How is EMS in your county?
Under recently adopted New York State requirements, every county must develop a plan to ensure that EMS is meeting the needs of the community. CGR has spent decades in the field solving the toughest challenges in emergency services. Let us help you build a sustainable system that protects your residents and stays within budget. We welcome the opportunity to connect and discuss how these insights might be relevant to your situation.
Why Partner with CGR?
- Proven New York Success: We’ve helped over a dozen NYS counties navigate complex EMS and Fire service transformations. See examples from our recent work with Essex County, Lewis County and Allegany County.
- Transparent Methodology: No "black box" solutions. We use clear, data-driven modeling that builds public trust and legislative support.
- Prepared to Engage: The planning process requires the counties to engage with elected officials and EMS agencies. Our team is skilled in working with all key constituencies.
- Ready for Implementation: We don’t just deliver a report; we help you execute, from special district formation to municipal staffing transitions.
- Decades of Practical Experience: Our team speaks the language of career, volunteer, and municipal providers.
- Mandate Specialists: Expertise in crafting the specific comprehensive plans now required by the state.
Featured Work
Transforming Rural EMS Care in Essex County
To enhance emergency medical services across a sprawling rural landscape, Essex County engaged CGR to develop a comprehensive strategic plan. Through extensive data analysis, focus groups, and interviews, CGR identified critical gaps and delivered a roadmap ranging from quick operational wins to long-term systemic changes.
Key Impacts & Outcomes:
- County-Wide ALS System: Established a comprehensive Advanced Life Support response system that became fully operational in 2020.
- Modernized Operations: Upgraded dispatch protocols and overhauled data management practices.
- Increased Collaboration: Boosted resource- and service-sharing between the County and its partner agencies to improve resident care.
What’s Next? The County is currently advancing state legislation to enable the creation of a permanent, county-wide ambulance district, planned for the upcoming legislative cycle.
Explore the Data: View the comprehensive report and interactive data visualizations at www.cgr.org/essex-ems.
Overcoming the Rural EMS Crisis in Allegany County
Faced with a challenging combination of rising emergency calls, a dwindling provider workforce, and financial strain on its primary private ambulance contractor, Allegany County engaged CGR to conduct a comprehensive EMS system analysis. CGR delivered a strategic roadmap featuring both immediate stabilization tactics and forward-looking structural changes.
Immediate Action Items:
- Expanding the Talent Pipeline: Investing in paramedic education and launching EMS training programs for high school students.
- Supporting Leadership: Providing additional administrative support for the County EMS Coordinator.
- Securing Core Services: Strengthening contract terms with the county's largest ambulance provider to ensure financial and operational stability.
- Future-Proofing the System: CGR also recommended that the County explore long-term structural shifts, including the creation of a county-operated EMS agency and implementing a 911 dispatch triage system to divert low-acuity calls away from strained emergency resources.
Progress Update: Allegany County has already hit the ground running, actively implementing key educational initiatives and reinforcing its core ambulance safety net.
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