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From YouTube: March 15, 2023 Public Health & Safety Committee
Description
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https://lims.minneapolismn.gov
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A
Foreign
welcome
to
the
regular
meeting
of
the
public
health
and
safety
committee
for
March
15
2023
I
am
Elliot
Payne
I
am
the
vice
chair
of
this
committee
and
I
am
filling
in
for
chair
Vita
as
she
recovers
her
voice.
At
this
time,
I'll
ask
the
Kirks
to
call
the
roll,
so
we
can
verify
a
quorum
for
this
meeting.
B
A
Let
the
record
reflect
we
have
a
quorum
first,
we
have
the
consent
agenda
before
us.
There
are
three
items
on
today's
consent
agenda
item.
One
is
accepting
a
grant
from
the
Mississippi
watershed
management
organization
for
erosion
and
sediment
control
enforcement
item.
Two
is
approving
appointments
to
the
Arts
commission
and
I.
Welcome
both
Lenny
Moore
and
Jasper
lepak
in
the
room
for
our
Arts
commission
appointments
item
three
is
setting
a
public
hearing
for
March
29
2023
to
consider
an
ordinance
amending
the
noise
violation
exemption
related
to
sounds
associated
with
religious
worship.
C
Thank
you,
Vice
chair,
Payne,
no
issue,
but
just
wanted
to
ask
a
quick
question.
The
Arts
commission
appointments
this
doesn't
seem
like
the
right
Landing
place,
the
right
committee
for
the
Arts
commission.
Appointments
just
wanted
to
see
if
there
was
a
what
the
reason
why
they
came
to
this
committee
seems
like
a
Biz
function.
C
C
A
F
Thank
you,
Mr
chair
members
of
the
committee,
I'm
Andrea
Brennan,
director
of
community
planning
and
economic
development
and
I
would
like
to
introduce
to
all
of
you
here,
Ben
Johnson,
who
just
started
here
on
Monday.
Do
you
want
to
stand
up
Ben,
maybe
step
up
here?
F
Ben
Johnson
is
the
first
ever
director
of
Arts
and
Cultural
Affairs,
a
new
department
created
by
the
city
council
to
really
Elevate
arts
in
in
our
community,
so
Mary
Altman,
who
you
just
met
a
manager
of
public
art,
gugun
kayam,
who
is
the
director
of
Arts
in
the
creative
economy,
are
reporting
to
Ben
and,
like
I
said
he
just
started
on
Monday.
He
comes
from
us
from
California.
He
was
working
for
both
the
city
of
first
or
most
recently
in
the
city
of
Beverly
Hills.
F
A
G
Welcome,
thank
you
so
much
chair
and
console
it's
a
great
pleasure
to
be
here.
I,
don't
have
a
lot
to
say,
but
I'm
very
much
interested
in
digging
in
and
making
this
great
International
World
arts
and
culture
city,
as
it
always
has
been
and
I
want
to
really
bring
that
back.
So,
thank
you
so
much
and
if
you
have
any
questions,
I'm
happy
to
take
them.
C
Members
and
no
questions
just
wanted
to
offer
a
welcome.
Thank
you
for
this
role
and
we've
got
you've,
got
a
lot
of
really
brilliant
people
on
your
team.
Here
already
I'm
sure
that
they're
going
to
inform
you
and
and
bring
you
up
to
speed
and
it's
great
to
know
that
you've
got
Roots
here
as
well,
and
you
know
I
know
that
I've
got
the
Arts
are
sort
of
the
center
of
my
of
my
heart,
especially
so.
C
Thank
you
for
the
work
that
you're
doing
on
behalf
of
the
city
and
welcome.
Thank.
A
Thank
you,
okay,
seeing
no
further
discussion,
I
am
going
to
move
to
approve
our
consent
agenda,
all
those
in
favor
say
aye
aye,
any
opposed,
say,
nay
that
carries
and
the
consent
agenda
is
approved.
The
next
item
is
receiving
and
filing
a
presentation
on
Staffing
and
operations
at
Hennepin,
County,
Emergency,
Medical
Services
here
to
present
on
this
item
are
Martin
sure
and
Dr
Nick
Simpson
from
Hennepin
EMS
and
I'll,
and
welcome
Chief
Tyner
up
to
make
introductions.
H
Thank
you,
chair
Payne
members
of
the
committee.
It
is
my
distinct
pleasure
to
introduce
from
Hennepin
County
EMS
my
counterpart
Chief
Martin
Shearer
and
Dr
Nick
Simpson.
A
I
Thank
you,
committee
members,
I'm
Marty,
Shearer,
Dr,
Nick
Simpson
is
with
us
we're
from
Hennepin
EMS
just
go
over
agenda.
We
just
want
to
give
you
a
brief
overview
of
Hennepin
EMS
talk
about
their
EMS
responses
in
Minneapolis
talk
a
little
bit
about
the
day
in
the
life
of
paramedic
and
just
such
kind
of
a
general
overview
of
our
our
system.
I'm
relative
noob
in
here
about
three
years,
Dr
Simpson
a
little
less
than
that
and
I.
Don't
think.
I
We've
done
a
good
job,
communicating
with
the
city
councils
of
the
areas
that
we
provide
service
with.
So
we
really
want
to
just
kind
of
communicate
and
have
you
ask
questions
and
and
give
us
your
foresight
and
ideas
for
the
future
as
well,
and
so
it
just
a
kind
of
just
a
general
discussion
about
what
we
do
and
how
we
do
it,
and-
and
we
want
to
get
your
input
as
well.
I
So
as
I
said,
Martin
Shearer
been
here
since
2019
Dr
Simpson
since
2020,
and
you
can
see
we
have
a
list
of
some
of
our
Command
Staff,
but
also
relatively
new.
Some
of
them
have
been
here
many
years,
but
most
of
them
are
pretty
new,
so
we
kind
of
trying
to
we
reorganize
and
have
kind
of
a
new
culture
and
a
new
organization
from
what
we've
been
in
the
in
the
past.
