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Description
City Services & Innovation Technology - Dockets #1097 - Message and order for your approval, an order to reduce the FY23 appropriation for the Reserve for Collective Bargaining to provide funding for the Boston Public Health Commission for FY23 increases. #1098- Message and order for your approval a supplemental Order for the Public Health Commission for FY23 to cover FY23 cost items contained within the collective bargaining agreement.
A
For
the
record,
my
name
is
Brian
Worrell
City
councilor
for
district
four
I
am
the
vice
chair
of
the
Boston
city
council
committee
on
city
services
and
innovation.
Technology
I
am
joined
by
my
colleagues,
counselor
Aaron
Murphy
at
large
and
council
president
Ed
Flynn
District
2..
This
hearing
is
being
recorded.
It
is
being
live
streamed
at
boston.gov,
backslash,
City,
Dash,
Council,
TV
and
broadcast
on
Xfinity
channel
8
RCN
channel
82
FiOS
channel
960
964..
A
Ccc.Csit
at
boston.gov
and
will
be
made
a
part
of
the
record
and
available
to
all
counselors
public
testimony
will
be
taken
at
the
end
of
this
hearing.
If
you
wish
to
sign
up
for
public
testimony
here
in
the
chamber,
please
sign
in
on
the
sheet
near
the
door
if
you're
looking
to
testify
virtually
please
email,
Shane
pack,
Shane
dot,
Pat
p-a-c
at
boston.gov,
for
the
link
in
your
name
will
be
added
to
the
list.
A
In
order
for
your
approval,
a
supplemental
order
for
the
Public
Health
commission
for
FY
23,
an
amount
of
1
million,
two
hundred
seventy
three
thousand
five
hundred
thirty
one
dollars
to
cover
FY
23
cost
items
contained
within
a
collective
bargaining
agreement
between
the
Boston
Public
Health
commission
and
the
Boston
EMS
division
of
the
Boston
patrolmen's
Association.
The
terms
of
the
contracts
are
July
1st
2021
through
June
30th
2023
and
July
1st
2023
through
June
30th
2026..
A
A
Hearing
on
docus
number
1097-1098,
but
here
in
regarding
Collective
bargain
agreements
due
to
a
scheduling,
conflict
I
am
unable
to
unable
to
attend
a
representative
for
my
staff
will
be
listening
in
and
following
up
with
me,
I
appreciate
your
understanding
and
that
the
rest
of
the
city
council,
sincerely
Julie
Mejia
Boston
city
council
at
Large.
I'll
turn
it
over
to
my
Council
colleagues
and
Order
arrival.
B
Union
representation
as
the
chair
of
Public,
Health,
and
also
a
resident
in
the
city
of
Boston,
always
making
sure
we
advocate
for
our
First
Responders
and
making
sure
that
we
are
getting
this
money
where
it
needs
to
and
will
continue
to
support,
EMS
and
their
contract.
So
thank
you
very
much.
That's
all.
A
I
would
love
to
hear
more
about
that
and
also
I'm
excited
to
hear
about
the
new
mobile
Integrated
Health
Program,
which
will
expand
the
services
that
EMS
Personnel
are
able
to
provide
now
turn
it,
while
provided
by
increased
offers
for
further
treatment.
Thank
you
to
all
the
parties
for
the
complete
work
on
this
contract
and
I'll
turn
it
over
to
the
administration
for
any
presentations.
C
C
My
name
is
Jim
Williamson
I'm,
the
budget
director
here
at
the
city
of
Boston
I'm
here
to
address
the
two
dockets
that
are
before
you
and
we
have
members
of
from
phc
jib
wooly,
the
chief
of
EMS
and
Lou
mandarini,
a
senior
advisor
on
Labor
Relations
to
address
the
details
of
the
contract
I'm
here
to
talk
about
the
two
dockets
of
the
budgetary
applications,
so
docket,
one
zero.
Nine
seven
reduces
the
collective
bargaining
Reserve
from
the
prior
fiscal
year,
we're
currently
in
fy24.
C
C
There
was
a
75
million
dollar
Reserve
establishment,
collective
bargaining
and,
since
July
2022
this
with
roughly
15
different
supplementals
that
have
gone
through
and
for
the
CD
BPS
and
PhD
various
unions,
and
now
the
with
this
reduction
of
roughly
1.3
million
dollars,
the
reserve
will
be
finishing
the
year
about
34
million
dollars,
and
what
will
happen
with
that?
