[0:01] THE FIRST ITEM OF BUSINESS TODAF THE MINUTES FROM OUR MEETING ON,
[0:06] IS THERE A MOTION TO APPROVE? THE MINUTES HAVE BEEN MOVED AND.
[0:11] ALL THOSE IN FAVOR PLEASE SIGNI. [ COMMISSIONERS VOTING ]
[0:14] ANY OPPOSED? [ NO RESPONSE HEARD ]
[0:15] THE MINUTES HAVE PASSED. COLLEAGUES, ITEM 2A ON TODAY'S C
[0:19] HEARING ON THE STAFFING REQUIREE 9, EMERGENCY MEDICAL SERVICES.
[0:24] THIS PUBLIC HEARING WILL BE CONN AND VIA TELEPHONE.
[0:29] PERSONS NOT IN ATTENDANCE TODAYN COMMENTING ON SECTION 7, SUBSECE
[0:38] 9 ARE INVITED TO CALL THE TOLL-N CONFERENCE NUMBER NOW.
[0:42] AND THAT PHONE NUMBER IS 1-855-. IT'S ON THE SCREEN.
[0:49] AGAIN, THAT NUMBER IS 1-855-340. AND, AGAIN, IT'S DISPLAYED ON O.
[0:58] WHILE WE WAIT FOR CALLERS, I WOK KRISTEN MEDICAL STROM TO PROVIDN
[1:05] THE STAFFING REQUIREMENTS FOR O. MELSTROM.
[1:13] >> THANK YOU, CHAIR CONLEY, AND. JUST A QUICK BACKGROUND.
[1:18] ON ORDINANCE 9. SINCE 1984, ORDINANCE 9 REQUIREC
[1:23] STAFFING MODEL FOR ALL A.L.S. RN HENNEPIN COUNTY WHEN PEOPLE CAL1
[1:30] SERVICE. ON JUNE 7th, 2022, PUBLIC HEALTF
[1:36] THE EMS COUNCIL, PRESENTED SEVER ORDINANCE 9 TO UPDATE THE ORDING
[1:43] PROPOSED CHANGES TO A STAFFING O CHANGE THE REQUIREMENT TO MODELE
[1:50] CHAPTER 144E. AND THAT STATUTE REQUIRES A MINE
[1:55] PARAMEDIC AND ONE EMT FOR RESPO. THE PROPOSAL ALSO INCLUDED B.L.1
[2:05] CALLS. SO THAT IS IN THE CURRENT ORDINT
[2:11] WAS SUSPENDED AT THAT TIME TO GH AND THE EMS COUNCIL TIME TO STU.
[2:17] SO CURRENTLY THAT'S SPUPPEDDED D UNTIL MARCH 31st OF THIS YEAR.
[2:22] THIS IS THE FIRST PART IN THE PE PUBLIC HEARING AND THEN THIS WIE
[2:27] BOARD AGAIN ON MARCH 10th AT THH COMMITTEE, AND THEN ON THE 17thL
[2:33] DECISION. SO THAT WOULD MEET THE REQUIREML
[2:37] DECISION ON THE STAFFING SECTIOE BY MARCH 31st.
[2:42] OTHERWISE THE PREVIOUS REQUIREMO PARAMEDICS WOULD BE REINSTATED.
[2:49] >> Commissioner Conley: THANK Y. MELSTROM.
[2:52] SO, AT THIS TIME I'D LIKE TO ASS ANY CALLERS CURRENTLY ON THE LI?
[2:57] >> MADAM CHAIR, THERE ARE NO CA. >> Commissioner Conley: THANK Y.
[3:01] SO THERE ARE NO CALLERS RIGHT NP COMMENTS TOP FOLKS HERE IN PERS.
[3:06] I HAVE A LIST OF PEOPLE WHO WOU. SO WELCOME.
[3:10] FOR THOSE OF YOU THAT ARE HERE L HAVE THREE MINUTES TO SPEAK.
[3:14] PLEASE STEP UP TO THE PODIUM WHR NAME.