I
So
we'll
talk
a
little
bit
just
about
happening
in
mouse
for
more
than
just
the
the
ambulance
on
the
street.
You
know
we
are
that
as
well,
but
we
also
have
Community
paramedics
that
really
literally
make
host
calls
out
with
our
community.
They
go
the
people
that
really
in
the
past
maybe
have
called
9-1-1
but
really
don't
need
9-1-1,
but
they
need
something
else.
So
we
go
there.
They
do
a
lot
of
actually
Home
Care
administered
medications.
They
do
quite
a
bit
of
that.
We
also
have
our
own
dispatch
team.
I
We
have
our
special
operations
team,
which
covers
a
lot
of
events
like
at
the
U.S
Bank
Stadium,
the
gopher
football
stadium
and
like
that,
and
then
we
do
a
lot
of
training
and
Dr
Simpson
is
very
involved
in
the
training
and
then
we
can
let
you
talk
a
little
bit.
Dr
Simpson,
the
by
the
way
Dr
Simpson
jumped
in
thank.
J
You
thank
you,
committee
and
so
yeah,
so
we'll
just
talk
a
little
bit
about
kind
of
what
EMS
is
and
how
we
operate,
and
this
really
is
is,
as
Marty
said,
just
an
attempt
to
explain
a
little
bit
better
about
what
EMS
is
because
I
think
you
know
some
of
you
have
done
ride-alongs,
which
we
greatly
appreciate,
as
do
the
the
other
responders
and
our
partner
agencies,
but
for
those
who
haven't
I
think
it's
it's
often
unclear
what
EMS
is
until
you
call
9-1-1,
and
so
a
number
of
things
that
we
do
as
far
as
the
sort
of
collaboration
between
operations
and
medical
direction
is,
everything
is
continually
undergoing
a
process
of
improvement
that
includes
our
protocols.
I
And
I
will
say:
Dr
Simpson
has
been
really
really
good
about
bringing
new
ideas
to
the
system
virtually
every
month.
He's
he's
been
great
and
we
have
a
great
working
relationship
and
they
do
a
great
job
of
training,
not
only
our
team
but
Minneapolis
Fire,
Minneapolis
Police
and
by
the
way
Chief
Connors.
Here
we
have
just
a
fabulous
fabulous
relationship
with
Minneapolis
fire.
For
those
who
wrote
a
line,
you
saw
that
they
jumped
right
on
in
in
the
calls
and
it's
like
they
don't
even
have
to
talk
to
each
other.
I
Everyone
just
knows
what
to
do,
and
we
really
want
to
thank
you
for
your
support
of
the
fire
department
and
what
they
do
in
the
EMS
world.
So
we
have
what's
called
a
primary
service
area.
So
in
this
map,
which
is
kind
of
hard
to
read,
the
colored
areas
are
our
service
area,
so
not
only
to
cover
Minneapolis,
except
for
the
the
far
Northwest
section
which
is
covered
by
North
Hamlin's.
I
It
covers
St,
Anthony
Richfield
and
we
go
all
the
way
out
to
Lake
Minnetonka,
and
so
we
have
a
fleet
of
about
38
vehicles
and
we
cover
the
area
and
but
most
of
our
activity
about
80
percent
of
our
activity
is
in
the
City
of
Minneapolis.
So
we
have
most
of
our
vehicles
here,
but
we
have
quite
a
few
out
in
the
western
suburbs
as
well,
which
is
great
because
we
can
pull
vehicles
from
the
suburbs
into
Minneapolis.
We
need
it
and
we
can
pulse
vehicles
from
the
Minneapolis
and
the
suburbs
when
we
need
it.
I
So
it's
it's
a
really
quite
efficient
system
and
it
works
quite
well
so
car
volumes
and
response
times
this
is
a
a
big
number
for
Minneapolis.
75
000
calls
roughly
and
that's
up
21
almost
22,
so
our
call
volume
is
surge
rather
quickly
and
we've
been.
We
anticipated
that
surge
after
covet,
but
we
didn't
anticipate
this
large
of
a
surge
and
so
we've
been
trying
to
play
catch-up
in
our
staffing
model,
but
we
were
a
little
bit
behind
the
ball
on
that
too,
and
so
there's
a
national
shortage
of
paramedics.
I
So
we
came
up
with
a
couple
programs
which
I'll
described
a
little
bit
later
about
how
we're
trying
to
catch
up
with
our
staffing
levels,
but
our
average
culture
response
time
is
just
a
little
over
seven
minutes.
It
used
to
be
about
6,
45,
6
30
in
in
Prior
years.
So
it's
it's
creeped
up
just
a
little
bit
and
we
want
to
start
to
creep
it
back
down
to
where
we
think
would
be
better.
And
then
we
have
code,
two,
which
is
code
three
and
code,
two
little
difference
code.
I
Three
is
the
emergent
like
heart,
attack,
kind
of
thing,
lights
and
siren,
and
everything
and
code.
Two
is
a
less
emergent
situation.
For
example,
somebody's
just
got
like
foot
pain
or
something
like
that.
That's
not
really
that
serious
and
then
response
times
once
again
need
to
improve
which
will
improve.
We
have
a
surge
of
people
coming
on
board
and
we
transport
about
half
the
people
of
the
hospital
and
that
we
want
to
tell
you
that
the
behavioral
response
team
that
you
have
in
Minneapolis
is
fabulous
and
we'd
like
to
see
it
expanded.
I
They
do
a
great
job.
We
have
a
great
work
and
relationship
with
them
and
it's
working
out
really
well.
We
we
weren't
sure
how
it's
going
to
turn
out,
but
it's
worked
out
really
well.
Dr
Simpson
works
with
them
quite
a
bit
as
well
and
I.
Don't
know
if
you
want
to
jump
in
there
more,
but
I
think
they're,
they're,
really
good
yeah.
