We are joined today by Councilmember Flickinger, Councilmember Ramirez, Councilmember Alcorn, and staff from Councilmember Evan Shabaz's office, Councilmember Thomas's office, Councilmember Castillo's office, Mayor Pratem Cassak Satum's office, Councilmember Carter's office, and virtually Councilmember Plummer's office.

Did I miss anyone?

I think I got everyone.

All right, we have one presentation today by the Houston Fire Department, and we're excited for that presentation.

If you want to come on out, and you can either sit or stand with stand.

All right, perfect.

Martin is and we're also joined by staff from Councilmember Martinez's office.

Alright, we ready?

We are ready.

All right, good morning.

Um I'm Christine Langis.

I'm a district chief paramedic with Houston Fire Department.

I'm gonna have Ashley Mackey, engineer operator paramedic, and Tim White over here, uh Senior Captain Paramedic, who have been my really big boots on the ground with getting this program set up.

Um I want to thank you for the opportunity to introduce to you a new division within the Houston Fire Department, the Proactive Needs Division.

The top five departments in the country have expanded their EMS paramedic roles with some sort of mobile integrated health program to help their communities at large, and we, the Houston Fire Department, want to do that.

The assistant fire chief of EMS Matt White wants a robust program to help Houstonians, your constituents, the Houston Fire Department, and the city at large.

My responsibility is to oversee the development.

And the next slide, please.

Um team.

From our medical director, Dr.

David Peirce with Oversight, through support of our fire chief, all the way down to uh everybody else that's on the team, Nefertari, Jeff, Thomas, Ashley, Mike, Siobhan, and Sundown.

We are a small team, but we are mighty.

We wear multiple hats at EMS.

Everyone has played an integral part and continues to play an integral part in this division's development from data analysis, MOU development, meeting with outside entities for collaboration, and constituent phone calls and home assessments.

Next slide.

We identify sociological needs, improve access to care, and reduce the number of 911 calls through proactive consumer-centered solutions.

Next slide.

HFD Proactive Needs Division has four areas that we're working on.

And the first one that we're really focusing on is the residential high utilizers.

These are the individuals who have called 911 more than eight times in a year.

We want to be able to optimize their quality of life through linkage to care.

Down the road, we're going to start looking at commercial establishments, both private and public that have a high 911 usage.

We want to be able to identify opportunities for improvement and educate these entities about the call volume that they generate.

The event assessment.

This happens when we have severe weather, whether it's a hurricane freeze or snow, and it will happen when OEM gets stood up.

We will form assessment teams.

So when we get dispatched to a call, the apparatus may get on scene, and instead of it being a sick person, they just need a ride to the shelter.

So instead of staying online and being on held hold with 311 to get the ride set up, they'll call a specific number that's associated with us, and we'll input the information for Z Trip in it's a quick turnaround.

They're back in service, and we get a ride for your constituents to go to the shelter.

And then last but not least, and this is down the road, um, is actually a mobile integrated health program.

And then last but not least, and this is down the road, um, is actually a mobile integrated health program, um, and it can go a variety of directions, but that's going to be up for discussion here in the future.

Next slide.

Our goals identify, collaborate, empower, advocate, prevent, and decrease.

All of our goals are interconnected, and they're all required to be effective.

Identify.

Our IT experts use image trend software to gather and extrapolate data to ascertain patient needs, call volume amounts, and other statistical data that's needed.

Collaborate.

We seek meet and collaborate with outside entities to assist Houstonians.

We partner with public and private entities to deliver a full spectrum of services.

Empower.

We empower your constituents to take an active role in their health and wellbeing.

Advocate by accompanying them to doctor's appointments, verifying insurance, planning and setting goals, and calling on our partners in care for additional resources so that your clients can be seen and heard.

Prevention.

Part of the solution is health maintenance.

We provide ongoing outreach to ensure that a quality of life is continued.

And additionally, in the end, we get decreases in the uses of city resources and budget, wear and tear on HFD vehicles, and hospital resources will happen.

With all these combined, we will be part of the top five fire departments in the nation with a community paramedicine mobile integrated health program.

Next slide.

So these are numbers.

So the gray bar shows the total incidents for year, which combines fire and EMS.