Law Enforcement and Healthcare Coalition Presenters: Jim Franklin and Lali Silva Friday, July 14, 2017 3:45 4:35 p.m. Lake Osakis/Minnewaska/Miltona
Jim Franklin Jim Franklin has 30 years of law enforcement experience and has served as executive director of the Minnesota Sheriff s Association for the past 14 years. Previously he was director of emergency management for the State of Minnesota. He is a graduate of the American Institute of Banking s bank management program, the FBI s law enforcement management and law enforcement executive development programs, the National Inter- Agency Counter Drug Institute s inter-agency operations and command program, the U.S. Fire Administration Academy s executive development program and the National Emergency Management Institute s nationally certified emergency management program. Lali Silva Lali Silva is senior director quality and process improvement at the Minnesota Hospital Association. She has a master's in health care administration from the University of Minnesota-Twin Cities and has more than six years of operational and provider practice management experience within large health care systems. She has led process improvement efforts across the care continuum and has convened hospital, clinic, and post-acute care organizations to improve transitions of care and reduce hospital readmissions. She has a passion for population health and has experience collaborating with health care systems and community organizations outside of health care aimed at developing initiatives to foster healthy communities. She is a board member of the Minnesota Chapter of the American College of Healthcare Executives. Page 1
Law Enforcement and Healthcare Coalition Place picture here Presenters James Franklin, Executive Director of the Minnesota Sheriff s Association Lali Silva, Senior Director of Quality and Process Improvement and the Minnesota Hospital Association 1
Objectives Overview of Law Enforcement and Healthcare Coalition charge, members and priorities for 2017 Outline scenario mapping and share draft best practice questions Review next steps Law Enforcement and Healthcare Coalition Co-Conveners Dr. Rahul Koranne, Chief Medical Officer Gil Acevedo, Assistant Commissioner of Health Systems James Franklin, Executive Director 2
Law Enforcement and Healthcare Coalition Members Minnesota Hospital Association Members Anoka County Sheriff s Office Community Behavioral Health Hospital Association of Minnesota Counties Bureau of Criminal Apprehension Emergency Medical Services Regulatory Board Hennepin County Sheriff s Office Lincoln County Sheriff s Department Minnesota Ambulance Association Minnesota Chiefs of Police Association Minnesota Department of Health Minnesota Department of Human Services Minnesota Sheriff s Association Minnesota State Patrol St. Cloud Police Department Wadena County Sheriff s Office Law Enforcement and Healthcare Coalition Charge Develop Standardized Tools Prevent and React to Violent Situations Provide Methods to Build Relationships Improve Collaboration 3
Work Plan Priorities 1 2 3 4 Develop reference document of state and federal laws, administrative rules and payment regulation Develop community standards and definitions for healthcare and law enforcement terminology Identify best practices and provide resources and training tools Provide model templates for communities to create regional coalitions and protocols Priority 1 Laws, Regulation, Rules HIPAA Privacy Rule 144.291 Minnesota Health Records Act 253B.10 Mental Health Commitment Rule Patient, Healthcare and Law Enforcement 626.556 Reporting of Maltreatment of Minors 253.05 Emergency Admission EMTALA 4
Priority 2 Terminology Healthcare Terms Law Enforcement Terms 72-hour Hold (Emergency Admission) Health Record Patient Bystander Not free to leave (under arrest or on hold) Person of interest Priority 3 Identify Best Practices Patient is arrested or involved in law enforcement and needs healthcare services Minor is at a healthcare facility and there is suspicion of maltreatment Law enforcement encounters someone in a mental health or chemical dependency crisis Collection of evidence requiring medical intervention 5
Priority 3 Identify Best Practices Cont d Use of law enforcement body cameras in healthcare facilities Transfer of information from ambulance services to law enforcement Crime committed by patient in healthcare facility Incarcerated person needs healthcare services Foundational Best Practices The healthcare organization has an interdisciplinary team involved in developing and overseeing communication plan with law enforcement to maintain 24-hour operations The healthcare organization provides initial and ongoing education to leaders and frontline staff on HIPAA and the Minnesota Health Records Act regarding information sharing with law enforcement 6
Person Arrested and Needs Healthcare Services Prior notification of arrival process Hospital security plan Results of public safety risk assessment shared Person Arrested and Needs Healthcare Services Other Foundational Best Practices: Policies and procedures have been developed to address all aspects of hospital security If security staff is contracted, hospital will provide training to contracting agency on hospital requirements 7
Law enforcement encounters someone in mental health or chemical dependency crisis Peace Officer hold is placed (72 hours) Prior notification of arrival process Two medical personnel receive patient for emergency admission Law enforcement encounters someone in mental health or chemical dependency crisis Opportunities: Standardize transport/peace officer hold Training about mental health for law enforcement Mental health provider resource access for law enforcement outside the hospital 8
Incarcerated Person Needs Healthcare Services Prior notification of arrival process Hospital security plan Police officer in uniform with a level 2 or greater restraint is present Suspicion of Minor Maltreatment Law enforcement and social worker notified immediately if mandated reporting occurs Critical information is shared with law enforcement (CHIPS hold) Law enforcement is present when child is taken into custody 9
Suspicion of Minor Maltreatment Other Foundational Best Practices: The healthcare organization provides initial and ongoing training to frontline staff on protocols for taking a child into custody removing them from family and/or guardian Medical Evidence Recovery If no consent, court order or warrant obtained from law enforcement organization 10
Medical Evidence Recovery Opportunities: Provide guidance on information included in warrant (i.e. facility name and address versus individual provider) Provide cross contamination techniques to medical staff on obtaining evidence Best Practice Road Map Draft 11
Work Plan Next Steps 1 2 3 4 Develop reference document of state and federal laws, administrative rules and payment regulation Develop community standards and definitions for healthcare and law enforcement terminology Identify best practices and provide resources and training tools Provide model templates for communities to create regional coalitions and protocols Questions 12