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Pittsfield Health Board Supports Community EMS Program

By Brittany PolitoiBerkshires Staff
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County Ambulance is seeking to implement a Community Emergency Medical Services program that will provide preventive and non-emergency care. 

PITTSFIELD, Mass.— The Board of Health supports a Community Emergency Medical Services program in the city. 

Last Wednesday, board members motioned to support County Ambulance's application for a CEMS program administered by the Massachusetts Department of Public Health. Health officials hope this will increase the accessibility of non-emergency health care for Pittsfielders.

"I can't imagine what community wouldn't benefit from something like this," Chair Roberta Elliott said. 

The program aims to fill gaps in health-care access by delivering preventive, non-emergent, and post-crisis care, where a person is most comfortable. It's about meeting people where they are at, paramedic Austin White told the board. 

"The Community EMS program will allow our providers to complete on-scene screenings of these patients, providing referrals, behavioral health clinicians via warm handoffs, and in emerging cases, we can coordinate transport to the emergency department for crisis team evaluation," he explained. 

"The overall goal is to reduce the stigma surrounding mental health, reduce the unnecessary emergency department admissions, and coordinate a continuity of care for these patients." 

The privately owned, family-operated County Ambulance has provided 911 ambulance service in Pittsfield since 1984 and aims to have the CEMS program operational by late September. The program benefits those who frequently use EMS and the hospital emergency department, have behavioral health or substance use disorders, are experiencing housing insecurity, or have recently been discharged from the hospital and are chronically ill.

"Our Community EMS programs plan to be operational year-round, with pre-scheduled EMS employees who will be available to respond to referral requests," White said. 



"The goal is to intercept the crises before they escalate to reduce 911 usage and [emergency department] overcrowding, and the Community EMS program is designed to assist in referral and connection to necessary outside services that patients may not regularly be able to receive access to." 

There are several core services in the program designed to support people "where they are physically and emotionally," including post-overdose outreach, naloxone training and distributions, sharps safety and awareness, housing instability assistance, behavioral health referrals, and scheduled well-being checks.

It is expected to integrate "seamlessly" with the current EMS system and with the public safety sector. 

Berkshire Health Systems' Community Needs Assessment, published in 2023, indicates that 23.4 percent of patients report unmet healthcare needs, which is 7.4 percent higher than the rest of the state, with 34 percent lacking access to mental health care and 38 percent reporting housing insecurity. 

"We've also seen a reduction in opioid related EMS calls from 347 in 2020 to 262 in 2023, which is directly associated with the significant access to public Narcan and education training through our local organizations," White reported. 

He explained that the program "thrives off of partnerships and support from our surrounding agencies and organizations."  The CEMS program is currently funded by two grants coordinated through the Berkshire Regional Planning Commission and will be at no cost to the community or its patients. 

The application must be completed by a local public health authority, such as a board of health, in partnership with the primary ambulance service where the proposed Community EMS Program will operate. County Ambulance is the city's designated primary ambulance provider.

Director of Public Health Andy Cambi explained that when White approached him, he said, "This is a great idea. I fully support it. I know the board will fully support it."


Tags: ambulance service,   

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BRTA Focuses on a New Run Schedule

By Breanna SteeleiBerkshires Staff

PITTSFIELD, Mass. — The Berkshire Regional Transit Authority is still working on maintaining its run schedules after dropping the route realignment proposal.

Last Thursday's meeting was Administrator Kathleen Lambert's first official meeting taking over the reins; retiring director Robert Malnati stayed during a transition period that ended last month.

Lambert is trying to create a schedule that will lessen cancellations. There was a two-hour meeting the week before with the drivers union to negotiate run bids and Lambert is working with the new operating company Keolis, which is taking over from Transdev.

The board spoke about anonymous emails from drivers, which Lambert said she has not seen. iBerkshires was not able to see those letters, but has received some. 

"They were lengthy emails from someone describing themselves as concerning BRTA employee, and there was a signed letter from a whole group of employees basically stating their concerns. So, you know, to me, it was a set of whistleblowers, and that, what my understanding is that this really triggers a need for some type of process to review the merits of these whistleblowers, not going to call them accusations, but basically expressions of concern," said member Stephen Bannon.

A letter iBerkshires received spoke of unhappy drivers who were considering quitting because of decisions being made without "input from frontline staff," frustration and falling morale, and the removal of the former general manager shortly after Lambert came in.

Lambert said it's difficult to navigate a new change. She also noted many drivers don't want to do Saturday runs and it has been hard negotiating with drivers on the new runs.

"I would like you all to keep in mind that the process of change is super difficult. Transdev has been here for 20 years, and some of these drivers have never known any other operating company, the way some of the operations have been handled has been archaic," she said. "So getting folks up to speed on how a modern transit system works is going to be painful for them. So I don't want to say that I'm unsympathetic, because I am sympathetic, but I am trying to coax people along with a system that's going to seem very strange to them."

The board spoke about better communication between them and Lambert, citing cooperation will be best moving forward.

"There's just a lot of stuff in the air right now, and there are a lot of fires to put out to make this a coordinated effort. And if we don't keep our communications open and be straightforward, then you get blindsided about how you know the input that you could get from us about your position, and how you know what's going on in your direction, and we get blindsided. And I think that we have to make sure that this is a collaboration," said member Sherry Youngkin.

"Both sides have responsibilities, because in the long run, this advisory board is going to have to make decisions as to how we brought forward and if we've gone forward in a fair and helpful way. And I think that's hopefully what everybody is looking for also." 

Transdev and Keolis held a three-day recruiting event interviewing almost 40 candidates and offering jobs to eight, but only three stayed on to start training. Lambert said it was disappointing but she will keep trying to retain more people.

In her first report to the board, she noted that ridership dipped a little over 10 percent, but still remains higher than last year, adding that was because of cancellations of services because of the lack of drivers.

Like the last meeting, some of the advisory board members were torn over the start of the Link413 service, worried that the start of the service took drivers away and the numbers of riders are low.

Lambert, however, said the ridership has doubled from last month.

"As I've spoken before, we have, generally, a six-month adoption for brand-new service before you can really go in and evaluate, are you being successful based on the grant that my predecessor wrote along with the team for PBTA and RTA, we are ahead of schedule, which is pretty good, so I'm hoping that will continue to improve," she said.

Member Renee Wood said the board never approved the service, adding the only thing she could find in the minutes was a vote to accept the equipment. She said it was supposed to be put on the agenda to discuss.

"The Link413 service has been three years in the making. It's been a grant that was accepted and has been working with our partners, PVTA and FRTA, to put into place. So I don't have the entire history of how that process worked, but it's been three years in the making, and did we not understand that once we accept that grant that we were going to put in new service?" Lambert said.

The board discussed if Title VI, the Civil Rights Act, was followed with an accurate review and accurate amount of time for public comment period on the service changes and if its attorney should review if the  grant conditions were properly followed.

Lambert said changes had the 60-day comment period included in the proposed route realignment packet, giving the opportunity for the community to respond to that as well but will look into the legality of the situation with their attorney.

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