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County-funded EMS study due mid–late September, officials say it could reshape dispatch and response

Onondaga County Public Safety Committee · August 18, 2026

Summary

A 12-month county-funded study of the EMS system will deliver an initial 138-page draft mid–late September; officials said recommendations could include when ALS versus other response models are dispatched, address hospital transfer delays, and may prompt state-level regulatory requests.

Committee members and Commissioner Dan Weir described an ongoing 12-month study of emergency medical services that the legislature funded to examine the system from dispatch through transfer-of-care at hospitals. Weir said a national contractor with New York State experience is compiling CAD and transport data and conducting stakeholder interviews; the vendor's initial draft is expected in mid–late September and was described in committee as "about 138 pages."

Legislators and Weir said the study could recommend a range of options—including changes to which calls receive advanced life support (ALS) versus other responses, pre-positioning paramedics in rural areas, or larger structural approaches such as county-run services—and that some recommendations may require lobbying the state because EMS licensing and dispatch rules are state regulated. They also flagged hospital turnaround times and ambulance 'clearance' at emergency departments as a significant driver of local response delays. Weir said the vendor will provide underlying data and formulas so county staff can replicate analyses going forward.

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