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Human Rights, Inclusion and Engagement Commission Minutes April 18, 2018 —Draft Minutes Page 3 of 16 Mr. O'Neill stated fires are more common during the Christmas season due to increased cooking, candles, and Christmas trees within homes. Ms. Olson requested more information on the proposed value-added services that go along with the increased staffing as part of Phase 11. Mr. Brosnahan reported on the Community Risk Reduction Program (CPR), which is a supported program by the National Fire Protection Association (NFPA). This program is built on the following four pillars: 1) Advanced Life Support(ALS)with first response; 2) Enhanced fire prevention and inspection programs; 3) EMS prevention and community health outreach programs; and, 4) NFPA 1710. Commissioner Peterson inquired about the number of calls that would benefit from ALS. Mr. Brosnahan responded between 40 and 60 percent of calls would benefit from ALS. They stabilize the patient and Allina transports them to the hospital. Advanced ALS would require additional training for existing staff to become paramedics and they would look to add existing paramedics to their staff. Youth Commissioner Iverson requested additional information on ALS billing and revenue. Mr. Brosnahan responded they can recoup some of the cost of time, equipment, or medications used from Allina. They will either use their own billing processor work with Allina on a joint billing process. Commissioner Bollinger inquired if liability with the Fire Department would increase with an increase in care. Mr. O'Neill responded it will not increase as long as people are providing the level of service they are trained to do. Currently, they have a paramedic on scene, but not the proper equipment or medications for them to operate to their fullest capacity. This is the hole they hope to fill. A certain number fire fighters on each shift would have to be certified paramedics and would operate under the medical direction of Regions medical service. Mr. Brosnahan continued his report on fire prevention programs. He stated they would be able to do a higher number of inspections and be more proactive with the proposed additional staff. They also want to find educational programs that reach all ages and would benefit the community. Commissioner Subramanian inquired how often they plan to focus the training on residents when the majority of emergencies tend to happen between 10:00 a.m. and 4:00 p.m., and the City's daytime population is 80,000, compared to Roseville's residential population of 36,000.