Reserve
is,
as
contracts
continue
to
be
settled.
D
Thank
you
for
the
opportunity
to
appear
today,
councilor
Royal
at
large,
counselor,
Murphy,
so
I
think
I
just
want
to
lay
out
a
little
bit
in
terms
of
the
overall
thrust
here
and
mostly
leave
the
opportunity
for
counselors
to
ask
questions.
But
this
contract
is
one
that
the
administration
is
proud
to
stand
behind
it.
Sort
of
does
both
things
that
we
in
the
Wu
Administration
have
committed
ourselves
to,
which
is
one
first
and
foremost,
cut
a
fair
deal
for
our
workers.
That
gives
them.
D
You
know
the
opportunity
to
have
Economic
Security
and
to
make
collective
bargaining
the
engine
of
reform
in
the
city.
So
you
know
this
is
a.
This
is
a
contract
that
substantially
raises
the
wages
of
these
workers,
both
through
General
wage
increases
and
a
premium
related
to
mobile
Integrated
Health,
but
it's
all
also
one
that
wins
some
critical
reforms
for
the
city,
some
of
which
the
city
has
been
pursuing
for
a
very
long
time.
D
It
affects
bargaining
that
could
delay
it,
and
could
you
know
prevent
it
from
taking
effect
as
as
quickly
as
we
can,
and
then
the
other
big
one
that
I
would
highlight
is
an
influenza
mandatory
influenza
vaccine
as
we
came
out
of
the
pandemic.
You
know
this
is
a
bargaining
unit
and
these
workers
are
people
who
deal
an
awful
lot
with
elderly
residents
at-risk
residence.
D
You
know
this
is
something
that
the
city's
pursued
for
a
long
time
is
to
make
sure
our
paramedics,
EMTs
and
the
other
folks
in
this
unit
have
that
influenza
vaccine
and
we
were
able
to
do
it
this
time.
So
I
would
leave
time
for
questions
on
other
specific
things,
but
this
is
a
contract
that
the
administration
stands
behind
and
feels
like
it
accomplishes
a
couple
of
the
key
goals
that
are
very
important
to
the
mayor.
So
thank
you.
E
Good
afternoon,
okay,
it's
working,
okay,
Jimmy
holy
boss,
name
us,
and
thank
you
all
for
having
us
down
here
today
and
I
appreciate
the
efforts
of
everybody
to
bring
this.
You
know
contract
to
a
to
a
good
conclusion
to
have
this
stay
here
today,
the
the
union,
the
union
and,
obviously
you
can
follow
the
membership
everybody
from
budget
that
support
with
the
city
council,
which
has
been
voiced
long
before.
E
That's
easier
said
than
done.
This
is
a
long
application
process
that
had
to
be
thoughtfully,
prepared,
I
think
both
of
them
for
two
of
the
ones,
one
for
the
Ed
avoidance
and
when
the
other
one
for
even
me,
Telehealth
telemedicine
portion
we're
about
33-page
submissions
to
the
Department
of
Public
Health
that
were
weighed
by
them
over
several
months
before
they
were
approved.
Bus
EMS
was
the
first
ambulance,
license
Ambulance
Service
in
the
Commonwealth
to
approve
for
these
new
programs,
proud
to
say
that
Austin
and
a
first
and
a
lot
of
things
over
the
years.
E
The
current
programs
now
include
televest
televest
is
a
program
which
allows
willing
patients
who
are
willing
to
accept
this,
who
have
demonstrated
low,
Acuity,
Behavioral,
Health
emergencies
or
conditions
to
be
transferred
directly
from
a
9-1-1
call
taker
to
the
Boston
Emergency
Services
team,
a
best
Behavioral
Health
clinician
at
their
call
center.
It's
a
warm
handoff.
We
actually
transfer
you
on
it.
Isn't
like
hey,
we'll
call
you
back
give
us
your
number.
It's
we
just
transfer
you
over
to
them.
E
So
it's
the
idea
is
to
try
to
get
them
the
right
service
at
the
right
time,
and
again,
we've
been
doing
this
for
a
few
months
now,
where
we
expanded
that
to
recently
to
a
24
7
at
availability.
Another
one
is
the
alternative
destination
transport
for
patients
who
experience
substance,
use
disorder.
Taking
them
directly
to
a
stabilization
Care
Center
we've
had
21
patient
transports
to
date,
where
we've
been
able
to
do
that.
