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IT'S FIVE O'CLOCK

[00:00:01]

AND THEN WE'LL START OUR MEETING SAFETY

[Public Safety Committee on November 8, 2021.]

COMMITTEE MEETING.

AND, UH, I NEED TO APPROVE THE MINUTES OF THE JUNE 21ST, 2021 MEETING.

AND I HOPE TO MAKE A MOTION TO APPROVE SECOND JUNCTION, SECOND, A MOTION BY JEFF BASS AND THE SECOND BY B J WILLIAMS. UM, WE'LL UH, VOTE ON IT.

AYE.

AYE.

FOR YES.

OKAY.

YES, PASS.

SO THE ITEM OF INDIVIDUAL CONCERN TODAY IS REVIEW ENERGY EMERGENCY TRANSPORTATION POLICY FOR FIRE TRANSPORT TO HOSPITALS, CHIEF.

WELL, I'VE GOT AN EASY JOB TODAY.

I CAN JUST TURN IT OVER TO THE FIRE CHIEF MARKEDLY.

THE, UH, THE TRANSPORT POLICY IN QUESTION IS ONE THAT SAID THAT WE WOULD TRANSPORT TO THE CLOSEST APPROPRIATE FACILITY FOR ALL PATIENTS.

UM, THIS WAS PUT INTO PLAY, UH, WHEN BAYLOR GARLAND WAS CLOSING, UH, TO COMBAT TURNAROUND TIMES AND, AND LENGTHY TRANSPORT TIMES, LEAVING OUR CITY, UH, THROUGH THE COURSE OF THE LAST GOSH AS GUESTS TO SPEND, UH, THREE AND A HALF YEARS NOW, SINCE BAYLOR GARLAND CLOSED, THAT WE HAVE FOUND THAT, UH, THE IMPACT AS IT DID INCREASE OUR TURNAROUND TIMES, IT DID INCREASE OUR TRANSPORT TIMES.

IT DID, UH, INCREASE A LOT OF THINGS FOR THE AGENCY AND WHAT IT ALSO INCREASED WAS THE FRUSTRATION OF THE PATIENTS NOT BEING ABLE TO GO TO THE HOSPITAL.

THEY WANTED TO GO TO, INSTEAD, THEY WERE BEING TOLD YOU HAVE TO GO TO HOSPITAL X BECAUSE IT IS THE CLOSEST ONE CAPABLE OF YOUR EMERGENCY, EVEN THOUGH ALL OF THEIR MEDICAL RECORDS ARE AT HOSPITAL WISE SYSTEM.

SO WHEN WE TOOK A LOOK AT THIS, THIS WAS ALL DONE THROUGH POLICY WITHIN THE DEPARTMENT, UH, TO, UM, BASICALLY INSTRUCT OUR MEDICS TO TAKE THEM TO THE CLOSEST FACILITIES.

UM, WE HAVE REVIEWED IT AND TALKED WITH A LOT OF OUR STAFF AND OUR COMMAND STAFF AND CHANGED MEDICAL DIRECTORS AT THE SAME TIME.

AND THROUGH SUCH, I'M GOING TO ASK CHIEF BRYAN TO PASS THESE AROUND.

THIS IS STRAIGHT FROM OUR TRANSPORT GUIDELINES UNDER OUR NEW MEDICAL CONTROL.

YOU CAN SEE THE LIST OF HOSPITALS DOWN THE LEFT SIDE AND THE MEDICAL TYPE EVENTS ACROSS THE TOP.

IF IT IS GREEN, WE CAN GO THERE IF IT IS YELLOW, UH, THAT THAT FACILITY CAN HANDLE THAT.

BUT THERE ARE ONES THAT ARE CLOSER THAT WE SHOULD CONSIDER GOING TO INSTEAD.

AND IF IT IS RED, DON'T TAKE THAT TYPE PATIENT TO THAT TYPE HOSPITAL TO THAT HOSPITAL.

