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Regular City Council Meeting Monday, March 26, 2018 Page 7 • Pillar#3: EMS Prevention and Community Health Outreach Programs Assistant Fire Chief Brosnahan explained the big piece of this pillar is the proactive nature of community health. One goal is to decrease existing 911 calls. The police and FD will sometimes be called to one address 4 or 5 times in the course of a month. Proactively, a preventative approach might prevent several calls down the line. There are several facets: a med- ical assessment, reviewing medications, home safety check, injuries, and nutritional services to address any needs a person may have. Another piece is developing a partnership with hospitals or a skilled-nursing facili- ty. Discharged patients often come home with a pile of paperwork and a huge stack of pills. In this model, a community paramedic could explain the pills and how to take them, and also conduct a nutritional evaluation. That partnership could be established with a hospital or skilled-nursing fa- cility. Another goal is to set up a clinic partnership where there is free care on the first floor of the fire station. This community risk reduction piece is not as immediately impactful but will have a long-term impact. Another facet is the educational component, for example, a falls and fire- prevention program. Fire Chef O'Neill added that this is a new concept, and these programs would take several years to roll out. This pillar would be created in part- nership with clinics and hospitals. It is anticipated that this will bring rev- enue back to the City, above any costs, as a community EMT or medic is a State-sponsored program with a reimbursement program attached to it. Mayor Roe recalled the Community Health Advisory Team (CHAT) folks started off by evaluating by block nurse program and their recommenda- tion was not to pursue reinstating that. This pillar reminds him of that in some aspects, and he asked for a comparison between that program and this proposed program. Assistant Fire Chief Brosnahan responded there are many parallels be- tween the programs. He worked closely with Sarah Barsel, the lead advo- cate of the CHAT program. He explained there are similarities with the in-home care like nutritional and social services. The difference lies in the initiation. For this proposal, the program initiates through frequency of use of 911, and partnership with an existing clinic or hospital. There are differences in how to get to the front door, but very similar once inside the front door. Councilmember McGehee stated this is a service that could be quite costly and there will be a few people who will be 911 users many times over, even while a lot of effort is being put into keeping them off the 911 sys-