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CHS capacity to contact emergency contacts and definition of serious injury

1:43:10

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Council Member Restler questions CHS representatives about their capacity to contact emergency contacts for serious injuries. CHS expresses concerns about capacity and the range of injuries covered under the 'serious injury' label.

CHS raises concerns about capacity to contact emergency contacts for all serious injuries
Discussion on the range of injuries covered under the 'serious injury' label
CHS emphasizes the need for a tailored approach in contacting emergency contacts

Lincoln Restler

1:43:10

So in your testimony, you'd as far as if I internalized it correctly.

1:43:17

Doctor.

1:43:18

Subeti, you're not saying that CHS design up the capacity to contact emergency contacts when a series entry occurs?

1:43:29

What mentioned in your testimony was it?

1:43:37

The only opposition you identify in your testimony is that you think a tailored approach is needed when somebody is committed to attempted suicide.

1:43:45

Is that fair?

1:43:51

Okay.

1:43:52

But let's put aside attempt to two sides for a moment because that's a a relatively modest number relative to the 1400 times.

1:43:59

Sometimes experiencing serious injury.

1:44:01

You wanna give me a a number on a temp to two sides last year?

1:44:09

Okay.

1:44:09

So we'll put aside the 10 to 12 out of 1400.

1:44:12

Fair?

1:44:12

Mhmm.

1:44:13

110 to 1%.

1:44:14

Here.

1:44:15

Great.

1:44:15

For the other 99.9% of the time, now that we're just clear on the conversation that we're having about the bill.

1:44:23

CHS does have the capacity to contact the emergency contacts after an incident a serious injury occurs?

Bipin Subedi

1:43:26

Well, I think we have to consider capacity.

1:43:32

It was not.

1:43:32

Okay.

1:43:32

But I think it is something to consider when operationalizing legislation.

1:43:46

Well, I think a tailor approach is needed when engaging with a loved one in general after speaking to the patient.

1:44:04

It would be in the ballpark of about 10 to 12, I think, off top of my head.

1:44:31

So I would have concerns about the capacity in that situation.

1:44:34

Like we said, there's a range of injuries we're talking about when we use the serious injury label.

1:44:39

That could be more minor injuries that require, let's say, a suture a patient may not want us to contact a family member in that situation.

1:44:48

It there could also be a lot of time since the consent was originally signed to when we're seeing the patient for the serious injury.

1:44:54

So we wanna review with them that they still want us to speak to that family member or next of kin.

1:45:00

So there's a lot of time that would potentially be required for this in situations where patients may not be asking for it.

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Debate over hospitalizations and emergency contact notifications

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Discrepancy between admin code and CHS definitions of serious injury