SO WHAT WE'RE SAYING IS, IF A PATIENT IS COMPLAINING OF A, A STEMI EVENT, WHICH IS A CARDIAC EVENT ACROSS THE TOP THERE ABOUT THE MIDDLE, THEN THE HOSPITALS THAT WE WILL BE WILLING TO TAKE THEM TO ARE SCOTT AND WHITE LAKE POINTE, SCOTT AND WHITE SUNNYVALE CITY HOSPITAL, WHITE ROCK DALLAS, REGIONAL GALLOWAY, HEART HOSPITAL, A PLATEAU MEDICAL CITY, HEART AND SPINE MEDICAL CITY, PLANO METHODIST, RENTER, OR TEXAS HEALTH DALLAS, WHICH IS THE BIG PRESBY.

AND WE WOULD TAKE THOSE PATIENTS TO ANY OF THOSE HOSPITALS OF THEIR CHOICE.

UH, WHENEVER THEY HAVE A HEART ATTACK.

NOW, IF WE ARE IN A CONDITION, WHAT WE REFER TO AS AMBULANCE OVERLOAD, WHICH MEANS ALL OF OUR AMBULANCES ARE ASSIGNED TO CALLS, UH, DOWN TO THREE, WE ONLY HAVE THREE AVAILABLE IN THE CITY.

WE WILL REVERT BACK TO THE POLICY OF CLOSEST FACILITY FOR THE PATIENT WITHOUT CHOICE.

AND THAT IS THE WAY WE OPERATED BEFORE BETTER.

GORLIN'S CLOSING THE, WE ALSO SAID WE WOULD GO TO THE CLOSEST FACILITY WITHOUT PATIENT CHOICE WHEN EXPERIENCING AMBULANCE OVERLOAD.

AND WITH THAT, WE'LL TAKE ANY QUESTIONS.

OKAY.

CAN YOU EXPLAIN WHAT THE LETTERS AND NUMBERS MEAN ON THE CHART? THE CS AND PS ARE, UM, COMPREHENSIVE AND PRIMARY BEING A COMPREHENSIVE STROKE CENTER IS ONE THAT CAN NOT ONLY TREAT YOU WITH MEDICATIONS, BUT THEY CAN ALSO GO IN SURGICALLY, UH, AND MANAGE THE STROKES.

THE PE IS TYPICALLY THEY'RE GOING TO EVALUATE AND DO PHARMACEUTICAL SOLUTIONS.

AND IF THEY CAN'T STABILIZE

[00:05:01]

THE PATIENT OR MINIMIZE THE EFFECT OF THE STROKE, THEY'LL TRANSFER THEM TO A COMPREHENSIVE.

SO TYPICALLY WE BYPASS PRIMARIES AND ONLY GO TO COMPREHENSIVES, BUT THERE WILL BE TIMES THAT WE MAY GO TO A PRIMARY CENTER.

ONE OF THOSE WOULD BE IF IT'S, UH, A STROKE THAT THE SYMPTOMS STARTED SIGNIFICANT TIME PERIOD BEFORE THEN WE'RE JUST GOING TO GO TO A PRIMARY.

OKAY, THANK YOU.

AND THE NUMBERS, THE ONE AND THREE, THOSE ARE THE TRAUMA RATINGS FOR THE DIFFERENT HOSPITALS.

UM, TRAUMA ONE IS A, THE HIGHEST LEVEL TRAUMA CARE ONE CAN RECEIVE.

UM, ALL THE WAY DOWN ON THIS CHART IS A TRAUMA FOR A TRAUMA CENTER, LEVEL FOUR FOR MEDICAL CITY, DALLAS.

AND THERE'S DIFFERENT THINGS THAT, THAT HOSPITALS ARE RATED ON, THAT THEY HAVE TO HAVE AVAILABLE, UH, A SURGICAL SUITE READILY AVAILABLE.

THE DIFFERENCE BETWEEN A ONE AND A TWO IS, IS A TEACHING INSTITUTION.

THE TWO IS NOT A, BUT THEY STILL HAVE 24 HOUR TRAUMA CARE, UH, WITH NEURO SO ON AND SO FORTH.

SO THERE'S A LOT OF TECHNICAL STUFF IN, IN THIS FOR DETERMINATION.