E
So
if
patients
fit
certain
clinical
criteria,
perhaps
they've
already
been
resuscitated
from
an
overdose
and
not
exhibiting
any
kind
of
disqualifying
signs
or
something
else
where
we'd
have
to
still
bring
them
to
an
emergency
room.
We
could
transport
them
to
a
place
where
they
can
continue
on
in
their
treatment
and
continue
on
try
to
direct
them
to
care
for
substance
abuse.
E
I
believe
we
have
one
person
hired
and
going
through
some
of
the
onboarding
right
now
and
we're
trying
to
do
some
soft
roll
up
on
that.
So
that
we'll
be
able
to
offer
that
service
as
well
again,
that's
not
for
the
person
who's.
You
know
perhaps
concerned
a
lodge
medication.
Overdoses,
so
I
mean
we're
not
we're
not
going
to
deprive
anybody
going
to
a
hospital
who
needs
to
go
to
the
hospital.
That's
to
be
clear.
E
This
is
the
augment
and
to
help
facilitate
treatment,
or,
if
we're
going
out
repeatedly
in
some
of
these
cases,
to
some
patients-
or
maybe
you
might
benefit
from
getting
hooked
up
to
better
Services.
We
can
use
this
best
clinician
who
who
can
help
us
with
that
and
again.
The
idea
is
to
one
save
ambulances
from
having
to
go
to.
Some
of
these
calls
make
them
available
for
other
things,
but
but
but
at
the
end,
really
is
to
deliver
patients
to
appropriate
points
of
care,
and
we
did
this
a
little
bit
during
covet.
E
So
the
idea
is
to
try
to
expand
on
these
programs
and
that
whole
mih
adjustment
that
whole
idea
of
that
being
one
of
the
odd
reasons
why
we
wanted
to
be
able
to
increase
basically
the
grade.
The
compensation
grade
for
EMTs
and
paramedics
and
and
supervisors
who
are
in
this
bargaining
unit
across
the
board
was
very
important.
Is
this?
This
is
a
a
change
in
an
addition
to
emergency
medicine
Beyond,
just
someone
calling
9-1-1
and
you
try
to
send
you
know
you
triage
you
know.
Is
it
a
priority?
E
One
Two
Three
call
send
the
right
resources
one.
You
know
an
advanced
life
support
or
basic
life
support
of
both.
What
do
you
need
and
then
go
to
appropriate
hospitals
at
a
Trauma
Center?
Is
it
a
pediatric
center?
What
have
you
that's
not
going
to
go
away,
we're
still
very
much
here
for
that.
What
what
we're
trying
to
refine
are
the
cases
where
people
can
be
treated
in
place.
E
So
people
can
maybe
at
some
point,
expand
this
on
into
community
health
centers,
where
people
may
go
there,
because
what
they
really
need
is
follow-up
care
for
Primary
Care.
They
have
a
low
Acuity
complaint
or
they
could
have
something
else.
So
the
future
of
this
is
is
not
completely
determined
in
some
other
parts
of
the
country
has
stayed.
Emt's
empowerments
have
taken
care
of
people
with
congestive
heart
failure
at
home,
who
might
otherwise
have
a
50
mile
transport
to
a
hospital
and
you're
trying
to
see
that
they
really
need
that.
E
So
it's
it
can
be
tailored
to
the
communities,
and
ours
will
be
very
much
specifically
tailored
for
Boston
its
needs
and
we'll
be
able
to
work
in
different
areas
of
the
city
as
we
as
we
roll
it
out.
That's
why
it
was
important
to
get
this
adjustment,
or
this
great
upgrade
as
well.
Besides,
the
the
cola
is
because
Boston
us,
our
members,
have
had
a
great
history
of
as
emergency
medicine
has
changed
quickly.
New
meds
come
on
new
skills.
E
E
They
all
have
to
be
good
at
this
to
make
this
work
success
successfully
and
safely,
all
of
our
EMTs
all
of
our
paramedics,
all
of
our
supervisors.
If
we're
going
to
be
doing
treatment
in
place,
if
we're
going
to
be
administering
some
medication
that
you
can
stay
at
home
or
transport
you
to
some
place
other
than
an
emergency
room,
that's
there's
a
lot
more
responsibility
involved
in
that
now
it
may
it
may
sound
simple
that,
yes,
somebody
who
we
know
needs
an
operating
room.
