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EMS Management

The EMS management topic focuses on leadership within EMS agencies, bringing together a range of relevant columns and resources as well as the latest news on EMS department operations, budget issues and new appointments.

A decade of city data reveals a troubling disparity: while firefighter injuries and collisions decline, EMS professionals face persistently high risks
From community risk reduction to treatment in place, other cities are reaping the benefits of advanced EMS systems. A proposed independent NYC EMS department could be the turning point.
Financial collapse, market churn and rising risks define today’s EMS landscape
All eight members of Roanoke Fire-EMS Recruit Academy 25-2 entered with EMS certifications, allowing an abbreviated 17-week academy ahead of expected retirements
The city of Southfield agreed to pay $3.25 million to settle a lawsuit tied to the 2020 Timesha Beauchamp case, in which she was pronounced dead by paramedics and later found alive at a funeral home
The first-year funding from a new federal Rural Health Transformation Program targets hospital stability, EMS sustainability, workforce shortages and ambulance response times

After years of Christmas-season gaps, Carroll County maintained full staffing without mandatory overtime
Spirit EMS crews and community members collected and delivered more than 200 stuffed animals to hospitals and nursing homes across western Ohio and eastern Indiana
Austin-Travis County EMS drew 350 applications for its latest hiring cycle and graduated 17 cadets in December, while private providers and new grants aim to shore up EMT staffing
The new program places advanced EMTs and paramedics on scene in Willows to provide life-saving interventions before ambulances arrive
A Collingswood commissioner is seeking to void the borough’s ambulance contract with Virtua Health, alleging a conflict of interest involving the mayor’s spouse
In a Daily News opinion piece, FDNY EMS Lt. Anthony Almojera argues that appointing an EMS veteran as commissioner reflects today’s medical-first reality
EMS, fire, police and transit agencies are ramping up staffing and safety measures as hundreds of thousands are expected on New Year’s Eve
2025 marked a rare turning point as lawmakers moved on workforce incentives, TIP reimbursement and contracting reform
Communities are rethinking who delivers care — and how to protect against the next sudden shutdown
EMS funding is broken — and communities are done pretending it’s not
Gov. Kathy Hochul rejected two major EMS support measures, prompting providers to caution that funding limits and rising costs could worsen coverage gaps
Mercy Regional of Oklahoma officially began providing ambulance service in Enid, marking the city’s first change in providers in more than 50 years
Vote now: Should a commissioner be a firefighter, an EMS leader, an executive — or a mix?
Musk and other critics attacked Mamdani’s selection of EMS veteran Lillian Bonsignore to lead the department, reigniting debate over what operational experience matters most for the commissioner role
After staffing shortages forced the Georges Creek Ambulance Service to shut down for the first time in nearly five decades, Allegany County assumed control and uncovered major structural and operational problems
Hurley officials say a long-planned ambulance service became operational, highlighting a year that also brought a major state grant
Lee County commissioners voted to start drafting a franchise contract with MedEx Medical Transport after choosing its lower-cost proposal over renewing FirstHealth’s agreement
A former Jefferson County paramedic filed a lawsuit alleging defamation, unfair hiring practices, retaliation and electronic eavesdropping, claiming her reporting of scope-of-practice concerns set off a chain of events
Understand the difference between intrinsic motivation and extrinsic motivation
To lead and inspire an EMS team, motivation must first come from within
Under a policy that took effect in early November, Virginia Beach EMS now responds to most calls without lights and sirens, citing just a 2–3 minute time savings versus nearly doubled crash risk
Cleveland EMS officials report a growing number of assaults, with many cases resulting in minor charges, fueling concerns about safety, accountability and staffing
Mayor-elect Zohran Mamdani has selected retired FDNY Emergency Services Chief Lillian Bonsignore, a 31-year department veteran and former chief of EMS operations, to lead the fire department