BUT THE, WHAT I WANTED Y'ALL TO SEE IS THAT THIS IS THE LIST OF HOSPITALS THAT WE'LL GO TO, AND WE WILL GO TO THOSE, UH, UNDER PATIENT CHOICE AS LONG AS IT'S AN APPROPRIATE FACILITY FOR THAT CHOICE.

OKAY.

DO YOU SEE, UM, I DON'T, I MEAN, I GUESS FOR ME LOOKING AT THIS, I THINK THAT, HMM.

I DON'T KNOW.

I WOULD THINK THAT WE WOULD TAKE THEM TO THE CLOSEST PLACE BECAUSE THEY'RE, I MEAN, THEY HAVE AN EMERGENCY, RIGHT.

SO, I MEAN, DO YOU FORESEE SOME ISSUES WHERE THEY GO I'LL, I'LL, I'LL SPEAK ON MY, MY OWN HEALTH SITUATION WHERE I LIVE, THE CLOSEST FACILITIES TO ME WOULD BE LIKE POINT AND, UM, RENNER WOULD BE MY TWO CLOSEST HOSPITALS FOR ME.

I'M PROBABLY GOING TO CHOOSE A DIFFERENT HOSPITAL IF I'M GOING BY AMBULANCE.

AND I'M STILL CONSCIOUS, UH, BECAUSE I WANT TO GO TO WHERE A DOCTOR THAT I PERHAPS HAVE DONE A LOT OF BUSINESS WITH IN THE PAST WOULD BE LOCATED AND HAVE ACCESS TO ALL OF MY MEDICAL RECORDS.

SO THAT WOULD BE MY CHOICE OF HOSPITAL.

IF I'M UNCONSCIOUS, WE'RE GOING TO THE CLOSEST APPROPRIATE.

OKAY.

YEAH.

DOES IT LETTING THE PATIENT CHOOSE A LOCATION THAT'S FURTHER AWAY? DOES THAT INCREASE OUR LIABILITY? NO, SIR.

NOT AT ALL BECAUSE IT'S IN OUR TRANSPORT MATRIX AND, UH, OUR MEDICS ARE REALLY GOOD AT DETERMINING THAT THIS PATIENT MAY BE CONSCIOUS OF THIS MOMENT AND THEY WANT TO GO ALL THE WAY ACROSS TOWN TO A, ANOTHER FACILITY.

IF IT'S NOT IN THE PATIENT'S BEST INTEREST, OUR MEDICS ARE GOING TO LET THE PATIENT KNOW THAT THAT'S NOT IN THEIR BEST INTEREST.

AND THEY MANAGE THIS REALLY, REALLY WELL.

YEAH.

IT SOUNDS LIKE AN EVEN UNDER THE POLICY THAT WE HAD OF, UM, CLOSEST APPROPRIATE FACILITY, NO MATTER WHAT, WE STILL HAD AMBULANCES BYPASSING HOSPITALS, BECAUSE IT WAS IN THE PATIENT'S BEST INTEREST TO DO SO.

UM, AND THEY, THEY WERE DOING THAT.

IT'S JUST, IN SOME INSTANCES WE WERE NOT, AND THOSE WERE THE ONES THAT WERE MAKING PHONE CALLS TO ALL OF Y'ALL.

OKAY.

AWESOME.

I APPRECIATE IT.

THANKS FOR YOU.

ABSOLUTELY.

UM, CHIEF CUP OF QUESTIONS.

ONE IS LOOKING AT THIS MATRIX AND YOU AND I HAVE TALKED ABOUT, AND NOW MR. ATTORNEY, TELL MATT, I DON'T, I'M NOT GOING TO MENTION THE NAME, BUT WE'VE TALKED ABOUT A COUPLE OF HOSPITALS THAT YOU HAVE SHARES THAT THE CONSTITUENTS HAVE EXPRESSED SOME CONCERN OF NOT WANTING TO GO TO THAT HOSPITAL FOR VARIOUS REASONS.

UM, AND I SEE HERE ON THE MATRIX THAT THAT HOSPITAL IS ON THE LIST FOR A NUMBER OF THINGS HERE.