J
Yeah
I've
had
the
pleasure
being
on
scene
with
them
a
number
of
times
and
I
think
they
add
a
really
nice
perspective.
They
add
a
knowledge
of
a
lot
of
resources
that
it's
I
think
it's
difficult
for
any
one
person
to
be
able
to
provide
you
know
Medical,
Care
and
and
also
keep
track
of
all
the
various
agencies
and
and
organizations
and
resources
that
are
available
so
I
think
they
do
a
phenomenal
job.
J
They've
added
a
lot
to
the
response,
and
and
also
in
the
times
when
you
may
not
need
a
ambulance,
police
car
fire
truck.
It's
a
more
subtle
response
and
I
think
that's
something
that
we
definitely
hear
the
community
ask
for.
So
that's
been
a
really
nice
addition.
The
other
thing
that
that
Marty
touched
on
briefly
is
that
you
know
a
lot
of
the
responses
to
the
scene
are
code,
three
emergency
and
that's
that's
because
we
are,
we
are
still
trying
to
improve
the
way
that
we
better
triage.
J
Those
calls
you
know,
as
those
of
you
have
done
rides
it's
it's
really
difficult
to
truly
understand
what
you're
going
to
have
when
you
get
on
scene.
Until
you
get
there
and
so
we're
exploring
additional
evidence,
literature
technology
ways
that
we
can
maybe
do
that
better
and
decrease
some
of
those
lights
and
Sirens
calls
that
we
may
not
need
to
do.
I
If
you
live,
downtown
you'd,
probably
appreciate
less
sirens,
so
we
talked
about
Staffing
and
so
one
of
the
things
that
we
instituted,
we
did
a
pile
in
2020
and
it
turned
out
fabulous.
So
we
started
it
again.
I
Excuse
me,
and
so
the
the
pool
of
EMTs
is
much
larger
to
choose
from,
and
so
we
we're
hiring
EMTs.
We
hire
them
as
a
full-time
employee,
give
them
all
the
benefits,
and
then
we
put
them
through
a
paramedic
school
for
about
a
year
and
then
they
go
out
and
they
they
join
us
as
paramedics.
And
this
way
we
would
get
a
much
more
diverse
population
of
team
members.
I
K
Mr,
chair
I
had
the
pleasure
of
going
on
a
ride
along
with
you,
sir
and
I.
I
really
appreciated
understanding
things
from
the
EMT
side.
I
also
was
able
to
go
on
a
a
fire
station
ride
along
and
got
to
see
how
our
firefighters
articulate
with
your
staff.
It's
absolutely
as
you
suggest.
I
am
curious
in
the
this
serious
uptick
in
the
number
of
calls
that
you
are
dispatched
to
in
Minneapolis.
What
do
you
attribute
that
to
I?
C
I
You
know
yet
what
that
good
question.
We
don't
have
a
full
grasp
of
it.
It's
probably
covert
related,
but
we
also
have
a
just
a
large
surge
I
went
from
about
14
to
about
22
percent
of
our
calls
that
were
mental
health
and
substance
abuse
related.
So
those
calls
are
up
generally
on
Dr
Simpson.
Do
you
have
a
thought,
son.
J
Yeah
I
think
it's,
it's
certainly
covered
related
I
guess
it's
it's
unclear
exactly
how
it's
played
in,
but
we
certainly
see
more
traffic
accidents
than
we
used
to
because
there's
more
cars
on
the
road.
We
see
people
getting
sick
in
other
ways
and
so
I
think
it's
probably
all
those
things
people
are
out
and
about
more
we're
seeing
you
know,
interpersonal
violence
was
up,
and
thankfully
that
is
not
as
up
as
it
was
this
time
last
year,
but
it's
still
an
issue
and
so
I
think
there's
a
lot
of
factors
at
play.
J
I
K
I
And
it
sounds
so
system-wide
we're
up
about
35
in
call
volume,
so
Minneapolis
did
not
see
as
large
but
increases
some
of
our
other
areas
in
our
system.
So
yeah,
that's
a
great
question.
It
put
a
large
strain
on
our
team
because
you
know
we
have
to
do
35
more
work
with
this
virtually
the
same
number
of
people,
but
we've
been
creeping
up.
We
added
a
couple
classes
in
November
and
December
of
10
another
class
in
February
of
10..
I
We
have
this
18
trainees
coming
on
board,
we're
having
another
group
of
20
trainees
that
start
in
two
months
and
we
have
another
hiring
class
in
April
I
believe
so
we're
finally
kind
of
catching
up
where
we
should
be,
and
then
hospitals
approved
us
to
add
even
more
staff,
so
we'll
move
forward.
So
we
really
want
to
have
not
only
meet
the
call
volume
but
also
reduce
the
stress
level
on
our
staff
as
well.
So.
J
J
And
so
some
of
you
guys
may
know
this,
but
this
trainee
program
has
been
a
big
step
towards
Health
Equity,
better
patient
care,
and
you
know
historically,
to
do
paramedic
school,
there's
very
few
that
are
affiliated
with
a
university
or
college,
and
so
financial
aid
is
not
available
in
that
situation.
So
not
having
financial
aid
and
also
having
to
do
a
rigorous
curriculum.
J
And,
potentially
you
know,
working
on
the
side
or
establishing
child
care
has
been
very
difficult
and
I
think
it
has
historically
further
marginalized
some
communities
more
than
others,
and
so
I
think
this
has
been
a
nice
step,
as
people
are
hired
on
in
a
job
and
they
are
paid
to
do
this.
They're
paid
to
go
to
school
and
I
think
it
really
helps
to
decrease
some
of
those
barriers
that
we've
seen,
especially
in
some
of
our
historically
underserved
communities,
to
to
enter
the
field
of
paramedicine.
L
Thank
you,
chair,
Vice,
Vice,
chair
Payne,
so
I
just
had
a
couple
questions
just
following
up
from
the
prior
one,
where
you
mentioned.