E
It's
it's
tough
when
you
train
the
best
EMTs
and
paramedics,
and
arguably
in
the
country-
maybe
not
arguably
for
me,
but
just
back
and
only
to
lose
them
up
to
a
Suburban
Department,
because
they
know
that
it
would
take
them
15
years
to
gain
that
experience
there
and
they
get
enough
from
somebody
who
worked.
You
have
a
full
five
years,
so
we
we
one.
E
That's
one
thing
and
also
introducing
our
first
longevity
bonus
steps
that
at
year
five
they
just
you
just
have
to
wait
till
10
years
to
hit
that
now
we're
starting
at
five,
which
I
think
is
something
that's
also
very
important.
So
that's
that's
just
a
couple
of
the
things
that
the
top
of
my
head
and
if
you
have
more
questions
on
anything
else
in
this,
we
can
talk
about.
E
E
The
reward
would
be
to
use
from
the
current
compliance
that
the
commission
was
following
with
with
the
city
on
that
and
using
terms
very,
very
similar
to
the
ones
that
was
approved
with
the
police,
dispatches
and
some
other
units
that
deal
with
critical,
critical
Staffing
that
we're
just
not
getting
the
applicants
and
if
I
could
just
touch
in
that
quickly.
Last
year,
this
body
approved
20
additional
and
it
may
have
budget.
E
Obviously,
the
mayor
approved
20
additional
Personnel
EMTs
for
us
to
put
two
more
additional
trucks
of
the
day
and
evening
shift
anyway,
we
weren't
able
to
hire
any
of
those
people
last
year
because
we
were
trying
to
catch
up
with
people
who
left
during
covid
or
people
who
were
retiring
at
the
completion
of
the
last
collective
bargaining
agreement.
Is
that
Drew
to
an
end?
E
Consequently,
we
have,
if
we
look
at
all
the
uniformed
ftes,
we
have
428
uniform
ftes
with
currently
58
vacancies
in
our
department,
and
we
have
29
people
who
are
on
not
from
Recently
classes
who
are
in
probationary
status
and
the
probationary
status
for
our
EMTs,
because
we
do
put
so
much
responsibility
on
folks
is
a
year
and
12
weeks.
So
we
don't
really
count
all
that
mentally
complete
their
training,
because
you
do
sometimes
get
some
attrition
during
the
training.
Some
people
decide.
This
isn't
exactly
what
I
was
hoping.
E
E
So
we're
running
a
little
bit
behind
the
game
on
Call
because
do
a
call
volume,
The,
increased
demands
of
service
on
us,
so
we're
very
much
in
an
active
recruiting
mode.
We
have
75
applicants
for
our
next
exam,
we'll
see
what
that
leads
us
that
they'll
get
a
written
exam,
practical
exam,
then
an
interview.
E
It
was
still
working
diligently
to
create
more
EMTs,
to
do
more
passive,
recording
to
go
out
to
offer
at
no
cost
at
EMT
training
for
Boston
residents
for
people
who
are
looking
for
a
job
where
there
wouldn't
be
accumulating
huge
college
debt
where
they,
where
they
would
be
be
able
to.
Maybe
in
you
know
a
year's
time
you
know
jumping
into
a
a
good,
a
a
a
good
paying
position.
E
That's
is
very
rewarding
where
they
can
immedially
return
value
to
their
neighborhoods,
and
so
we're
we're
looking
for
an
infusion
of
Personnel
that
we
hope
that's
going
to
help
us
on
the
recruiting
for
people
who
are
already
certified
by
relaxing
residency.
Thank
you
very
much,
and
but
also
for
the
long
run.
This
is
saying
it
and
help
maintain
our
all
of
our
other
needs,
for
you
know
language,
cultural
capacity,
the
folks
who
are
here
already
here
to
help
train
them
and
bring
them
on.
E
A
B
In-Depth
explanation
of
the
new
contract,
one
question-
and
you
touched
on
it
a
little
bit
with
the
concern
we
have
across
all
departments
with
recruiting
and
re-chaining,
but
this
new
televest
and
this
warm
handoff
to
the
best
team.
We
know
that
our
9-1-1
call
takers
and
our
EMT
call
takers
are
dangerously
low
right
with
Staffing
and
working
long
hours.
What
how
much
better
are
we
on
the
best
team
side
with
those
call
takers,
are
there
enough
and
are
they
with
facing
the
same
challenges.
B
And
let
me
just
start
also,
and
it's
a
wonderful
program
and
I
appreciate
that
we're
doing
more
of
this
handoff,
so
I
do
fully
support
this
just
concerned.
