CITY OF SEATTLE
ORDINANCE __________________
COUNCIL BILL __________________
title
AN ORDINANCE relating to a Mobile Integrated Health pilot; amending Ordinance 125724, which adopted the 2019 budget; changing appropriations to various departments and budget control levels; lifting a proviso; and ratifying and confirming certain prior acts.
body
WHEREAS, The City of Seattle’s 2019 Adopted Budget included a proviso on funds in the Finance General Department concerning the implementation of a Mobile Integrated Health Response Team in the Seattle Fire Department (SFD); and
WHEREAS, the proviso in Green Sheet 13-40-A-3-2019 specifies that “The Finance General funding will not be released until the Executive provides a plan to scope the City’s emergency response system to better align with the needs demonstrated by its most frequent utilizers, including estimated staffing and resource needs to launch a Mobile Integrated Health Response Team pilot program”; and
WHEREAS, the Executive’s Emergency Response Inter-Departmental Team (IDT), a work group consisting of personnel from the Seattle Fire Department, Seattle Police Department, Seattle Human Services Department, Seattle-King County Public Health, and other internal and external stakeholders, submitted a Mobile Integrated Health response unit (MIH Team) pilot proposal to the Chair of the Gender Equity, Safe Communities, New Americans and Education Committee; and
WHEREAS, the Executive’s Emergency Response IDT recommends the design, implementation, and evaluation of a pilot MIH Team to work in partnership with other local resources to more effectively address non-emergent healthcare, behavioral, and social crises in the context of 911 responses; and
WHEREAS, a working group made up of SFD, International Association of Fire Fighters Local 27 and necessary city, county and private partner agencies has been assembled to bring the MIH Team pilot proposal from concept to fruition and the MIH Team is expected to be in operation in the third quarter of 2019; and
WHEREAS, the Chair of the Gender Equity, Safe Communities, New Americans and Education Committee has expressed an intent to review this legislation and the IDT’s response to Green Sheet 13-40-A-3-2019 in the Gender Equity, Safe Communities, New Americans and Education Committee on May 8, 2019; NOW, THEREFORE,
BE IT ORDAINED BY THE CITY OF SEATTLE AS FOLLOWS:
Section 1. The appropriations for the following items in the 2019 Budget are modified, as follows:
|
Item |
Department |
Fund |
Budget Summary Level/ BCL Code |
Additional Budget Appropriation |
|
1.1 |
Seattle Fire Department (SFD) |
General Fund (00100) |
Operations (00100-BO-FD-F3000) |
$475,000 |
|
|
Finance General (FG) |
General Fund (00100) |
Reserves (00100-BO-FG-2QD00) |
($475,000) |
|
Net Change |
$0 |
Section 2. The restriction imposed by the following budget proviso, which limited spending on the following item, is removed because the conditions set forth in the proviso have been satisfied and it is no longer a restriction for any purpose, including those set forth in Section 1(b) of Ordinance 125724.
|
Item |
Department |
Green Sheet |
Proviso |
|
1 |
Seattle Fire Department (SFD) |
13-40-A-3-2019 |
The Finance General funding will not be released until the Executive provides a plan to scope the City’s emergency response system to better align with the needs demonstrated by its most frequent utilizers, including estimated staffing and resource needs to launch a Mobile Integrated Health Response Team pilot program by April 1, 2019. The Executive is requested to work with Departments including the Seattle Fire Department, the Seattle Police Department, the Human Services Department, and Public Health and other internal and external stakeholders, as necessary, to develop and provide this plan to the Council by March 1, 2019. |
Section 3. As part of the mobile integrated health pilot project evaluation identified in the Executive’s response to Green Sheet 13-40-A-3-2019, Attachment 2 to this ordinance, the Seattle Fire Department shall develop measures that identify whether an advanced provider such as a Registered Nurse, a Nurse Practitioner, or a Physician’s Assistant could have administered in-field medical treatment to alleviate the complaints of a low-acuity patient. Such measures shall include, but not be limited to:
A. Whether a low-acuity patient could have received or benefited from in-field urgent care treatment such as the suturing of a cut or lesion; or the administering of a pain-relieving medication or antibiotic;
B. Whether a low-acuity patient could have received in-field medical clearance for an occurrence of: 1) an injury such as a minor joint sprain or non-life-threatening illness such as a minor cold or flu; or 2) a condition that might present as a potential life-threatening situation, but that can be medically cleared by an advanced provider with more medical training than an emergency medical technician or paramedic.
C. Whether a low-acuity patient could have received or benefited from a comprehensive in-home medical and psychosocial assessment;
D. Whether a low-acuity patient refused to be transported to an urgent care or primary care facility that is partnering with the Mobile Integrated Health Team and the reasons that the caller refused to be transported; and whether the above facilities were refused or were otherwise unable to provide care to the patient; and
E. For the requirements of subsections 3.A-D of this ordinance, if a client would have benefited from in-field treatment, whether such treatment would be best provided by a Registered Nurse, Nurse Practitioner, or Physician’s Assistant
Section 4. Any act consistent with the authority of this ordinance taken after its passage and prior to its effective date is ratified and confirmed.
Section 5. This ordinance shall take effect and be in force 30 days after its approval by the Mayor, but if not approved and returned by the Mayor within ten days after presentation, it shall take effect as provided by Seattle Municipal Code Section 1.04.020.
Passed by the City Council the ________ day of _________________________, 2019, and signed by me in open session in authentication of its passage this _____ day of _________________________, 2019.
____________________________________
President ____________ of the City Council
Approved by me this ________ day of _________________________, 2019.
____________________________________
Jenny A. Durkan, Mayor
Filed by me this ________ day of _________________________, 2019.
____________________________________
Monica Martinez Simmons, City Clerk
(Seal)
Attachments:
Attachment 1 - Green Sheet 13-40-A-3-2019
Attachment 2 - Response to City Council Regarding Green Sheet 13-40-A-3-2019