Of
course,
a
huge
volume
of
calls
right
now
is
coming
from
Minneapolis.
Has
that
been
a
historic
pattern,
though,
even
prior
to
this
year
or
even
the
pandemic?
Where
you
know
it
was
the
bulk
of
your
calls
coming
from
Minneapolis
or
just
kind
of
the
mixture
of
that.
J
Oh
yeah,
I
mean
historically
Minneapolis
has
always
been
the
majority
of
our
calls
just
based
on
population
density,
I,
think
that
has
shifted
a
little
bit
based
on
how
everyone
has
surged
I,
don't
know
if
you.
I
Want
to
touch
on
that,
but
traditionally
we
see
a
you
know
three,
four
five
percent
increase
in
calls.
You
know
in
the
and
then
you
know
looking
back
through
2010
or
so
that's
pretty
normal
in
the
past.
Then
you
know
before
covert
hit.
We
were
generally
anticipating.
You
know,
we'd,
look
at
the
population
projected
growth
in
the
call
volumes
and
Minneapolis
was
was
around
the
three
to
four
to
five
percent
range.
We
would
normally
see
so
this.
I
You
know
this
is
a
big
up
and
then,
of
course,
dropped
way
down
and
cover
them
are
kind
of
like
not
looking
at
that
year.
We're
looking
at
last
year,
which
started
to
get
to
be
back
a
normal
year.
Our
record
year
for
call
volume
was
2019
and
we're
right
where
we
were
and
above
that
now
for
Minneapolis,
and
so
it's
it's
gone
way
up.
L
I
Like
I
said,
I'm
I'm,
not
Crystal,
Clear,
there's
not
like
one
Silver
Bullet.
Why
why
it
was
created
or
increased,
but
it's
up
there
in
in
a
way.
It's
a
good
thing
to
me.
It's
a
bad
thing,
but
yeah
I
mean
I.
Think
we're
we're
doing
a
good
job
of
helping
the
community
out
there.
D
M
L
Up
a
larger
portion
of
of
your
call
volume,
it
seems
like
historically,
you
also
notice
where
there
are
shifts
in
in
the
responses
or
call.
How
did
you
code
them.
D
L
I
Relatively
low
threefold,
actually,
the
code
two
calls
and
a
lot
of
that
I
can
attribute
to
the
shortage
of
paramedics
in
the
scheduled
transport
world.
So
you
know,
there's
a
911
transports
where
people
call
911
the
paramax
right,
but
there's
also
a
number
of
ambulances
out
there
that
you
call
and
say:
hey.
I've
got
a
sick
person
at
my
nursing
home.
That
needs
to
go
to
a
doctor
appointment
and
they
schedule
it
to
come
at
three
o'clock
whatever
and
and
that
capacity
is
greatly
diminished.
M
I
L
Then
another
question
like
Council
vice
president
hamasana
last
year,
I
had
opportunity
to
also
do
a
ride
along
and
one
of
the
things
that
came
up
as
a
challenge
that
actually
this
past
budget
session,
my
office
worked
with
some
EMS
staff
to
try
to
reconcile
on
on
our
new
office
of
community
safety.
L
Department
is
you
mentioned
technology
piece
of
this
and
lessening
the
the
you
know,
presence
of
sirens
and
especially
in
particular
communities
where
you
know,
there's
already
an
overwhelming
presence,
I
think
at
that
time
there
was
conversations
of
what
it
would
look
like
to
pursue
a
new
database
I
think
it's
called
I
am
Sam
or
something
like
that
where
I
was
really
excited
to
see.
You
know
potential
Partnerships
around
that.
L
From
my
understanding
you
all
have
a
new
database,
but
some
of
the
features
that
really
excited
me
about
that,
especially
when
it
comes
to
our
sheltered
residents.
It
allows
you
know.
Tele
was
it
communicative
features
where
you
can,
over
a
phone,
be
able
to
assess
someone
route
prescriptions
to
a
pharmacy,
so
you're
not
sending
a
rig
so
just
want
to
get
a
status,
update
or
kind
of
like
where
the
the
database
was
and
do
you
feel
like
it's
been
able
to
serve?
L
J
In
fact,
the
one
of
the
challenges
that
we've
seen
with
with
various
partners
that
we
work
with
is
that
there
are
a
lot
of
unknowns
in
this,
because
it
is
not
something
that
we
currently
do,
and
so
one
of
the
things
that
we've
been
working
really
hard
on
and
I
think
we
have
got
the
pilot
about
to
launch
and
the
last
pieces
are
getting
started,
hopefully
today,
so
that
we
can
trial
this
and
and
see
what
that
looks
like
yeah,
the
Good
Sam,
and
so
with
that
that
would
that
would
I,
think
open
the
doors
to
a
lot
of
possibilities
and
it
could
potentially
extend
some
of
our
mental
health
professionals.
J
The
BCR
I
think
it
could
potentially
extend
our
our
physicians
and
PAs
and
absolutely
better
triage
calls
that
we
we
do
need
to
go
to
as
well
and
so
I
think
that's
going
to
open
the
doors
to
a
lot
of
possibilities
and
we
are
actively
in
the
process
of
figuring
out
what
that
looks
like
we
just
got
because
of
a
number
of
logistical
issues.
The
contract
for
that
pilot.
J
Just
recently
got
signed,
I
think
it
was
late
last
week
and
so
we're
setting
up
the
infrastructure
piece
this
week
and
with
that
yes,
I
I,
hope
to
really
set
the
foundation
to
do
great
things
at
the
city
level,
potentially
County,
State
and
so
I
think
there
are
a
lot
of
opportunities
there.
I
will
talk
about
this
for
days.
If
you
let
me
so,
if
there's
specific
questions
to
that,
I'm
happy
to
go
into
that
otherwise
I
yeah
I'm,
a
huge
advocate
for
that.
