In a recent meeting of the Tompkins County Public Safety Committee, pressing issues surrounding emergency medical services (EMS) were discussed, highlighting significant challenges and proposed solutions for the county's healthcare response system. The meeting, held on May 27, 2025, underscored the urgent need for improved EMS capacity amid rising demands and staffing shortages.

One of the primary concerns raised was the increasing number of mutual aid calls, with departments like Trumansburg responding to approximately 26% of their calls outside their district. This trend raises questions about resource allocation and the ability of local agencies to meet the needs of their communities effectively. The closure of the Aetna Fire Department's rescue service earlier this year and the loss of certification for Brookdale Rescue have further exacerbated the situation, creating what was described as an "EMS desert" in Tompkins County.

The committee reported that the Rapid Medical Response (RMR) program, initiated in April 2024, has been averaging around 95 calls per month, primarily during weekdays. However, the program has faced challenges, including extended wait times for transport ambulances, with 34 instances recorded where crews had to wait over ten minutes for assistance. This delay can have serious implications for patient care, particularly in emergencies requiring immediate attention.

To address these gaps, the committee proposed expanding the RMR program by adding a paramedic-level unit available 24/7 and increasing the number of basic life support ambulances. This expansion aims to enhance mutual aid services and alleviate pressure on existing transport agencies, which have been struggling to keep up with demand. The committee emphasized that the goal is not to replace current services but to support and augment them.

Concerns were also raised about staffing, with discussions on various models to optimize personnel deployment. The committee is exploring partnerships with local colleges to recruit new EMS providers and enhance training opportunities. The need for a sustainable staffing solution is critical, as many current providers are stretched thin, and the recruitment of new personnel remains a challenge.

The financial implications of these proposals were also a focal point of the discussion. The estimated startup costs for the expanded services range from $2 million to $2.5 million, depending on the staffing model chosen. The committee is considering various funding sources, including Medicaid reimbursements, to support these initiatives.

As the meeting concluded, the committee recognized the complexity of the EMS landscape in Tompkins County and the need for a collaborative approach to address these challenges. The discussions highlighted the importance of timely and effective emergency medical services for the community, as well as the ongoing efforts to improve response times and service availability.

Moving forward, the committee plans to continue engaging with local EMS agencies and stakeholders to refine their proposals and ensure that the needs of Tompkins County residents are met effectively. The urgency of these discussions reflects a broader trend in many communities facing similar challenges in emergency services, underscoring the critical need for innovative solutions and collaborative efforts in public safety.