[3:16] ON THE PODIUM THERE IS A SET OF. THE GREEN LIGHT STARTS YOUR TIMU
[3:21] SEE THE YELLOW LIGHT ILLUMINATET 30 SECONDS LEFT TO CONCLUDE YOUE
[3:26] RED LIGHT INDICATES THAT YOUR T. SO, IF YOU WOULD LIKE TO SPEAK,O
[3:31] THROUGH THE NAMES THAT I HAVE. SO FIRST UP I HAVE SAM ERICKSON.
[3:45] >> THANK YOU, MADAM CHAIR. THANK YOU, COMMISSIONERS.
[3:50] SO, MY NAME'S SAM ERICK SON, I'D RESIDENT, I'M A PARAMEDIC AND A.
[3:57] I THINK I'VE BEEN UP HERE QUITEO YOU FOLKS ABOUT THIS, BUT I THIE
[4:03] CAN'T HURT. SO ORDINANCE 9, TWO PARAMEDICS ,
[4:06] THE ANALOGY I ALWAYS MAKE IS THN MODEL.
[4:09] WHEN YOU GET ON A DELTA PLANE, N AIRLINES PLANE, WHAT YOU LOOK AS
[4:14] TWO PILOTS. THAT'S BEEN THE WAY FOR P MANY E
[4:18] UNITED STATES AND WE DID THAT BE TIME IN A COMMERCIAL AIRLINE, OE
[4:23] FINE, THERE'S NO ISSUES, LANDINO PROBLEM.
[4:27] BUT IN THOSE INSTANCES WHEN THE, HAVING TWO EXPERTS IN THOSE SEA.
[4:33] YOU, I THINK, WOULD ALL TAKE ISN TO A DELTA FLIGHT TOMORROW AND T
[4:39] AND ONE FLIGHT ATTENDANT IN THE. AND THAT'S ESSENTIALLY WHAT WE'H
[4:45] THIS REDUCTION IN STAFF TO ORDI. OKAY?
[4:49] BEING THE ONLY A.L.S. PROVIDER S MENTALLY, PHYSICALLY, AND EMOTIR
[4:54] PROVIDERS. SO, IN A BUSY METRO AREA, I'LL N
[5:00] EMS, WE'RE ALREADY TALKING ABOUO HAVE DEALT WITH THE KILLING OF X
[5:07] PRETTI, ANNUNCIATION SCHOOL SHOE COLLAPSE, COVID, CIVIL UNREST FR
[5:11] OF GEORGE FLOYD, RIGHT? LIKE THAT'S JUST HENNEPIN EMS.
[5:15] OKAY? I CAN'T EVEN SPEAK TO WHAT ALL R
[5:17] PROVIDERS ARE GOING THROUGH. AND, SO, TO SHOULDER THAT BURDEY
[5:23] ALONE AS FAR AS THE HIGHEST-LEVS EXHAUSTING.
[5:29] HENNEPIN COUNTY HAS ALWAYS LED S REGARD.
[5:31] I THINK KRISTEN QUOTED IT, THIST INTO EFFECT WHEN I WAS 2.
[5:38] OKAY. WE'VE BEEN DOING THIS FOR A LON.
[5:40] PART OF THE ISSUE IS, IN MY OPIE AMBULANCE SERVICES IN HENNEPIN E
[5:46] PRIVATE AND TWO PUBLIC. SO THE PUBLIC ONES ARE EDINA FIN
[5:49] EMS, WE PROVIDE PARAMEDIC/PARAMT EXCLUSIVELY OR EXCLUSIVELY.
[5:54] THE PRIVATE SERVICES ARE THE ONG TO COME TO YOU AND SAY, OH, WE E
[5:59] DON'T HAVE ENOUGH STAFF, WE CANT ENOUGH.
[6:02] BUT THEY HAVEN'T INVESTED IN TH. HENNEPIN EMS HAS A VAST TRAININE
[6:07] TAKE FOLKS FROM THE COMMUNITY A. WE EVEN PAY THEM TO BECOME PARAE
[6:12] THIS COMMUNITY. WE'VE INVESTED IN IT BECAUSE I R
[6:15] RESIDENTS EXPECT IT, THEY EXPECH OUTCOMES.
[6:18] LAST THING I'LL SAY, THIS ORDIND HEALTH EQUITY.