L
That
is
super
exciting,
to
hear
I'm
so
glad
that
there's
like
progress
made
on
it,
definitely
look
forward
to
hearing
updates
of
also
how
our
staff
in
the
office
of
community
safety,
you
know,
specifically
our
First
Responders-
are
also
being
able
to
interface
with
that
new
database
in
ways.
That's
benefiting.
You
know
some
of
the
same
components
of
listening
like
the
amount
of
sirens
and
better
triaging.
Some
of
the
crisis
too.
That
takes
off
the
strain
of
your
Workforce
too.
So
super
excited
to
hear
that
yeah.
I
So
Good
Sam,
if
you
don't
know
it's
a
technology-based
system
that
we
can
maybe
triage
calls
or
actually
treat
people
over
the
phone
like
that,
and
to
be
honest,
though
Good
Sam
would
never
have
happened
without
Dr
Simpson.
He
ran
into
a
lot
of
barriers
and
roadblocks
and
and
he
his
persistence
and
has
driven
that
descent,
and
so
now
it's
actually
becoming
reality.
So
it's
a
pretty
cool
thing.
So
thanks
Dr,
Simpson.
E
You
chair
I,
have
two
questions,
but
first
I
have
to
thank
you
for
the
ride
along
that
we
did
on
that
warm
August
evening.
It
was
a
real
eye-opener.
How
well
you
coordinate
with
our
fire
department
and
the
police
department?
One
of
the
calls
we
went
on
was
a
shooting
and
you
enter
your
team
interact
with
the
police
so
smoothly.
The
the
one
the
first
question
I
have
is:
could
one
of
you
expound
on
you
talked
about
our
BCR
team
and
how
helpful
that
was.
J
Absolutely
so,
as
as
Marty
mentioned,
we
have
certainly
seen
an
uptick
in
mental
health,
calls
and
and
also
substance,
related
calls
and
I.
Think
it's.
It's
no
secret
to
I
think
anyone
in
healthcare
that,
when
you
think
about
folks
that
are
unhoused
when
you
think
about
people
with
financial
insecurity,
job
and
security,
those
things
go
hand
in
hand
with
substance
use
and
mental
health
issues
and
oftentimes.
Those
things
are
untreated.
J
I
think
kovid
added
some
barriers
to
getting
treatment
for
a
long
time,
which
was
not
good
for
the
mental
health
of
of
the
state,
especially
the
city,
and
so
with
that
I
think
we've
seen
a
number
of
things
we've
seen
calls
where
we
have
not
had
to
go,
and-
and
these
are
you
know
typically
lower
Acuity
calls
where
someone
is
looking
for
resources
looking
for
help,
but
not
in
an
acute
crisis.
Necessarily
and
that's
been
quite
helpful.
J
We've
also
had
calls
that
started
out
that
way
and
then
turned
into
an
acute
crisis,
and
the
BCR
has
been
great
about
integrating
with
other
responders
in
the
city
and
calling
for
sometimes
that
traditional
response
that
is
needed
and
so
I
think
that's
really
been.
The
benefit
is
being
able
to
have
conversations
with
their
leadership
and
talk
about
ways
that
we
can
work
together,
better
ways
that
we
can
integrate
better
and
really
have
a
seamless
kind
of
response
collectively
together.
J
Instead
of
you
know,
the
we
often
in
the
past
have
had
silos
that
sprung
up
just
because
it
was
different
areas
working
on
different
things
in
de
novo.
But
this
has
been
really
nice
with
that
collaboration,
great
yep.
I
I
will
say
my
operational
perspective.
It's
been
really
good,
so
you
know
it's
kind
of
unknown.
We
didn't
know
how
it
was
going
to
go.
We
had
some
rocky
relationships
with
other
communities
and
County
Mental
Health
responders
that
didn't
always
go
so
well
and
and
this
team
in
Minneapolis
is
actually
going
well,
so
they're
they're,
taking
the
calls
that
are
appropriate
for
them
to
go
on
and
they're
calling
us
when
it's
appropriate
too.
So
it's
it's
just
working
out
really
really
well
so.
E
J
It's
I
think
it's
all
substances.
What
we
have
seen
over
the
last
couple
years
is
that
whether
someone
was
intending
to
use
fentanyl
or
Methamphetamine,
typically
they
get
both,
and
so
we
have
folks
that
had
no
intention
of
using
fentanyl
that
ended
up
using
Fentanyl
and
had
an
overdose
and
that
certainly
led
to
Deaths
and
and
bad
outcomes.
E
J
Think
so
the
hard
part
is
it's.
The
xylazine
is
not
a
test
that
we
typically
you
know
it's
not
something
we
typically
test
for
in
the
hospital,
and
so
that
is
someone
that
the
poison
Center
can
occasionally
send
out
samples.
But
it's
not
something
that
we
do
on
every
patient,
and
so,
if
someone
looks
like
an
opiate
overdose
was
potentially
using
opiates
and
then
didn't
wake
up
with
traditional
therapies
with
a
naloxone
that
all
of
our
responders
have
that's
a
time
that
we
think
it's
possible.
We
know
we've
seen
some
of
it.
I
I
It
was
something
else
you
know,
and
so
it's
it's
a
it's
a
and
they
don't
even
know
what
they're
taking
and
it's
it's
really
challenging
for
the
community
and
the
First
Responders
and
our
our
emergency
department
staff
to
try
to
figure
out
what's
going
on
out
there,
but
we
do
get
alerts.
The
sheriff's
department,
Keeps
Us,
advised
well
when
they
see
a
surge
in
in
certain
medications
coming
around.
So
we
keep
an
eye
out
for
that.
But
that's
that's
a
challenge
for
sure.
I
Yeah
of
your
farm
and
so
I
don't
want
to
take
a
whole
bunch
of
time,
but
we
have
some
other
programs
that
we
have
too
once
again
we're
trying
to
increase
diversity.
We
had
we
started
a
talent
Garden
last
year.