SO, UH, IF, IF IT CROPS UP AND THIS HOSPITALS IS IN THE THREES AND THE OPTIONAL LIST, HOW WOULD WE HANDLE THAT? IF, IF THE PATIENT STILL WANTS TO GO TO THAT HOSPITAL, WE'RE GOING TO TAKE THEM TO THAT HOSPITAL AS LONG AS IT'S IN THE PATIENT'S BEST INTEREST AND IT'S IN OUR, OUR MATRIX HERE.

SO WHAT WE FIND WHEN, UH, WHEN A PATIENT DOES NOT WANT TO GO TO A MEDICAL FACILITY AND THEY ARE ADAMANT ABOUT IT, THERE ARE FACTORS THAT PLAY INTO THAT ONE.

THEY'VE HAD A VERY BAD EXPERIENCE THERE, RIGHT? POSSIBLY SECONDLY, A FAMILY MEMBER HAD A BAD EXPERIENCE THERE.

THE OTHER IS, ALL OF MY MEDICAL RECORDS ARE AT THIS OTHER FACILITY.

PLEASE TAKE ME TO THAT FACILITY.

AND THAT IS AN APPROPRIATE REQUEST.

AND THIS CHANGE IN POLICY AND THE CHANGE A MATRIX WILL ALLOW US TO TAKE THEM TO THOSE OTHER FACILITIES.

AND,

[00:10:01]

UM, IT COULD BE THAT, UM, SOMEBODY IS IN THE TEXAS HEALTH SYSTEM FOR ALL OF THEIR MEDICAL CARE.

SO THEY WANT TO GO TO THE TEXAS HEALTH HOSPITAL WILL W UNDER THIS WILL BE ABLE TO DO SO, WHEREAS BEFORE PRESBY AND ROCKWALL WERE THE ONLY TWO, SO THEY WOULD HAVE TO BE THE CLOSEST APPROPRIATE FACILITY UNDER THE OLD POLICY TO GET TO THAT TAKES THIS HEALTH FACILITY.

MEANING THEY'D HAVE TO BE RIGHT DOWN THERE ON 30, SOMEWHERE ON THE FAR EAST SIDE OF TOWN, SOUTHEAST CORNER OF TOWN TO GET TO ROCKWALL, OR THE, THE FAR WEST SIDE, SOUTHWEST SIDE ON LBJ TO GET TO, TO PRESBY AS THEIR CLOSEST FACILITIES.

SO NOW IF A PATIENT LIVES DOWNTOWN, BUT THEY'RE PART OF THE TEXAS HEALTH SYSTEM, AND THEY'RE STABLE ENOUGH TO MAKE THE TRIP TO ROCKWALL OR, OR BIG PRESBY, WE'LL TAKE THEM THERE.

OKAY.

MY SECOND QUESTION IS, UH, FOLLOWING THIS PROCESS, AT WHAT POINT DOES THE PATIENT OR THE PATIENT'S FAMILY KNOW THAT THEY HAVE THE OPTION? AT WHAT POINT, UM, WOULD THEY KNOW THAT YOU'VE, YOU'VE GOT A CHOICE, I GUESS ONCE THE DIAGNOSIS HAS DONE BY, BY, BY THE EMT, BUT AT WHAT POINT WOULD THEY, WITH THIS CHOICE BE AFFORDED WHAT THIS CHOICE BE COMMUNICATED TO A FAMILY MEMBER.

IF THE PATIENT IS CONSCIOUS, I'M JUST TRYING TO SEE HOW WOULD IT TYPICALLY THE MEDIC ASKED THE QUESTION, THEY SAY, WHICH HOSPITAL DO YOU WANT TO GO TO? AND THEN IF THEY SAY, I WANT TO GO TO THAT, LET'S SAY IT'S AN ADULT PATIENT.

AND THEY SAY, I WANT TO GO TO CHILDREN'S.

THEN WE'RE GOING TO SAY, THAT'S NOT AN APPROPRIATE HOSPITAL FOR US TO TAKE YOU TO HERE'S SOME THAT IF ONE OF THESE WOULD WORK FOR YOU AND THE MEDICS MANAGE IT FROM THE FIELD.

OKAY.

SO THE MEDIC I'M TRYING TO, I'M TRYING TO, I'M KIND OF PHASING LAST, NOT SHOWING THE PRODUCT, THIS MATRIX, I'M TRYING TO FIGURE OUT HOW THE MESSAGE ON THIS.