[6:23] OKAY? IF THIS ORDINANCE AND THE TWO PM
[6:26] BREAKS DOWN, WHAT YOU WILL SEE G WE HAVE SEEN IN OTHER HEALTH EQE
[6:32] AFFLUENT WHITE CITIES WILL HAVET COVERAGE, TWO PARAMEDICS, MANY L
[6:39] GET GREAT SERVICES, MUNICIPALITO THE AREA THAT HAS A PRIVATE AMBR
[6:45] HAS A LARGE PERCENTAGE OF BLACKN COMMUNITY MEMBERS WHERE MONEY ME
[6:49] WILL NOT GET THE SAME LEVEL OF L SEE THE HEALTH EQUITY OUTCOMES .
[6:53] THANK YOU SO MUCH FOR YOUR TIME. >> Commissioner Conley: THANK Y,
[6:56] Mr. ERICKSON, NEXT I HAVE SUSAN. >> GOOD AFTERNOON.
[7:01] , CHAIR AND COMMISSIONERS. MY NAME IS SUSAN LONG, I'M THE S
[7:04] CHIEF OF ALLINA HEALTH EMS, THAE OPPORTUNITY TO SPEAK TO YOU TOD.
[7:08] AS WE CONSIDER THOSE ACTIONS ONG REQUIREMENTS OUTLINED IN ORDINA.
[7:13] I APPRECIATE THE THOUGHTFUL CONE BOARD HAS GIVEN TO THIS ISSUE.
[7:17] AS YOU KNOW, THE STAFFING COMMIN SUSPENDED WHILE THE COUNTY GATHD
[7:22] FROM EMS AGENCIES AND REVIEWED S ACROSS THE REGION.
[7:25] I'M HERE TODAY TO EXPRESS STRONR ELIMINATING THE MANDATORY TWO PD
[7:31] AND ALIGNING THE ORDINANCE WITHE 144E.
[7:34] OVER THE PAST SEVERAL YEARS, EMS THROUGHOUT HENNEPIN COUNTY AND E
[7:39] FACED SIGNIFICANT WORKFORCE CHAY IN THE PARAMEDIC JOB CLASS.
[7:43] THESE SHORTAGES HAVE BEEN WELL D IMPACT RESPONSE TIMES, OPERATIOD
[7:48] THE WELL-BEING OF OUR EMS WORKF. REINSTATING THE TWO PARAMEDIC RY
[7:55] A.L.S. RESPONSE WOULD PLACE AN N ON AN ALREADY CHALLENGED WORKFOM
[8:01] FLEXIBILITY AND RISK SLOWER RESR COMMUNITIES.
[8:03] EQUALLY IMPORTANT, MODERN EMS RD EXPERIENCE DEMONSTRATE THAT REQO
[8:08] PARAMEDICS ON EVERY CALL DOES NS FOR THE VAST MAJORITY OF 911 RE.
[8:13] MOST EMERGENCIES DO NOT REQUIRED PROCEDURES THAT NECESSITATE DUA.
[8:18] THE STATE'S STAFFING MODEL, WHIR TWO PARAMEDICS OR A PARAMEDIC PS
[8:24] CLINICALLY SOUND, EVIDENCE BASED EFFECTIVELY ACROSS MINNESOTA AN.
[8:30] ALIGNING ORDINANCE 9 WITH STATEE ACCOMPLISHES SOME KEY GOALS.
[8:35] IT STRENGTHENS RESPONSE RELIABIY IN STAFFING ALLOWS EMS SERVICESE
[8:40] AMBULANCES ON THE ROAD, ADJUST S DYNAMICALLY TO CALL VOLUME AND S
[8:45] CAUSED BY PARAMEDIC SHORTAGES. IT SUPPORTS WORKFORCE SUSTAINABT
[8:49] RETAIN AND SUPPORT THE CLINICALD CLINICIANS WE HAVE, A RIGID STAD
[8:56] INCREASE BURNOUT AND OVERTIME AS SYSTEMS NATIONWIDE ARE STRUGGLIE
[9:02] STAFFING. THIS ALIGNMENT ALSO ENSURES CONH
[9:06] STATEWIDE STANDARDS. MINNESOTA STATUTE 144E ESTABLISM
[9:10] FRAMEWORK FOR A.L.S. STAFFING A, HELPING ENSURE PATIENTS RECEIVEE
[9:15] LEVEL OF CARE PROMPTLY AND WITHY COST BURDENS.