This
is
young
people
from
generally
from
Minneapolis
area
and
that
have
an
interest
in
health
care
in
the
future
and
we
brought
them
into
the
hospital
and
they
were
able
to
kind
of
be
like
a
mini
internship.
I
During
the
summer
we
did
teach
them
all
to
become
emrs
emergency
responders,
so
they
took
the
40-hour
course
and
they
got
certified
in
that
and
then
a
lot
of
them.
You
know
they
they
interned
in
dermatology.
They
didn't
turn
to
EMS,
they
interned
and
Hyperbaric.
So
it
was
actually
a
really
really
fun
group
of
young
individuals
that
came
along
with
us
and
we
hope
in
the
future
that
they'll
be
interested
more
in
healthcare
in
the
future.
So
that
was
just
another
opportunity
for
us
to
see
more
people
and
bring
them
along
our
team.
I
So
just
quick
on
the
day
in
life
of
a
paramedic.
This
is
some
of
our
team
members.
I
just
pulled
on
a
typical
day.
Last
year,
late
last
year
we
go
in
about
245
250
calls
a
day.
That's
about
a
call.
Every
six
minutes
we
transported
146
people
about
61
to
HHS.
We
averaged
about
44
people
between
44
of
our
transports,
go
to
Hennepin
EMS,
so
we
transport
to
everywhere,
hospitals,
Methodist,
Southdale,
Abbott,
everywhere
dispatch
received
about
a
thousand
calls.
I
We
responded
to
Trent's
rescue
a
person
jumping
off
a
bridge,
a
structure
fire
that
particular
day
there's
no
shootings
or
stabbings,
which
is
kind
of
unusual.
Now.
For
us,
we
had
several
overdose
and
cardiac
arrest.
Calls
and
baby
nap
breathing
calls.
So
this
is
a
typical
day
for
us
that
there's
you
just
never
know
what
you're
going
to
run
into
here.
I
J
Absolutely,
and
so
this
image
is
from
one
of
our
specialized
teams
just
to
tag
on
just
a
little
bit
to
that.
Opioid
discussion
is
in
the
harm
reduction
front,
one
of
our
specialized
groups.
The
community
outreach
group
has
been
very
active
in
partnering
with
the
rumbler
foundation,
and
so
now
we
have
naloxone
leave
behind
kits
on
every
ambulance.
J
So
if
there's
a
call
where
someone's
in
a
home
or
received
bystander
naloxone
use
a
lot
we're
able
to
refill
those
bystanders
and
friends
and
family
with
naloxone
before
we
leave,
so
they
have
that
which
has
been
nice.
This
image
is
from
our
specialized
teams,
we
call
the
p3s
and
they
were
the
first
group
to
have
ultrasound.
So
so
these
folks,
you
know
one
of
the
first
things
we
do
for
many
of
our
patients
in
the
emergency
department
at
Hennepin.
Is
we
use
an
ultrasound
to
get
some
quick
diagnostic
information
on
what's
Happening
inside?
J
This
was
an
image
from
one
of
our
crews.
There
was
a
patient
that
had
a
car
accident
and
he
seemingly
looked
okay,
but
then,
when
they
used
the
ultrasound,
they
saw
it.
He
was
actually
bleeding
internally
and
quickly
made
the
decision
that
okay,
we
can't
wait.
You
know
for
this
lower
Acuity
person
to
go.
We're
gonna
have
to
take
this
person
now
and
right
before
he
got
to
the
hospital.
J
His
blood
pressure
dropped,
he
almost
arrested
but
didn't,
and
they
were
able
to
get
him
blood,
get
him
to
the
operating
room
and
he
did
okay,
but
since
seeing
the
the
benefits
of
this
ultrasound
and
the
utility
we've
now
very
soon
in
the
next
few
weeks,
we'll
be
adding
it
to
every
ambulance
and
training
up
all
the
paramedics
on
this.
I
Thank
you
and
and
like
I
said
ultrasound
is
one
of
our
new
improvements,
we're
always
looking
to
improve.
We
have
a
thanks
to
Dr
Simpson
and
his
medical
production,
Team
all
kinds
of
new
medication.
We're
ordering
new
cardiac
monitors
that
just
arrived
like
two
weeks
ago
and
we're
putting
those
into
service
too
and
they'll
have
Co
detection.
We
mentioned
the
Good
Sam
pre-hospital
integration.
We've
got
a
lot
of
other
different
protocols,
we're
working
on
and
continuous
technology
upgrades.
I
We
also
bring
this
technology
to
our
first
responder
Partners
like
Minneapolis,
Fire
and
Police,
and
try
to
incorporate
them
all
and
once
again
it's
an
improved
service
and
also
send
the
right
resources
to
the
right
call.
It's
really
ultimately
what
it
looks
at
I'll.
Let
Dr
Simpson
talk
about
the
medical
Direction
team.
They
do
a
great
job.
Our
education
team
teaches
about
10
000
student
hours
a
month,
so
they
and
that's
a
lot
of
student
hours
out
there.
J
So
we
we
are
very
fortunate
to
have
six
medical
directors,
and
that
currently
includes
our
fellow
who
is
doing
his
last
year
of
EMS
training,
he'll
be
hired
on
in
July
and
then
we'll
have
six
full-time
medical
directors
and
then
one
fellow
the
next
year.
J
But
we
we
have
a
variety
of
different
interests
and
strengths,
and
so
from
the
community
outreach
front,
some
of
you
guys
have
talked
with
Dr
Tim,
Coomer
I
know
he
does
a
lot
of
discussion
with
with
Minneapolis
City
and
how
we
can
better
partner
and
and
serve
each
other.
That
way,
we
have
I.
I
won't
go
into
everybody,
but
I
know
that
some
of
you
guys
have
had
conversations
with
Dr
Coomer
but
but
yeah.
It's
a
great
group
I
think
we
have
a
diversity
of
thought.
J
We
have
a
lot
of
different
approaches,
and
so
it's
been
helpful
to
have
that.
You
want
to
talk
about
the
advisory
work
group.