As
always,
as
all
of
us
are
about,
we
put
this
extra
money
into
our
contracts
and
we're
not
able
to
fill
all
of
these
positions
for
lots
of
different
reasons
and
I.
B
Don't
want
to
be
a
city
where
we
no
longer
have
residency
or
no
longer
can
you
know,
give
city
jobs
to
City
people,
because
we
just
can't
find
people
to
work
so
just
wanted
to
make
sure
you
understood:
I
wasn't
in
any
way
being
negative
about
the
actual
program
of
it.
But
if
you
could
touch
on
that,
thank
you
sure.
E
Happy
to
we,
as
far
as
the
best
call
takers
we
started
off
before
was
a
couple
of
people
over
there
that
were
who
spent
a
lot
of
time
with
us
going
over
our
how
we
process
911
calls
they
sat
up
in
our
Center
for
a
bit
there's
a
particular
gentleman
did
a
lot
of
it.
We
did
some
time
over
there.
Then
they
spent
more
and
more
time
with
us
than
as
they
kind
of
developed.
The
protocols
developed
the
program
institutionalized
it
and
got
it
going.
E
Then
they
started
training
their
own
people
in-house.
They
do
run
a
24-hour
Center
over
there.
I'm
I
am
not
completely
sure
what
happens
if
one
of
them
is
sick
and
someone's
on
vacation
what
their?
What
what
their
critical
stabbing
things
are,
but
hopefully
they
would
notify
us
if
that
was
the
case,
but
like
I,
say
so
far.
I
believe
that
that
program
has
been
starting
to
move
along
and
again
that's
a
little
bit
more
work
for
our
call
takers.
E
E
Call
why
not?
That's
that's
for
sure,
and
if
they
finish
talking
to
the
person
simulates
when
we
did
this
during
covid
and
they
they
want
to
call
back
and
say,
hey
we
spoke
to
that
patient.
Well,
there's
a
bit
more
going
on
here.
You
should
probably
trans.
We
got
well
that
that's
always
the
default
was
the
other
question
more
about
the
City
versus
no.
E
A
E
A
E
E
More,
no,
no,
no,
the
new,
a
new
initiative
is
right.
Now,
yes,
we
would.
Some
of
these
will
be
reassignment,
but
a
lot
of
this
is
going
to
be
duties,
they're,
going
to
be
really
just
baked
into
a
lot
of
things
we're
already
doing
now.
So
if
you
go
for,
for
example,
for
our
patient,
who's
got
a
substance,
abuse
disorder
and
we
encounter
them,
maybe
somewhere
above
near
Clifton
Park,
and
they
reach
a
certain
criteria.
If
there's
a
place
available
where
you
can
transport
them.
E
Besides,
an
emergency
room
like,
for
example,
the
stabilization
stabilization
unit
that
had
been
staff
at
at
Roundhouse
or
if
Will
programs
come
online,
then
we
would
be
able
to
bring
that
person
directly
there
with
the
alternative
destination
for
people
with
lower
Acuity
mental
health
places
like
Solomon
Cotter
in
these
new
and
East
Newton.
They
have
units
down
there
where
you
can
receive
patients
again,
I'm,
not
talking
somebody
who's
in
the
midst
of
a
psychotic
episode,
who's
being
restrained
would
have
no
who
may
have
drugs,
they
have
other
things.
E
What
this
is
going
to
help
us
is
like
all
of
our
personnel
will
be
trained
and
cognizant
of
it,
so
that
you
know
you
can
if
you're
working
in
Amos,
11
and
Dorchester
tonight,
you
would
be
able
to
request
that
unit
or
request
the
services
of
televest.
If
you
think
hey,
this
is
a
patient
you
are
encountering.
That
could
maybe
benefit
better
from
this
one
of
these
programs
versus
you
have
another
trip
to
the
emergency
room
tonight
or
transport.
We've.
E
And
again
this
this
could
move
on
until
I
people
who
we
see
repeatedly
for
asthma
people
for
Seattle,
so
we
can
try
to
hook
them
up
with
better
Services.
There's
just
there's
a
lot
of
opportunities
to
go
forward
with
this,
but
the
idea
is
like
all
of
us
have
to
know.
We
don't
want
to
do
this,
this
necessarily
dependent
on
EMT
or
else
working
tonight.
He
knows
how
to
do
this
so
Jesus,
you
know
Jesus,
but
if
he's
not
working,
we
have
to
wait.