[9:18] THE QUESTION BEFORE YOU TODAY IR NOT PARAMEDICS HAVE A VITAL ROL.
[9:23] THEY ABSOLUTELY DO. THE QUESTION IS, WHETHER THE COE
[9:26] A STAFFING STANDARD MORE RESTRIE STATE'S, DESPITE CLEAR EVIDENCEA
[9:32] REQUIREMENT DOES NOT IMPROVE OUD NEGATIVELY IMPACT SERVICE RELIA.
[9:35] I RESPECTFULLY SUBMIT THAT THE T QUESTION IS NO.
[9:39] I URGE YOU TO SUPPORT THE ELIMIO PARAMEDIC MANDATE AND ADOPT STAE
[9:44] CONSISTENT WITH MINNESOTA STATU. THIS CHANGE COULD HELP ENSURE AY
[9:51] RESIDENTS CONTINUE TO RECEIVE TY EMERGENCY CARE DELIVERED BY CLIM
[9:55] DESIGNED FOR TODAY'S REALITY. THANK YOU FOR YOUR TIME, YOUR LR
[10:00] COMMITMENT TO A SUSTAINABLE EMSR HENNEPIN COUNTY.
[10:02] >> Commissioner Conley: THANK Y. THANK YOU.
[10:04] SCOTT. >> THANK YOU.
[10:10] GLAD TO BE HERE. MY NAME IS SCOTT SAMPE AND THE D
[10:14] CHIEF OF NORTH MEMORIAL AMBULAN. AND I KNOW OVER THE LAST COUPLEF
[10:19] YOU VISITED US, RODE WITH US, D, INVESTIGATED AND WE APPRECIATE .
[10:24] I KNOW ON A DAILY BASIS, EMS ISY GOAL OR MAY NOT KNOW A LOT ABOU.
[10:30] BUT I ALSO HAVE A LONG CAREER, S IN EMS, AND HAVE BEEN ACROSS THY
[10:36] AMBULANCE SERVICES AND I CAN TEE EMT PARAMEDIC, A.L.S. COMBINATIN
[10:41] THE COUNTRY. THAT'S WHY WE FOLLOW IT.
[10:44] OTHER COUNTRIES EVEN PUT DOCTORR AMBULANCES AND DON'T NECESSARILS
[10:49] THAN THAT COMBINATION. AND I'D LIKE TO OFFER YOU ALSO .
[10:54] A HEALTHCARE ANALOGY. IF YOU WENT TO THE EMERGENCY DED
[10:58] I HOPE YOU DON'T HAVE TO, WOULDO DOCTORS TO GREET YOU AS YOU WAL?
[11:03] YOU'D PROBABLY GET A NURSE AND . AND THOSE TWO PROFESSIONALS WORE
[11:09] YOU A GREAT COMBINATION OF DIFFO GIVE YOU THE BEST CARE, AND THAT
[11:14] WE'RE ASKING FOR, TO FOLLOW STAE AN EMT AND PARAMEDIC.
[11:19] THAT WAY WE HAVE EQUAL DISTRIBUR AREAS THAT WE COVER OF GOOD HEAT
[11:25] ALSO GIVES US AN OPPORTUNITY, ID PARAMEDICS, YOU HAVE TO BE AN EU
[11:31] BECOME A PARAMEDIC, WHERE ARE TG FROM?
[11:34] ARE THEY COMING FROM OTHER AREAN COUNTY?
[11:37] SO THAT'S WHY WE BELIEVE AND ASE SUPPORT FOLLOWING STATE STATUTE.
[11:41] THANK YOU. >> Commissioner Conley: THANK Y,
[11:47] Mr. SAMPE. NEXT I HAVE TIM.
[11:53] >> CHAIR AND COMMISSIONERS, THAG ME SPEAK.
[11:57] I'M A CAPTAIN PARAMEDIC WITH NO. PRIOR TO ACTUALLY HAVING THE ROI
[12:04] WORKED ON AN AMBULANCE, ON AN AI HAD EMT PARTNERS THAT I WORKED .
