared the meeting adjourned at 3:05 pm