I
I
And
we
talked
a
lot
about
where,
where
we're
going,
what
we
should
do-
and
this
group
has
been
fabulous-
so
it's
it's
really
nice
to
see
and
get
a
lot
of
community
input
and
that's
another
reason
why
we're
here
is
just
input
from
all
of
you
in
the
in
the
future,
where
we
go
because
in
the
past,
we've
always
just
been
like
there
and
responding
and
never
really
talked
to
you
much
about
it,
and
even
though
we're
not
a
city
Department,
we
want
you
to
treat
us
like
the
city
department,
just
like
your
police
and
fire
departments.
I
We
are
we
work
for
you,
so
please,
let
us
know
yeah,
you
might
get
a
a
monthly
newsletter
called
EMS
dispatch,
EMS
dispatch
to
make
go
into
your
Spam
folders.
Hopefully,
you
get
a
chance
to
take
a
look
at
it.
Every
month
we
try
to
update
people
on
what
we're
doing
once
again,
just
to
improve
Communications,
and
we
have
a
lot
to
be
proud,
for
we
have
a
really
good
organization
and
we
we
talk
about
some
of
the
things
we
do
and
you'll
see.
I
Some
of
the
dramatic
saves
we
have
in
there
and
some
of
the
issues
we
have
with
two.
We
try
not
to
sugarcoat
it
on
and
talk
about
the
truth
about.
What's
going
on
and
glad
to
say,
our
surveys
are
come
back
great.
We
are
ranked
number
actually
number
two
now
in
the
nation
in
our
survey.
Scores
of
you
know,
98.9
of
our
patients
really
are
satisfied
with
the
service.
They
got.
We'd
actually
do
better.
I
If
you'll
see
the
next
slide,
we
have
our
top
five
and
our
top
lowest
lowest
scores,
and
the
comfort
of
the
ride
of
our
ambulance
is
always
our
lowest
score
and
I'm,
not
sure
if
it's
potholes
or
the
winter
or
what,
but
we
always
get
a
terrible
score
in
the
comfort
of
our
ride.
I
So
if
we
can
improve
the
ride
of
our
ambulances,
we
would
get
a
much
better
score,
but
other
than
that
we
do
really
really
well,
and
one
of
the
things
I
really
like
to
see
is:
you
know
the
extent
the
paramedics
treat
the
people
and
and
the
respect
they
gave
them.
Those
are
some
rallies
at
high
scores,
so
we
get
this
monthly
and
it's
a
it's
a
really
good
report.
So
we
track
it
quite
well
thanks
and
then
our
paramedics
are
out
there.
Also
why
I'm
trying
to
help
the
community?
I
We
had
John
Sylvester
who's
in
the
top
photo
there.
He
did
the
sack
drive
for
homeless
and
we
have
all
kinds
of
events
that
we're
trying
to
do
quite
often
to
help
the
community
out.
So
our
Medics
are
really
care
about
the
communities
they
serve
in
and
then
we
are
just
trying
to
wrap
it
up
and
we'll
take
any
questions
or
recommendations
for
us.
A
M
I
Was
preparing
for
you
to
come,
but
see
what
happened
both
for
being
here.
You
two
Dr
Simpson.
You
know
my
office
has
learned
so
much
about
what
paramedics
do
from
the
two
of
you
and
the
partnership
that
you
have
with
the
very
like
so
many
different
departments
within
Minneapolis,
so
I
welcome
more
teachings
from
the
both
of
you
on
how
we
can
help
and
how
we
can
better
collaborate.
M
You
know
one
of
the
the
things
you
said
Marty
was
that
you
don't
reach
the
most
northern
part
of
the
city,
which
is
my
ward,
and
you
told
me
that
right
away,
so
I
spent
my
time
on
the
ride,
along
with
you
and
councilmember
Ellison's
Ward,
but
then
I
later
did
it
right,
along
with
him
with
North
End?
M
Yes,
so
that
I
could
see
what
was
happening
in
my
ward
and
so
I
think
a
lot
of
people
don't
even
understand
like
that,
there's
a
line
to
where
you
all
go
and
like
how
calls
and
all
those
things
come
in.
So
that's
why
I
was
grateful
that
you
were
coming
here
to
present
and
show
like
exactly
what
you're
doing
and
where
you're
doing
it
and
to
keep
up
the
good
work.
M
Our
first
call
Marty
was
a
baby
not
breathing
in
George
Floyd
square,
and
we
were
so
worried
about
if
we
were
going
to
be
able
to
get
in
or
not
in
Minneapolis
Bliss
fire
just
stepped
in
made
sure
the
area
was
good
and
safe
and
that
people
understood
that
there
was
a
baby
who
needed
care
right
away,
but
we
were
definitely
worried
about
what
we
were
going
to
be
faced
with
when
we
got
there,
and
so
you
all
are
talking
to
each
other
and
you're
understanding
the
best
ways
to
serve
our
city
and
I'm.
M
Grateful
for
that
I
I,
like
I,
said
to
you
every
time.
I
see
you
tell
me
what
I
could
do
to
help
tell
us
what
we
can
do
to
help
as
a
council
and
we're
happy
to
do
so,
and
thank
you
both
for
this
work
and
thank
you,
Chief
Tyner.
Thank
you
so
much
for
coordinating
this.
You
and
the
office
of
community
safety
for
coordinating
this
and
putting
this
together
to
bring
it
before
the
committee.
Thank
you.
I
Thank
you,
councilman,
yes,
I
would
say
that
we
have
just
an
incredibly
outstanding
relationship
with
the
police
and
fire
departments
in
the
City
of
Minneapolis
and
and
the
other
teams
as
well.
So
thank
you
Chief
Tanner.
They
do
they
go
on
about
60
of
our
calls
in
Minneapolis,
which
is
a
lot
of
calls,
never
complain,
and
they
always
are
doing
the
right
thing
and
it's
just
a
tremendous
relationship.
