Make this page my home page
  1. Drag the home icon in this panel and drop it onto the "house icon" in the tool bar for the browser

  2. Select "Yes" from the popup window and you're done!

Home > Topics > EMS Management
All Articles

EMS News in Focus
by Arthur Hsieh

What we can learn from the Alameda, Calif., EMS transition

By Arthur Hsieh

Editor's note: EMS services in Alameda County changed hands recently from AMR to Paramedics Plus. The transition occurred after the parties worked through several legal hurdles, and when it came time to finally hand over the reins, everything went smoothly. Art Hsieh believes there are some lessons here for EMS systems around the country.

California EMS is as disparate as it is in any other state in the U.S.

In the San Francisco Bay Area, the majority of the service is provided by commercial EMS providers and fire departments. Many of the providers have been in place for 20 years or more.

In my home county, however, there has been significant upheaval in the system in the past 18 months, culminating in the transition from one private transport provider to another that occurred Halloween night.

While there have been ongoing issues and lawsuits about the bidding and award process, when it came time to shift, the transition appeared to go smoothly. Employees who worked for the incumbent provider moved over to the new provider's units at the appointed time. Many people I know worked long and hard, on both sides of the operational fence, to ensure that coverage would not be reduced during the transfer.

It's a nice change to see how we can cooperate to make things work well.

I look forward to seeing how the new system develops under new requirements and financial structure. Money continues to be tight in the current economy, and there isn't a penny to spare in the provision of emergency care to the community.

At the same time, an organization, public or private, has to remain solvent in order to provide service. Both demands will need to be balanced in a thoughtful, realistic manner. Like the situation in Pinellas County, Fla., success will require creative the efforts of many smart, motivated individuals to create the best way to deliver EMS services to its communities.

About the author

EMS1 Editorial Advisor Art Hsieh, MA, NREMT-P currently teaches at the Public Safety Training Center, Santa Rosa Junior College in the Emergency Care Program. Since 1982, Art has worked as a line medic and chief officer in the private, third service and fire-based EMS. He has directed both primary and EMS continuing education programs. Art is a textbook author, has presented at conferences nationwide, and continues to provide patient care at an EMS service in Northern California. Contact Art at
The comments below are member-generated and do not necessarily reflect the opinions of or its staff. If you cannot see comments, try disabling privacy and ad blocking plugins in your browser. All comments must comply with our Member Commenting Policy.

EMS1 Offers

Sponsored by

We Recommend...

Connect with EMS1

Mobile Apps Facebook Twitter Google+

Get the #1 EMS eNewsletter

Fire Newsletter Sign up for our FREE email roundup of the top news, tips, columns, videos and more, sent 3 times weekly
Enter Email
See Sample

Online Campus Both

EMS Management Videos