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Thurston County board to consider adopting 2025 EMS comprehensive plan after 2½-year review
Summary
County staff presented a 2025 Emergency Medical Services comprehensive plan recommended by the EMS Council, outlining a 20-year blueprint, an eighth medic-unit siting approach, multi-agency partnerships and concerns about statewide behavioral-health bed shortages; the board was asked to adopt the plan Dec. 2.
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Thurston County officials on Wednesday heard a staff presentation of a 2025 Emergency Medical Services comprehensive plan that county staff said was developed over 2½ years with multiple health-care and emergency partners and is being recommended to the Board of County Commissioners for adoption on Dec. 2.
The plan, presented by Ben (county EMS staff), lays out a 20-year blueprint for emergency response, including criteria used to identify the location of an eighth medic unit and potential funding approaches. "This has been a 2.5 year process that I'll call a labor of love," Ben said, describing collaborations with Providence, MultiCare, Olympic Ambulance and South Sound Behavioral Hospital.
Why it matters: County staff said the plan addresses growing demand and workforce challenges and highlights a statewide shortfall in behavioral-health bed capacity cited by a CDC review, which the presenter said has contributed to backlogs in emergency departments and discharge delays.
What staff told commissioners: The presentation condensed a longer document to a digestible 11-page packet of substantive guidance and 10 value statements focused on patient-centered care, multi-agency coordination, sustainable funding and workforce recruitment and retention. Ben said the EMS Council reviewed and recommended the plan to the Board.
Commissioner reaction and next steps: Commissioners thanked staff for broad community engagement; no commissioner requested substantive changes during the briefing. The presentation closed with staff asking the Board to place the plan on the Dec. 2 agenda for formal adoption. Ben paused for questions after saying the plan would be presented for adoption, and commissioners reserved additional scrutiny for the formal hearing on Dec. 2.
The board's review of the EMS plan will be at its Dec. 2 business meeting, when the county manager and staff will present adoption materials and any recommended motions.

