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Syracuse officials present proposed AMR ambulance agreement emphasizing oversight, performance metrics
Summary
City staff presented a proposed agreement with AMR — the sole respondent to the city's RFP — that would establish performance metrics, complaint procedures and data sharing so the city can monitor ambulance transports at no direct cost to Syracuse.
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City staff asked the Syracuse Common Council to grant permission to enter a performance-based agreement with AMR for ambulance transport services, saying the contract would provide the city oversight and data access the city has not previously had.
The staff presenter said the RFP committee unanimously recommended the agreement and that AMR was the sole respondent. The presenter told the council the contract would be “at no cost to the city” and would require AMR to provide regular performance data, to meet monthly with operations staff and quarterly with the chief’s office, and to operate under benchmarks the city can monitor.
The presenter said AMR may turn back no more than 3% of calls in the city and that repeated failure to meet performance standards for three consecutive months would trigger a formal remediation process. The agreement would require AMR to provide a constituent complaint line, investigate complaints, and share quarterly reports with city staff.
The presenter also described operational details the agreement would cover: data sharing so the fire department can “actively monitor performance and identify any gaps of service,” mutual‑aid responses when AMR cannot answer a call, and AMR providing space and scholarships for city residents to attend EMT training classes.
Council members asked how 911 call‑taking issues would interact with the contract; one councilor said constituents had reported that 911 calls went unanswered. The presenter responded that 911 dispatch remains the route a resident should use to request an ambulance and said the presenter would follow up with the county commissioner responsible for 911 to investigate a reported missed call and provide numbers on AMR call responses to the council before Monday.
The presenter added that AMR has operated in the Syracuse area for decades under different names and that, without a contract, the city previously lacked the right to obtain data and hold the company to performance metrics. The presenter said the contract would also obligate AMR to arrange mutual aid ambulances when it could not meet staffing or response requirements.
No formal council vote or final authorization appeared on the record during the discussion segment captured in the transcript. Councilors requested follow‑up materials, including specific response and missed‑call numbers for AMR and clarification about how 911 dispatch and AMR operations will coordinate.
Officials said they would send the requested data and follow up on the 911 call issue after the meeting. The council did not record a formal outcome on the ordinance in the segment of the transcript provided.