SO WHAT'S THE D WHAT'S THE CHANGE FROM WHAT WE'VE BEEN OPERATING AS SHE LAID IT OUT EARLIER TO THIS, ARE WE SAYING TO THE, TO THE FAMILY OF THE PATIENT, THAT YOU NOW HAVE THREE OPTIONS, OR YOU HAVE OPTIONS, AND THEY'RE GOING TO START WITH THE QUESTION.

WHAT HOSPITAL WOULD YOU LIKE TO GO TO? OKAY.

YES, SIR.

OKAY.

AND THEN ONCE THE PATIENT ANSWERS THAT QUESTION, THEY'LL NARROW IT IN, ESPECIALLY IF THEY CAN.

OKAY.

SO, OKAY.

SO OUR EMT WE'LL NARROW THAT DOWN.

OKAY.

SO THE PATIENT, UM, SO IT WILL BE THEIR CHOICE, YOU KNOW, ABSENT THE THINGS THAT YOU TAUGHT THEM, HOW TO MOVE WOULD, YOU KNOW, IF YOU, YOU KNOW, 87, YOU'RE NOT GOING TO GO, PROBABLY THEY'RE NOT GOING TO TAKE YOU TO CHILDREN'S.

I MEAN, SOMETHING LIKE THAT, BUT I'M JUST, I'M JUST TRYING TO, I'M JUST, I'M PLAYING BACK SOME OF THE CONVERSATIONS THAT I'VE HAD WITH FOLKS WHO'VE CALLED ME ABOUT THIS.

YES, SIR.

WHEN I'VE SHARED A LOT OF THIS WITH YOU.

YES, SIR.

SO I'M JUST TRYING TO, BECAUSE, BECAUSE I'M NOT GOING TO SHOW HIM THIS, THIS IS TAKE CONFUSED.

I WANTED Y'ALL TO SEE.

RIGHT.

RIGHT.

SO, SO TELL US WHAT SHOULD, WHAT SHOULD, WHAT SHOULD WE SAY, UH, ONCE YOU MOVE FORWARD WITH THIS, THIS CHANGE, HOW SHOULD WE COMMUNICATE THIS TO CONSTITUENTS? YOU KNOW, AS IT IS WITHOUT CREATING CONFUSION AND NOT, CAN YOU, CAN YOU TELL US HOW I'M, UM, I'M GOING SAY, ASK YOU TO PUT WORDS IN OUR MOUTH, BUT THAT'S EXACTLY WHAT I'M ALMOST ASKING YOU CHEAP.

YES, SIR.

HOW, HOW, HOW SHOULD WE SAY IT? AND WHEN WE ARE QUESTIONED ABOUT THIS, THE LITTLES THAT SURROUND GARLAND THAT ARE, THAT ARE THERE CLOSED HOSPITALS THAT SURROUND GARLAND, WE WILL TRANSPORT YOU TO ONE OF THOSE HOSPITALS, AS LONG AS IT'S APPROPRIATE FOR YOUR MEDICAL CONDITION.

OKAY.

OKAY.

OKAY.

OKAY.

THAT IS, IF YOU LOOK AT THIS LIST OF HOSPITALS, THESE ARE THE ONES THAT SURROUND THE CITY OF GARLAND.

OKAY.

WE'RE WE'RE NOT, WE'RE NOT GOING DOWN TO THE VA, RIGHT? THEY WERE NOT GOING DOWN TO BILL CLEMENTS HOSPITAL.

UH WE'RE.

WE'RE NOT GOING, AS YOU CAN SAY, PARKLAND IS ON HERE FOR A MAJOR TRAUMA, BUT ALL THE OTHERS ARE YELLOWS.

MEANING THAT IT'S NOT THE, NOT AN APPROPRIATE CHOICE FOR US, BECAUSE WE HAVE A LOT OF OTHER CHOICES TO GO TO.

AND SO THAT ARE A LOT CLOSER THAN, SO WE'RE GOING TO GO TO THE HOSPITALS THAT SURROUND OUR COMMUNITY THAT ARE APPROPRIATE FOR THE CARE THAT NEED.