So
the
that's,
what
kind
of
happens
in
some
pilot
programs?
E
E
Yeah
I
mean
I
I
could
even
give
you
some
examples
of
ones
that
that
even
pre-seed
of
this,
when
we
we
started
during
during
covid,
which
was
an
example
of
kind
of
taking
on
some
stuff
ahead
of
the
game,
a
lot
of
folks
got
trained
and
how
to
do
you
know
proper
testing.
We've
hosted
testing
a
lot
of
our
folks,
get
what
trained
and
administering
vaccine
where
the
colon
vaccine,
but
in
the
past
we
even
well.
E
We
we
did
flu
vaccine
clinics
so
when
there
was
a
public
health
threat
that,
like
we
hadn't
seen
in
our
lifetimes
here,
we
were
able
to
go
out
and
be
part
of
that
we
were
able
to
go
out
and
we
and
yes,
we
weren't
taking
part
in
the
mass
vaccinations
like
Fenway,
Park
or
Gillette
Stadium,
we
were,
we
were
directing
our
efforts.
We
were
working
in
a
lot
of
the
BHA
housing
where
we're
in
there
all
the
time
on
calls
folks,
you
know
we're
going
to
setting
up
things
at
community
centers.
E
We
were
so
we
were
doing
screening
for
patients
on
vaccine
administering
it,
and
those
are
skills
that
we
we
taught
a
lot
of
people
who
opted
to
do
it,
but
as
far
as
on
the
the
mih
skills
up
in
up
in
call
taking
everybody
who,
whatever
the
occasion
to
take
the
nylon
call
up,
there
gets
trained
on
it
gets
familiar
with.
It
knows
how
to
do
the
transfer
and
and
moves
it
on
to
supervisors.
E
A
E
Well
by
people
can
go
to
the
website
sign
up,
but
that's
one
step,
that's
good!
You
always
hope
you
get
more
people
showing
up
as
many
people
show
up
who
sign
up
and
that's
historically
doesn't
always
happen.
I
mean
we're
right
now.
At
this
stage,
we're
probably
double
the
number
of
applicants
than
we
were
for
the
same
process.
The
last
process
that's
good.
There
were
times
10
15
years
ago.
We
could
post
that
you
know
that
we're
looking
to
hire,
we
may
get.
E
You
know,
300
applicants
sign
up
that
didn't
mean
300
people
showed
up
for
a
test.
Maybe
you
had
180,
but
but
in
the
end
you
might
have
66
candidates
actually
evaluate
for
a
job.
We
haven't
seen
that
in
even
prior
to
cover
that
kind
of
dropped
off
and
but
that's
been
a
problem
across
the
country
and
but
even
the
Commonwealth
here,
where
a
lot
of
private
and
most
companies
were,
you
know,
begging
for
help.
E
What
we
are
seeing
is
it
looks
like
communion
interest.
I
think
that
part
of
that
probably
is
being
our
ability
to
relax
The
Residency
right
now,
I'm
hoping
that's
helping
I
think
that
we're
also
Again
by
investing
heavily
into
trying
to
train
and
create
EMTs
here
to
build
the
pool
to
look
at
starting
up
get
a
program.
This
fall
as
well
to
go
with
it
or
those
are
ones
we
you
still.
E
You
have
to
have
that
requirement
that
you
are
from
here,
so
why
not
when
I
it
isn't
one
or
the
other
yeah
we've
we've
always
valued
people
who,
even
when
you
had
six
months
to
relocate
you've,
had
somebody
who
grew
up
here
with
the
Boston
Public
Schools,
who
who
rolled
the
tea
to
work
before
who
you
know
they
didn't.
They
didn't
have
to
look
at
a
map,
but
the
T
the
first
time
in
the
classroom.
E
You
know
that
those
those
are
all
kind
of
people
that
you
know
you
you
wanted
yeah,
so
we
we
we've,
always
placed
a
value
on
that
of
veterans
or
anybody
else.
But
we've
we've
always
historically
funded
value
in
that
and
hope
that
that
then,
that
they
go
back
and
they
attract
other
people
from
from
their
neighborhoods
and
communities.
That's
pretty
much
how
it
was
50
years
ago
when
half
the
people
who
worked
at
Boston,
City
Hospital
work
came
from
South
Boston,
but
that's
that's
changed
now.
A
Oh,
thank
you.
Thank
you
for
all
that.
You
know
you
do.
