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Q&A

Narcisse asks about strategies to reduce overcrowding; virtual express care

New York City Council · Oct 20, 2026 · starts 1:26:41 · 2 min 15 sec

Narcisse asks what strategies H&H is pursuing to reduce overcrowding and shorten wait times. Motzquist cites virtual express care, where some 911 calls are transferred to H&H for virtual evaluation and treatment, sometimes diverting an ambulance from being dispatched.

Mercedes Narcisse

What specific strategies is H&H pursuing to reduce overcrowding, improve patients'flow, and shorten?

Mercedes Narcisse

With times.

Josh Motzquist

Yeah, so one of the strategies we have done and we've partnered with FDNY on is virtual express care as an example.

Josh Motzquist

And so we will see patients virtually over phone or video.

Josh Motzquist

And so some 911 calls are being transferred to our virtual express care calls.

Josh Motzquist

and allowing us to treat on the spot right there and sometimes divert an ambulance from even being dispatched to that facility, to that person as well.

Mercedes Narcisse

So you have your mobile unit.

Mercedes Narcisse

My understanding is just...

Mercedes Narcisse

Let's see.

Mercedes Narcisse

If a patient, because one of the things that we lack of doing, telling the patient, open visit, in the clinics as well as in the hospital, do not call 911.

Mercedes Narcisse

This is the step you need to take.

Mercedes Narcisse

And I think that's one of the bills I'm looking to see how shaping we started already, to see what can we do to help those folks in terms of education, not pressure.

Mercedes Narcisse

Because sometimes it's a simple education you give people, they can do better.

Mercedes Narcisse

If we can be reinforcing it, if we just say it and then you move on, people forget.

Mercedes Narcisse

Maybe we can see if we can get, you know, advertisement somewhere, a spot, something going on and using social media, educating people.

Mercedes Narcisse

Because we need to educate people and reinforce it so at least we can decrease the flow of people and then we don't want to lose lives in New York City.

Mercedes Narcisse

So I'm going to pass it on by my chair and then probably opening up for some colleagues'questions and I'll come back.

Mercedes Narcisse

Thank you.

Mercedes Narcisse

Thank you.

Josh Motzquist

Can I just say, Chair, thank you so much for that.

Josh Motzquist

I mean, the emergency department is the safety net of this country, right, and of the city.

Mercedes Narcisse

Yeah.

Josh Motzquist

And patients know they can always come to us, be seen.

Josh Motzquist

We will never turn you away.

Josh Motzquist

And that's why I love my job and I love doing the work that I do is because we will always take care of patients who show up.

Josh Motzquist

But the challenge is exactly what you discussed.

Josh Motzquist

And so I think there might be opportunity for us to discuss.

Josh Motzquist

Later, look forward to seeing that bill.

Josh Motzquist

Where can we decrease or redirect patients to find the most appropriate care they need?

Mercedes Narcisse

I really believe in preventative care, and that's what I've been preaching, and it seems like it's a slow motion right now, and we need to sit down and collaborate, whatever we can do here with my colleagues to structure it to help and make it happen.

Josh Motzquist

I look forward to the opportunity.

Josh Motzquist

Thank you.

Mercedes Narcisse

Thank you.