We
have.
M
He
has
a
wealth
of
knowledge
about
homelessness
and
resources
in
Downtown
Minneapolis
in
particular,
I
think
he
was
leading
that
initiative
to
downtown
100
for
some
time
and
working
really
hard
to
move
forward
with
that,
with
figuring
out
who
are
regular,
people
that
are
in
downtown
and
what
services
they
need
and
how
we
can
better
serve
them
as
a
as
a
city,
so
Big
Ups
to
John
he's
also
very
wonderful.
Yes,.
M
I
Good
news,
but
once
again
we're
here
to
let
you
know
that
we
we
work
for
you
and
we
we
want
direction
from
you.
If
you
need
it,
we
gladly
come
back.
I,
don't
know
what
frequency
he
wants
to
come
back
once
a
year
once
a
month,
once
every
six
years
or
whatever
you
want
we'll
we'll
make
it
happen,
and
we
appreciate
the
great
work
and
relationship
we
have
with
you
and
any
comments
you
have.
You
can
contact
us
anytime
before.
A
We
wrap
up
I
just
had
a
quick
question
on
our
our
dispatch
and
triage
process,
and
I
was
just
curious
if
you
could
expand,
because
you're
covering
a
lot
of
different
jurisdictions
and
so
you're
having
to
coordinate
with
a
bunch
of
different
departments
and
I
was
just
curious.
If
you
have
pretty
standard
Protocols
of
when
you
know
an
ambulance
goes
out
in
a
fire
rig
or
when
a
police
officer
has
to
clear
before
the
ambulance
shows
up.
J
Is
very
standardized,
and
so
the
way
this
works
is
the
initial
call
to
from
the
city
will
go
to
the
primary
Public
Safety
answering
point
which
is
I
believe
in
the
basement
here
and
and
that
initial
call
taker
will
determine
what
sort
of
category
This
falls
into
from
a
list
of
different
options.
And
so,
if
this
is
a
a
short
of
breath,
call
someone's
having
trouble
breathing
then
typically
you'll
get
fire
and
EMS.
J
Fire
is
there
to
help
extricate
patients
and
provide
any
sort
of
fire
suppression,
that's
needed
and
then
we're
there
to
provide
the
medical
care,
and
so
each
scene
has
very
distinct
roles
into
what
each
agency
frequently
does
and
so
I
think
that
helps
from
a
standardization
standpoint,
which
is
why
we
can
show
up
to
a
car
accident
overdose
and
everybody
kind
of
knows:
what's
expected
of
them.
So
it
is
very
standardized,
in
fact,
from
that
primary
safety
answering
Point
primary
Public
Safety
experiencing
point
the
next
place.
J
A
Then
I
was
curious
for
that
standardization,
especially
as
we're
bringing
on
new
capabilities
like
BCR.
Is
there
a
pretty
regular
check-in
on
whether
or
not
those
protocols
need
to
be
updated
or
you
know,
should
it
be
an
ambulance
paired
with
BCR
or
I'm
just
curious?
How
that
kind
of
evolves
over
time
yeah.
J
So
when
the
BCR
first
started,
as
as
that
team
was
building
up,
there
are
a
lot
of
discussions
with
director
hodny
about
how
that
was
going
to
work,
and
you
know
which
calls
are
are
best
for
BCR,
and
so
there
was
a
lot
of
discussion
at
the
the
Minneapolis
dispatch
level
about
that,
and
my
understanding
is
the
BCR
is
all
under
Minneapolis
Police
Department.
So
it
is
not
a
fourth
service,
but
it
is
sort
of
embedded
within
MPD
and
I'm
sure.
J
There's
logistical
reasons
for
that,
so
so
yeah,
it
is
very
standardized
as
to
what
calls
they
can
go
to
and
the
dispatchers
all
have
very
clear
lists
of
this
is
appropriate.
This
is
not
appropriate,
and
so
we
just
want
to
make
sure
we
get
the
you
know
the
right
resource
to
the
right
person
at
the
right
time
and
so
yeah
lots
of
collaboration
as
that
team
was
building
up.
C
I
I
was
just
going
to
pile
on
the
praise
and
just
thank
you
guys
for
not
only
the
presentation
but
I
also
got
a
chance
to
do
a
ride
along
and
just
the
professionalism,
the
coordination
getting
able
to
see
you
guys
do.
Your
work
is
really
incredible
so
and
I
think
this
is
the
first
time
I
I'm
sure
you
guys
have
been
before
the
council
before,
but
it's
my
first
time.
Oh
you
haven't
so
I
was
gonna,
say
my
first
time.
C
The
first
time
I
remember
seeing
you
guys
come
before
the
council
and
it's
just
it's
it's
it's.
It's
really
welcome
and
it's
great
to
see
you
guys
and
to
see
the
leadership
there
and
chief
you've
got
this
whole
Lee
Marvin
thing
going
on
and
like
it
really
exudes
a
lot
of
confidence
and
and.
C
C
And
so
I
I
really
appreciate
that,
and
and
and
and
thank
you
for
the
presentation-
that's
all.
I
Yeah,
thank
you
actually,
Dr
Simpson
deserved
from
her
Crypt
and
I.
Do
it,
like
you
just
mentioned
protocols
he's
aggressively
we
we're
about
to
launch
in
the
next
month
our
electronic
versions
on
an
app
the
protocols
and
it
covers
the
fire
department
covers
everybody
and
we
can
change
it
on
the
Fly
Right
In
in
the
passes
in
these
written
books,
and
you
had
to
wait
two
years
before
you
could
change
a
protocol
and
all
this
stuff,
and
now
we
can
do
it
just
boom.
We
make
it
happen.
A
I
You
everyone
I,
appreciate
your
time.
Sorry
I
went
over
what
we
thought
we
were
going
to
take,
but-
and
thank
you
doctor
how
about
Chief
Tyner
for
coming
as
well.
Yes
kind
of
a
doctor,
though,.