Chief
hooley,
all
the
services
that
EMS
provides
to
our
community,
you
guys
doing
the
Stout
outstanding
job
and
just
happy
that
you
guys
are
here
to
us
to
talk
about
the
new
contracts.
Thank
you
and
now
we'll
be
joined
by
Matt
Anderson,
the
union
president,
and
also
Nicholas
mutter,
the
union
secretary.
F
The
union
believes
that
this
contract
is
really
a
start
to
something
big
bigger
than
what
Boston
Mass
was
before
I,
don't
think
in
the
past,
with
previous
contracts
that
they
really
identified
changes
in
our
department
really
identified
the
where
EMS
was
going
to
move
into
the
future
right
now.
We're
currently
writing
history,
like
the
chief
said
with
mobile
Integrated
Health
it's.
This
is
something
new
that
we've
never
done
before.
F
There's
a
lot
a
lot
of
moving
Parts
with
it.
There's
a
lot
of
regulatory
responsibilities
going
into
it
and
I
think
this
will
broaden
our
Horizons
for
the
Department.
Not
only
are
we
going
to
respond
to
emergencies,
but
we
can
respond
to
other
things
that
the
community
needs
and
it
really
expands
the
health
care
of
the
community.
You
know
we
we're
the
first
line
for
people
that
don't
really
see
doctors.
F
F
F
The
three-year
moratorium,
I
think,
is
a
start
for
our
recruitment
problems.
But
it's
not
the
final
answer.
I
think
at
the
end
of
three
years
we
could
potentially,
if
we
don't
get
another
extension
on,
recruit,
residency,
I,
think
we're
gonna,
see
what
again
more
issues
recruiting
and
are
also
a
bigger,
bigger
issues.
Retention
as
well.
One
of
the
questions
that
you
would
ask
the
chief
is
what
our
numbers
look
like
for
members
that
live
out
of
state
or
live
out
of
the
city.
F
Anecdotally,
we
can
look
at
our
membership
and
say
that
we're
about
a
60,
40
split
of
60
60
of
the
members
are
less
than
10
years
online
departments.
We
have
40
40
that
are
able
to
move
out
of
the
city
after
their
10
years,
we're
losing
a
lot
of
people
in
that
40
mark
some
from
retirement.
Some
are
just
leaving
a
lot
of
times,
you're
losing
years
of
experience.
F
In
that
that
point,
those
members
have
our
field
training
officers,
paramedics
EMTs
with
thousands
of
thousands
of
hours
on
the
job
that
are
trying
to
help
train
the
newer
newer
members
of
coming
in,
but
as
we're
losing
them
we're
losing
a
lot
in
that.
So
I
think
we
need
to
really
pay
attention
to
our
Recruitment
and
Retention,
as
I
think
a
huge
priority
for
our
department.
F
F
Another
question
that
you
would
ask
the
chief
about
changes
in
training
and
whatnot
as
far
as
historically
well.
I
can
tell
you
that
during
the
bargaining
process,
we
submitted
a
900
page
document
to
the
city
that
highlighted
about
15
to
20
years
of
changes
in
EMS,
it's
900
pages
and
it's
huge.
We
are
one
of
five
services
in
the
state
that
are
allowed
to
use
paralytics,
and
you
know
intubate
people
using
medication
to
facilitate
that
process.
F
It's
a
very
risky
process,
but
we
are
able
to
do
it
and
we
do
it
very
well.
We've
had
that
waiver
for
about
15
years
now
or
so,
but
there's
other
things
that
we
do
as
paramedics
that
are
approved
for
us,
but
not
approved
for
other
services.
So
the
citizens
of
Boston
get
the
best
best
care,
look
at
the
number
of
hospitals
that
we
have,
but
also
the
best
pre-hospital
care
I.
Think
in
the
country.
G
Good
afternoon
my
name
is
Nicholas
mutter
I
am
the
secretary
for
the
bppa
MS
division,
again,
similar
to
what
Matt
said
and
Chief,
and
everybody
else
has
been
on
the
panels
before
we'd
like
to
thank
you
console
Royale,
mayor
Wu
and
everybody
else.
That's
been
participating
in
this
contract
as
Matt
led
into
I.
Think
this
is
opening
the
door
for
a
big
future
for
EMS.
We're
very
hopeful
for
this
mih
program
to
flourish.
I
think
part
of
what
our
membership
is.
G
Most
excited
about
is
being
able
to
deliver
the
right
care
to
the
right
patient
when
they
need
it.