AND YOU TELL US WHICH ONE YOU WANT TO GO TO.

OKAY.

YEP.

AND THEN IF IT'S NOT ON THE LIST, MY MEDICS WILL LET THEM KNOW THAT ONE'S NOT ON OUR LIST.

UM,

[00:15:02]

YOU KNOW, AND IF IT'S, IF IT'S CARDIAC, THEY'RE GOING TO MAYBE SUGGEST, YOU KNOW, HERE'S SOME CARDIAC HOSPITALS, IF YOU'D LIKE TO CHOOSE ONE OF THESE.

OKAY.

MY FINAL QUESTION.

AND IF WE ARE DOWN TO THREE, THREE UNITS, ROLLING UNITS OF MEDICS WILL KNOW THAT.

YES, SIR.

YEP.

THEY ARE NOTIFIED ON DISPATCH WHEN WE'RE AN AMBULANCE OVERLOAD, THE, THE, THE ALARM OFFICE NOTIFIES THEM AMBULANCE OVERLOAD IS IN EFFECT, MEANING THAT YOU NEED ALL OTHER UNITS NEED TO CLEAR UP AS FAST AS YOU CAN.

AND IF YOU'RE GOING OUT AND GOING TO TAKE SOMEBODY TO THE HOSPITAL, OVERLOADS IN EFFECT, DON'T GIVE THEM A HOSPITAL CHOICE.

THIS IS THE HOSPITAL WE CAN TAKE YOU TO.

OKAY.

AND MY LAST, REALLY LAST QUESTION.

NOW I'M TRYING TO CONNECT CHIEF T4.

BRIAN DOES, HOW DOES THIS, DOES THIS AFFECT YOUR STAFF? AND I KNOW A LOT OF THE CASES, YOU KNOW, YOUR TEAM'S THERE TOO.

SO DOES THIS, DOES THIS CHANGE HAVE ANY IMPACT ON HOW YOU AND YOUR TEAM COORDINATES WITH CHIEF LEE'S TEAM? NOPE.

NO IMPACTED US.

OKAY.

UH, WE, WE FOLLOW THEIR LEAD.

OKAY.

OKAY.

ALL RIGHT.

ALL RIGHT.

THANK YOU, MS. CHAIR.

THANKS JAKE.

ABSOLUTELY.

YES.

SHE'S LIKE, IF SOMEBODY IN THE FAMILY, WHEN YOU'RE READY TO TAKE THEM TO ANY HOSPITAL AT THAT POINT, YOU'D TELL THE REST OF THE FAMILY WHERE YOU'RE GOING.

RIGHT.

OKAY.

SOMETIMES THAT CHANGES, WHICH IS, WHICH IS REALLY DIFFICULT WHEN IT DOES, BECAUSE THEY'RE ALL HEADED TO HOSPITAL.

A AND WE'RE HEADED TO HOSPITAL B UH, TIMES OF THAT CHANGES IS WE GET IN ROUTE AND WE CONTACT THE HOSPITAL THAT THEY'VE CHOSEN.

AND THAT HOSPITAL SAYS WE'RE OVERLOADED.

WE'RE WE'RE WE GOT WAY TOO MANY PATIENTS, PLEASE GO SOMEPLACE ELSE.

AND THEN WE GO SOMEPLACE ELSE.

WE CAN TRY TO MAKE CONTACT WITH THE PATIENT'S FAMILY, BUT IT'S USUALLY REAL DIFFICULT WHEN THAT HAPPENS.

AND THEY WOUND UP CALLING DISPATCH AND SAYING, WHERE'S MY LOVED ONE.

YEAH.

SO YEAH, IT HAS HAPPENED.

YES, UNFORTUNATELY.

YEP.

WHAT'S THE NEXT STEP? WELL, THE NEXT STEP IS ADJOURN.

AND WITH THIS, BEFORE YOU, BEFORE YOUR JOURNEY WITH THIS, YOU KNOW WHAT I MEAN? THE NEXT STEP I SAID, ADJOURN, UH, WELL, AND JUST A SUGGESTION.

UM, BUT WE NEED TO TAKE SOMETHING BACK TO COUNCIL.