[12:10] SO I FEEL THAT I AM ABLE TO SPE. OBVIOUSLY I THINK WE CAN ALL AGN
[12:18] SOMEONE, A RESIDENT OF HENNEPIN, THEY EXPECT FAST AND GOOD CARE.
[12:25] I THINK THAT WOULD BE SOMETHINGF US IN THIS ROOM WOULD AGREE ABO.
[12:31] BUT WITH THE EMT, PARAMEDIC AMBE ABLE TO WORK TOGETHER AS SCOTT D
[12:41] ABLE TO ACCESS THE CARE OF THATD OF DIFFERENT ANGLES, SO TO SPEAE
[12:47] AND A DOCTOR. IF WE ARE ABLE TO STAFF AMBULAND
[12:54] PARAMEDIC, WE ARE ABLE TO STAFF. I KNOW AT NORTH MEMORIAL, IF WEE
[13:04] PARAMEDIC/PARAMEDIC ROLE, WE WOY ABOUT 100 PEOPLE THAT WE WOULD -
[13:09] PARAMEDICS THAT WE WOULD HAVE TR CURRENT STAFF LEVEL OF AMBULANC.
[13:14] AMBULANCES ON THE STREET. SO THAT WOULD SLOW OUR RESPONSES
[13:21] MEANINGFUL CARE FOR THE RESIDENN COUNTY.
[13:25] THE LAST THING I WANTED TO SAY E 9, AS WE TALKED ABOUT, WAS ENACD
[13:31] THAT WAS WHEN EMTs DID NOT HAVEE OF PRACTICE THAT THEY HAVE TODA.
[13:37] THEIR SCOPE HAS INCREASED SIGNIT IS BY STATE.
[13:45] AND THEY HAVE BEEN ABLE TO PROV- LOSING MY WORD -- BUT INTERVENTE
[13:55] GO -- THAN THEY HAD WHEN ORDINAS ORIGINALLY ENACTED.
[13:58] THANK YOU. >> Commissioner Conley: THANK Y.
[14:03] I APPRECIATE IT. PETER.
[14:06] >> THANK YOU, CHAIR AND COMMISS. MY NAME IS PETE TANGE, I'M THE L
[14:11] DIRECTOR FOR NORTH MEMORIAL AMB. I'M AN EMS, EMERGENCY MEDICINE .
[14:16] I'VE BEEN AN EMS SINCE 1988. AND I WOULD LIKE TO SHARE THREEI
[14:22] AM IN FAVOR OF UPDATING THE LANE 9 TO BETTER MATCH THE STATE ANDL
[14:29] STANDARDS. SO THE FIRST PERSPECTIVE IS, WHA
[14:34] RESIDENT OF HENNEPIN COUNTY, MYY MEMBERS AND MANY OF MY FRIENDS .
[14:41] AND I THINK FROM A PATIENT PERSE CALLED 911, I'VE WANTED A QUICKY
[14:49] RESPONSE WITH PEOPLE WHO ARE TRT TO DO.
[14:54] SO, BY LIMITING AND REQUIRING TC STAFFING AS THE ONLY MODEL OF AE
[15:00] IN THE COUNTY, WE LIMIT THE NUMS THAT CAN BE AVAILABLE AND, THERE
[15:09] TIMELINESS OF RESPONSE. AND AS HAS BEEN MENTIONED, BY TT
[15:16] TRAINING DOES ALLOW FOR A LOT OE RESPONSE TO EMERGENCY REQUESTS .
[15:24] SO, THIS LEADS ME TO THE SECONDH IS, THE OPERATIONAL EFFICIENCIEG
[15:32] PARAMEDIC -- ALLOWING FOR PARAMT RESPONSES, AS WELL AS OTHER B.L.
[15:38] AND IT'S SIMPLE MATH. IF WE HAVE 100 PARAMEDICS AND WO
[15:44] PARAMEDIC PER AMBULANCE, WE CAN0 AMBULANCES.
[15:47] IF WE ALLOW FOR AN EMT AND A PAD AMBULANCE, NOW WE CAN HAVE 100 .
[15:54] AND, THEREFORE, DISTRIBUTE THEMD HAVE MORE TIMELY RESPONSE.
