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Council reappoints Dr. James Ireland as Emergency Services director amid staff complaints and billing concerns

3027848 · April 17, 2025
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

The Honolulu City Council confirmed James A. Ireland MD as director of the Emergency Services Department after public testimony both supporting and opposing the reappointment and council discussion about workplace culture, billing failures and staffing. Councilmember Okimoto recorded reservations at the time of the vote.

The Honolulu City Council on a recorded vote confirmed James A. Ireland MD as director of the City and County of Honolulu Emergency Services Department, adopting Committee Report 137 and Resolution 25‑11.

The reappointment drew praise for recent operational gains and new ambulances, and criticism from current and former EMS personnel who raised long-standing morale and billing problems. Supporters highlighted lower vacancy counts and new equipment; critics urged structural change and stronger administrative oversight.

Ireland told the council that the department’s vacancy level had improved and training academies are scheduled: “Our personnel is at the lowest vacancy rate…we're under 15 vacancies in EMS with a dispatch academy starting in June and an EMT academy starting in…

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