AND THE ONE THING WE COULD, WE COULD DO THIS IN A WRITTEN, A WRITTEN BRIEFING THAT WOULD GIVE YOU THE WORDING YOU NEEDED TO PASS ALONG.

IF YOU'D PREFER A WRITTEN BRIEFING, UM, OR WE CAN DO IT IN AN OIL BRIEFING, BUT SOMETHING TO UPDATE COUNCIL ON, ON THIS DISCUSSION, I THINK HAS SUGGESTED WRITTEN I'M FALLING.

YEAH.

YEAH.

WRITTEN GOOD.

YEAH.

BUT WE JUST NEED TO GIVE OUR RECOMMENDATIONS TO COUNCIL.

YEAH.

BUT I DON'T EVEN WRITTEN BRIEFING IS FINE WITH ME.

AND HOW THIS CAME TO THE PUBLIC SAFETY COMMITTEE WAS, UH, NOT TOO.

I MEAN, IT WASN'T, IT WAS INFORMATIVE.

WHAT IS THE FIRE DEPARTMENT DOING IT? WASN'T ASKING, UH, THE PUBLIC SAFETY COMMITTEE TO ASK DIRECTION, TO GIVE TO THE FIRE.

THEY JUST, IT'S MORE EDUCATIONAL.

AND, UH, I THINK WE CAN ACCOMPLISH THAT THROUGH A WRITTEN WRITTEN UPDATE.

UH, BUT WE'LL HAVE TO DO WHATEVER YOU GUYS WANT TO DO.

I THINK WRITTEN WOULDN'T BE GOOD.

AND THEN YOU DON'T HAVE TO WRITE, I MEAN, THEN WE CAN JUST DO A BRIEF AFTER THEY READ IT, YOU KNOW? SO YOU WANT, YOU WANT A VERBAL BRIEFING AS WELL? YEAH.

OKAY.

YOU KNOW, I MEAN, WE HAVE IT IN WRITING AND LET THEM READ IT SO THEY CAN KNOW BEFORE.

OKAY.

AND THEN WHEN WE HAVE IT, WE WE'RE GONNA TALK TO THE COUNCIL.

WE CAN JUST USE VERBAL BRIEFING.

OKAY.

UH, WE DO A WRITTEN BRIEFING.

IF, IF A MEMBER OF THE COUNCIL HAS QUESTIONS, THEY CAN, YEAH.

THEY CAN ASK THE QUESTIONS.

SO I PREFER A WRITTEN BRIEF IN CHIEF.

AND IF SOMEBODY HAS A QUESTION, AS WE ALWAYS DO, THEY CAN ASK, THAT'D BE GOOD.

YEAH.

AND HOW, HOW WE SUBMIT IT IS, YOU KNOW, IF WE SUBMIT IT AS A WRITTEN BRIEFING, SOMEONE WOULD HAVE TO PULL IT RIGHT.

TO HAVE A DISCUSSION.

RIGHT.

SO THAT'S WHAT WE WANT TO DO.

YEAH.

OKAY.

YEAH.

YEAH.

I LIKE TO READ AND READ BECAUSE IT, LIKE I SAID, THE LANGUAGE IS THERE FOR ALL OF US TO STAY, TO HAVE IN WRITING ANY MORE QUESTIONS.

YEAH.

ON THE WRITTEN BRIEFING, WE WILL NOT INCLUDE THIS MATRIX.

ALL OF YOU DON'T NOW, NOW WE WILL PROVIDE A LIST OF HOSPITALS THAT WE COULD TRANSPORT TO.

AS LONG AS YOUR HOSPITAL IS APPROPRIATE FOR THE PATIENT'S CONDITIONS.

RIGHT.

IT GIVES YOU ALL OF THIS WAS FOR Y'ALL TO BE ABLE TO SEE WHAT ALL GOES INTO THE PROCESS OF DECIDING WHICH HOSPITAL OR MEDICS CAN TAKE YOU TO NUMBER ONE,

[00:20:01]

AND THEN NUMBER TWO, WHERE WE WILL TAKE YOU.

OKAY.

OKAY.

NOW TO FOLLOW THAT, I THOUGHT I WAS DONE, BUT I'M NOT FOR PUBLIC INFORMATION.