The
most
again,
the
emergency
room
is
not
the
end-all
be-all
for
all
the
medical
cases
that
we're
responding
to
coming
out
of
the
pandemic,
we're
seeing
an
uptick
in
behavioral
health
and
mental
health
emergencies
so
being
able
to
diversify
the
amount
of
care
that
we
can
provide
to
these
patients
in
their
time
of
need
and
diverting
them
from
an
often
chaotic,
overcrowded,
highly
populated
Ed
is
going
to
be
very
beneficial
for
our
patients
and
citizens
of
Boston.
A
E
F
The
issues
that
we
are
seeing
is
that
quality
life
issues.
We
are
a
busy
system,
you
know
if
you
work
a
day
or
evening
tour,
you
could
potentially
be
doing
in
your
eight
hour
shift
12
to
15
calls,
and
that
shift
could
be
even
more
over
time.
That
takes
a
toll
in
our
eight
hour,
shifts
you're
here
four
days
on
your
off
two
days
and
then
you're
back
at
it
again
A
lot
of
times.
A
lot
of
the
complaints
that
we
get
from
our
members
is
that
the
schedule
is
very
chaotic.
F
It's
very
hard
to
plan,
especially
because
we've
lost
a
lot
of
people.
Mandatory
overtime
is
very
abundant,
I
mean
we
set
a
record
last
year
for
mandatory
overtime
and
we're
already
going
to
shatter
it
this
year,
we're
already
on
we're
projected
by
our
numbers,
but
we're
250
ahead
of
where
we
were
last
year.
So
people
are
getting
forced
into
working
doubles.
F
You
know
our
contract
only
stipulates
two
times
two
times
a
month,
but
that's
still
two
times
that
you
have
to
now
change
your
life
around
to
get
child
care
issues
or
maybe
have
an
elderly
family
member.
You
have
to
take
to
a
doctor
or
whatever
your
circumstances
is
then
it's
putting
a
wrench
into
that
work.
So
you
never
know
when
you're
next
up,
you
know
for
myself
in
July,
I
was
held
twice
in
the
first
five
days,
so
I'm
done
for
the
month,
it's
great
but
there's
other
people
that
are
still
being
held.
F
F
F
Some
people
can't-
and
those
are
a
lot
of
issues
that
we
hear
is
in
our
quality
of
life
issues
with
the
schedule
and
that's
something
that
we're
going
to
be
working
with
the
Department
to
try
to
see
if
we
can
alter
schedules
have
a
new
schedule
introduced,
but
there
are
also
other
other
things.
You
know
the
like.
A
G
So
to
piggyback
on
what
Matt
said
as
far
as
our
membership,
we
have
a
very
young
membership,
so
home
ownership
is
something
that's
very
important
to
a
lot
of
our
members.
Obviously,
the
cost
for
residency
and
living
in
Boston
purchasing
a
home
is
something
that
may
not
be
attainable
to
some
of
our
membership.
So
that's
one
of
the
other
reasons
why
we're
losing
a
lot
of
our
folks
they're.
F
A
F
I
really
don't
have
anything
else
to
say
I'll,
then.
Thank
you.
For
the
time.
We
appreciate
the
the
city's
commitment
to
working
with
us
in
the
bargaining
process.
It
was
a
long
process.
There
were
some
contentious
moments,
but
we
got
it
done.
We
we
think
it
was
a
fair,
fair
contract,
but
this
is
also
a
building
point
for
us.
F
We're
constantly
looking
at
our
brothers
and
sisters
of
the
fire
department
at
the
police
department
and
seeing
that
you
know,
there's
a
big
wage
disparity
between
the
services
and
there's
also
other
benefits
that
they
have,
that
we
don't
have
some
our
legislative.
Some
are
just
inherent
in
their
contracts,
but
we're
trying
to
close
those
gaps
and
I
think
this
contract
is
a
good
start,
and
hopefully
we
can
get
there
to
be
equal
with
our
other
partners
in
public
safety.
Well,.
A
I
appreciate
all
the
services
that
you
guys
provide.
I
would
say
you
guys
are
the
best
in
the
nation.
So
thank
you
for
all
that
you
do.
You
guys
always
show
up
whether
it's
a
pandemic
or
you
know
in
the
in
whatever
situation
is
going
on.
You
guys
always
is
I
just
want
to
say
thank
you
for
all
the
work
and
just
thank
you
for
all
your
services
with
that
said,
this
meeting
is
adjourned.
Thank.