Three EMS staffing options presented: board hears cost and coverage tradeoffs

Mar 11, 2025

EMS staff presented three options — maintain contracted model (~$2.3M), county-employed EMS-only (~$2.7M), or county fire-EMS (~$2.87M) — and said the higher-cost options would significantly increase coverage while shifting costs and overtime exposure.

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An EMS presenter told the board the county faces coverage gaps and presented three pathways to address rising call volumes and excessive response times. The presenter framed the options around coverage hours and payroll rules. "Option number 1...This option is going to cost a little over 2,300,000 going forward," the EMS presenter said for the status-quo contracted model. Option 2 would transition to county-employed EMS-only personnel (about $2.7M projected) and Option 3 would hire county fire-EMS personnel (about $2.87M) and yield the largest coverage increase.

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