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Q&A

Council members question H+H and FDNY officials on psychiatric programs, opioid crisis, and ambulance services

2:11:28

·

4 min

Council members Mercedes Narcisse and Joann Ariola lead a Q&A session with representatives from NYC Health + Hospitals and FDNY, focusing on psychiatric emergency programs, the opioid crisis, and ambulance services. The officials provide information on ongoing initiatives and challenges in these areas.

  • Questions covered topics such as comprehensive psychiatric emergency programs (CPEPs), mobile crisis intervention services, and strategies for managing opioid use disorder in emergency departments.
  • Discussion of H+H's contracts with private ambulance providers and planned improvements to Bellevue Hospital's emergency department.
  • Some questions could not be fully answered during the session, with officials promising to follow up with more information later.
Joann Ariola
2:11:28
I believe we can dismiss this panel.
2:11:30
Yep.
2:11:31
There are no other questions?
Mercedes Narcisse
2:11:33
No.
2:11:33
Just a second.
2:11:35
Just a second.
2:11:35
We can't because psychiatry It's very important.
2:11:38
Absolutely.
2:11:42
Can you please tell us about the h and h comprehensive psychiatric emergency programs?
2:11:48
How do this mobile crisis intervention services assist psychiatric cases in the emergency room.
2:11:55
And what impact have CPPs had on reducing ER over crowding at H And H size?
Adrienne Birnbaum
2:12:12
I'm sorry.
2:12:13
Could you repeat that?
Mercedes Narcisse
2:12:14
Oh, sorry.
2:12:15
Can you please tell us about the h and h comprehensive psychiatric emergency programs?
2:12:20
How do this mobile crisis intervention services assist psychiatric cases in emergency room, and what impact have CPEPs had on reducing ER overcrowding overcrowding at h and h sites.
2:12:39
And now, opioid crisis that we're getting today.
2:12:43
Opioid crisis, we are currently experiencing a nationwide opioid crisis.
2:12:48
What are the key factors contributing to emergency department delays related to this opioid crisis, and what specific interventions are being pursued to support overdose related cases?
2:13:01
I mean, care and does the CPEP cover such cases?
Adrienne Birnbaum
2:13:10
I can't speak to the CPEP program, but I can speak to the fact that there is expansion going on of the services to treat patients with opioid use disorder
Stu Weiss
2:13:21
in
Adrienne Birnbaum
2:13:21
our emergency departments.
2:13:23
I know that there's a group that's working on that right now creating guidelines that are hospital wide, but specifically will be implemented in the emergency department, specifically around strategies to manage patients that present with opioid use disorder and get them started on modalities like buprenorphine when it's appropriate and then refer them to the appropriate next step, you know, next service.
Mercedes Narcisse
2:13:51
Okay.
2:13:51
Great.
Gale Brewer
2:13:54
Does
Mercedes Narcisse
2:13:57
it it's an have contract with private ambulance providers.
2:14:00
If so, you please provide their names.
2:14:02
And does each HNH facility have a separate ambulance contracts?
2:14:06
Or does HNH has a whole, I mean, whole enter into ambulance contracts?
Adrienne Birnbaum
2:14:13
I would have to refer to to Sydney about that.
2:14:16
I'm not aware of any private
Mercedes Narcisse
2:14:17
No contracts?
2:14:18
No.
2:14:18
Okay.
2:14:19
Can you enter my business contracts?
Michael Fields
2:14:24
Certain h and h facilities use a pharma company called Ambulance.
2:14:29
I I don't have any specific on their actual contract.
2:14:32
They don't work within the 911 systems.
Adrienne Birnbaum
2:14:35
I think that's primarily for interfacility transports as far as I'm aware.
Mercedes Narcisse
2:14:44
Alright.
2:14:46
The Adapted Capital Plan allocated $2,200,000 for the creation of the Ambulance Bay in Bellevue Hospitals department.
2:14:55
One of the conditions for Mount Sinai Beth Israel's closure is that Mount Sinai health system will provide funding for the expansion of Bellevue's emergency department.
2:15:07
What's specific changes to the emergency department does H And H plan to make with all this combined funding and what impacts will those improvements have on Bellevue's emergency services?
Adrienne Birnbaum
2:15:22
I don't think I could speak to the specific improvements that are planned at Bellevue.
2:15:26
I know that there are expansion programs underway, but I am not prepared to speak to that right now.
2:15:31
We could I could get back to you with that information.
2:15:33
Okay.
Mercedes Narcisse
2:15:34
It's another department that's in charge of the transferring and the funding and stuff that you can.
2:15:40
So you're gonna get the answer and send it to us.
2:15:42
Sure.
2:15:42
Okay.
2:15:42
Let's shorten this.
2:15:43
Thank you.
2:15:44
Thank you, Cheah.
Joann Ariola
2:15:46
Thank you.
2:15:46
I'd also like to note that Council member Genero has joined our panel.
2:15:52
Alrighty.
2:15:52
Are there any other questions from members?
Gale Brewer
2:15:55
Nope.
2:15:56
Nope.
2:15:56
Nope.
Joann Ariola
2:15:57
Okay.
2:15:58
Then I believe I wanna thank you so much for coming, for answering all the questions, for answering them informatively.
2:16:06
And you are no you can be dismissed.
2:16:12
Thank you.
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