THE LIST THAT YOU'RE TALKING ABOUT, CHIEF MR. ATTORNEY FOR PUBLIC INFORMATION, UH, CHIEF LEE'S LIST IS GOING TO PREPARE, IS THAT SOMETHING WE COULD PUT ON THE WEBSITE? HOW COULD WE MAKE THAT AVAILABLE TO THE PUBLIC, THAT LIST THAT ACHIEVE LEAST IS TALKING ABOUT PUTTING TOGETHER? CAN WE PUT THAT ON A WEBSITE? ARE YOU TALKING ABOUT THE LIST OF HOSPITALS? THE ONLY ISSUE THAT MATRIX? YEAH.

NOT THE MAITRE.

HE'S NOT GONNA DO THE MATCH.

HE'S GONNA JUST DO IT LIT CHIEF.

HE'S JUST GONNA DO A LISTING OR AVAILABLE HOSPITAL FOR, WE WOULD DO IT A WRITTEN BRIEFING.

I THINK IT WOULD BE SIMPLE.

HERE'S THE FIRE DEPARTMENT'S STANCE THAT WE'RE GOING TO TAKE YOU TO THE NEAREST HOSPITAL AND LESS WRONG.

I MEAN, I'M SORRY, WE'RE GOING TO TAKE YOU TO THE HOSPITAL OF YOUR CHOICE.

UH, UNLESS WE'RE ON DIVERT, THEN YOU'LL GO TO THE NEAREST HOSPITAL, A SHORT EXPLANATION.

I DON'T KNOW THAT WE NEED TO LIST THE VARIOUS HOSPITALS, JUST SO YOU KNOW, YOU DO HAVE A CHOICE UNLESS IT'S THAT DIRE SENSE, A SITUATION THAT THEY WERE ON DIVERT.

UH, BUT FOR TWO TO JUST LIST IT KIND OF LIKE WE DISCUSSED OF THE HOSPITALS THAT SURROUND THE CITY OF GARLAND AS OUR LIST OF AVAILABLE FACILITIES, DETERMINED UPON MEDICAL APPROPRIATENESS, BECAUSE THEY ARE FIXING TO OPEN ANOTHER HOSPITAL UP ON BUSH THAT WILL BECOME MORE AND MORE MEDICALLY APPROPRIATE, PROBABLY AROUND THE FIRST OF THE YEAR FOR US TO START TRANSPORTING THERE.

SO TO AVOID HAVING TO ALTER THAT LIST PERIODICALLY, IT'D BE EASIER TO SAY THE HOSPITALS THAT SURROUND GARLAND.

YEAH.

AND I LIKE THAT LANGUAGE THAT'S MEDICALLY APPROPRIATE FOLKS.

WHENEVER YOU COULD WRITTEN BRIEFING.

YEAH.

WHEN, WHEN, UH, WE CLOSED BAYLOR GARLAND, YOU HAD ALL THE HOSPITALS GO TO YES, SIR.

AND I THINK THAT'S, THAT'S APPROPRIATE.

WE CAN RAISE THE RE RESURRECT TO THAT MAP AS WELL.

YEAH.

YEAH.

THAT'D BE GOOD.

OKAY.

ANY MORE QUESTIONS OR ANYTHING? WELL AT, UH, LYRICA AND WE, UH, I THINK TECHNICALLY WE GOT TO VOTE ON THAT DECISION.

SO THE DECISION IS TO BRING BACK TO COUNCIL FOR A, UH, FOR WRITTEN BRIEFING.

CORRECT.

OKAY.

UH, MR. UH, I, I MOVE THAT WE TAKE, THE ACTION HAS BEEN RECOMMENDED BY ABOUT CHIEF BRYAN AND CHIEF LEE.

AND THAT IS, WE PROVIDED BACK TO COUNCIL AS A WRITTEN BRIEF BJ GOT UP AND SECOND BY JEFF.

OKAY.

VOTE.

THAT'S IT? YEAH.

WELL, THE FIXED COST I WAS LOOKING AT.

OKAY.

AT 5 23, WE ARE ADJOURNED.

THANKS, SIR.

SHORTS, JORDAN.