Q&A
Discrepancy between admin code and CHS definitions of serious injury
1:45:07
·
168 sec
Council Member Restler presents the admin code definition of 'serious injury' and questions CHS representatives about the discrepancy between this definition and their own. The discussion highlights the potential impact on the proposed legislation.
- Admin code definition of serious injury presented
- Discrepancy noted between admin code and CHS definitions
- Implications of this discrepancy on the proposed legislation discussed
Lincoln Restler
1:45:07
So I I don't you're doctor in CHS.
1:45:10
I'm not expecting you to be an expert in the admin code, but I will read it to you just so you have it.
1:45:14
Physical injury the admin code defines this is section 9 dash 130.
1:45:19
Defines a serious injury as a physical injury that creates a substantial risk of death or disfigurement is a loss of impairment of a bodily organ fracture or break to a bone other than fingers and toes or is an injury defined as serious by a physician?
1:45:33
Is this consistent with your all definition of a serious injury?
Bipin Subedi
1:45:36
Our definition is comes for the board of correction.
Lincoln Restler
1:45:39
Okay.
1:45:40
But I'm I we work in the law.
1:45:41
So we're working with the admin code here, and that's the law that we're modifying as Janet knows well.
1:45:46
So I'm I struggle with this I I mean, I'll just be honest.
1:45:52
I struggle with your testimony that refer refers to 110 of 1% of the types of incidents being a recent proposition to the bill, not commenting on 99.9% of the types of incidents that this bill would cover.
1:46:03
First off.
1:46:03
2nd off, I don't understand why you would use a definition of serious injury that's not consistent with what we would be doing in the law and what would apply here.
1:46:10
And further what we've defined here, it's morally necessary to contact the emergency contacts of loved ones and let them know when disfigurement has occurred, when the impairment of a balay organ has occurred, these are necessary, like, this is necessary information for a loved one, for the emergency contact to have.
1:46:30
So I'm hearing that there are operational concerns, but I'm not hearing that CHS does not have the capacity to do it.
1:46:36
Based on the definition that we've given, do you think that CHS could fulfill these responsibilities if they were mandated to do I
Jeanette Merrill
1:46:46
think we need to review based on your definition of serious injury.
Maxima Rodas
1:46:49
Just to be
Lincoln Restler
1:46:50
clear, my definition, admin code.
Allie Robertson
1:46:51
Right.
Jeanette Merrill
1:46:52
But our Not that
Lincoln Restler
1:46:53
it's personal thoughts.
Jeanette Merrill
1:46:54
Sure.
1:46:54
But it's how we analyze our data.
1:46:56
It's how we report to the board of correction.
1:46:58
It is different than what you've cited.
1:47:00
So in terms of capacity, you know, we said 1400 serious injuries last calendar year based on your definition, I don't know what our analysis would look like.
1:47:08
So I think we would need to take some time with that.
1:47:11
As Doctor.
1:47:11
Spidey said though, not every injury that we've outlined, we necessarily necessity contacting a family member.
Lincoln Restler
1:47:19
Okay.
Shaun Abreu
1:47:19
And
Jeanette Merrill
1:47:19
that's what speaks to the individualized approach, which I think is what we were trying to convey.
1:47:23
I don't wanna suggest that communication does not happen with families.
1:47:27
We do have a We
Lincoln Restler
1:47:27
just don't have any data of it.
Jeanette Merrill
1:47:29
We have a patient relations department, which managed more than 13,000 inquiries last year.
Lincoln Restler
1:47:34
I understand.
1:47:34
But you were really clear in my earlier questions that you have no data whatsoever.
1:47:38
To answer our questions around the emergency contact.
Jeanette Merrill
1:47:40
Dating that.
1:47:41
We do have data.
1:47:41
It doesn't line.
1:47:43
Exactly.
1:47:43
Sure.
Lincoln Restler
1:47:43
You haven't been able to provide any data in this conversation.
1:47:46
So we've been asking questions on the record.
1:47:47
We've gotten no data.
1:47:48
I'm saying you have no data because I'm hearing no data.
1:47:50
You're saying you do have data, but it doesn't really matter
Jeanette Merrill
1:47:53
if it's not before.
1:47:54
Little data is what I was trying to clear.
Lincoln Restler
1:47:55
I get that, but I'm asking you what information CHSS is.