[16:02] AND AS TIM MENTIONED, EMTs AND S WORKING TOGETHER HAVING BEEN A R
[16:10] APPROPRIATE RESPONSE. AND IT'S INTERESTING BECAUSE THO
[16:14] THIS IS IF WE HAVE MORE AMBULANR CALLS THAT REQUIRE TWO PARAMEDID
[16:20] THAT WE HAVE TWO PARAMEDICS THAD CONTINUE TO CARE FOR THE PATIENG
[16:27] TRANSPORTATION IS INCREASED. SO WHATEVER VALUE WE HAVE WITH F
[16:31] ONE HAS TO DRIVE, WE REDUCE THAE TIMES WHEN TWO PARAMEDICS ARE N.
[16:38] AND THEN, FINALLY, THERE'S A HI, AGAIN, I'VE BEEN IN IT SINCE '8E
[16:45] PRIVILEGE OF WORKING WITH Dr. PO WAS AROUND WHEN THE ORDINANCE WD
[16:51] LIKE TIM MENTIONED, THE ORDINANE TIME.
[16:54] WE'VE UPDATED, WE'VE MODERNIZEDA PARAMEDIC IS MORE THAN AN APPROD
[17:00] THAT'S THE MODERN EMS SYSTEM. THANK YOU.
[17:04] >> Commissioner Conley: THANK Y. LAST ON MY LIST IS MARTIN.
[17:10] OKAY, GREAT. IS THERE ANYONE ELSE HERE THAT K
[17:14] TO THE PUBLIC HEARING, TO THE T? ORDINANCE 9.
[17:18] GOING ONCE. GOING TWICE.
[17:21] THANK YOU, ALL, FOR SHOWING UP R TESTIMONY.
[17:23] IT'S VERY MUCH APPRECIATED. THAT WILL WRAP UP IN-PERSON COM.
[17:29] BUT I WOULD LIKE TO CHECK ONE MF TO SEE IF WE DO HAVE ANY MORE C.
[17:35] >> MADAM CHAIR, THERE ARE NO CA. >> Commissioner Conley: THANK Y.
[17:39] SO, WITH NO OTHER CALLERS, I WOA MOTION TO CLOSE THE PUBLIC HEAR.
[17:44] >> Commissioner Fernando: SO MO. >> Commissioner Goettel: SECOND.
[17:45] >> Commissioner Conley: MOTION D AND SECONDED.
[17:48] ALL THOSE IN FAVOR PLEASE SIGNI. [ COMMISSIONERS VOTING ]
[17:50] THOSE OPPOSED? [ NO RESPONSE HEARD ]
[17:52] THAT ITEM PASSES. THAT CONCLUDES OUR AGENDA.
[17:54] >> MADAM CHAIR? >> Commissioner Conley: YES.
[17:55] >> CAN I ASK A QUESTION? >> Commissioner Conley: YES, PL.
[17:58] >> Commissioner Lunde: AND I ONE WE HAVE LITERALLY EVERYBODY IN .
[18:01] I WAS JUST GOING TO ASK, MAYBE,O SPOKE COULD PROVIDE THE COMMISSE
[18:06] AN EMAIL OR A MEMO ON, I KNOW TE RESPONSES, I KNOW HCMC HAS A DOT
[18:13] SOMETIMES IN A ROVER, WE HAVE OT JUST THIS ONE CREW, THERE'S OFTY
[18:20] CREWS, THERE'S OTHER THINGS THAW THAT, AND I'M GUILTY AS CHARGEDN
[18:27] PARK MOVE FROM A VOLUNTEER FIREL FIREFIGHTERS AT BRB ARE EMTs --K
[18:33] ARE EMTs AND MANY ARE PARAMEDICW THERE'S A MULTIPLE SYSTEM OVERLS
[18:39] IF YOU COULD PROVIDE US WITH TH. THAT WOULD BE HELPFUL FOR ME.
[18:42] I ASK, MADAM CHAIR, LITERALLY ED BE ABLE TO RESPOND ARE SITTING .
[18:46] >> Commissioner Conley: YOU'RE Y RIGHT.
[18:47] THANK YOU. THANK YOU SO MUCH.
[18:49] ALL RIGHT. WE ARE ADJOURNED.