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EMS System Review


Our Goal
System Review Process
Project Timelines
Study Reports
System Design Docs
Public Comment

  • Our Goal is to collaboratively create a value added, sustainable EMS system focused on what is best for the patient. Priorities include:

    • Retain a high performance, high reliability and high trust EMS system.
    • Preserve Fire EMS first medical response.
    • Explore alternative cost effective EMS first medical response and ambulance delivery models.
    • Promote an "intelligent medical transportation system".
    • Promote a culture of safety for patients and providers.
    • Integrate with hospital and health care systems to improve patient outcome and well-being.
    • Improve utilization of resources while identifying opportunities to reduce call processing time.
    • Improve coordination of resources to reduce cost for patients, communities and the county.
    • Sustain evidenced based EMS system oversight and coordination.

  • System Review Process

    Process Participants: The process will include all county Fire Districts, LAFCO, Emergency Medical Care Committee, Hospitals, ambulance providers, Law enforcement, hospitals, and communities served by the Contra Costa EMS System. Reports will be posted on this site to inform and educate the public about project efforts. The public is welcome to send input and community reports to Pat Frost, EMS Director Contra Costa

    Our Independent Facilitator and EMS Industry Consultant: Third party independent consultants are used to assist the county and stakeholders in the re-evaluation process and compile the report. They bring comprehensive industry experience, best practices and special analytical skills to support the review process. Fitch and Associates an EMS System Industry Leader will be supporting Contra Costa EMS System re-evaluation efforts. Fitch and Associates conducted the initial EMS Design process in 2003. Learn more about Fitch and Associates.

    The public is welcome to send input and community feedback directly to the consultants at Fitch and Associates or E-mail at

  • Preliminary Project Timelines

    A comprehensive review of an EMS System typically takes up to 18 months and serves to determine the goals and direction for future emergency ambulance procurement. The information and analysis provided by EMS System consultants provides the local community with the opportunity to consider recommended changes to position the EMS system for sustainable success. EMS System stakeholder and public comment is very important to the process and is encouraged.

    Dec 11, 2012 Board Order passed to direct EMS to produce report
    See our Board presentation and the Board Order
    Jan-Mar Expedited Review with Stakeholder Consultation
    Feb 12, 2013 Board Order passed to fund EMS System review scope of work
    See the scope of work here
    Apr 23, 2013 EMS System invitations issued
    Apr 24-May 10, 2013 Over 130 EMS System Stakeholder Participants Respond
    May 22 & June 17-24 2013 First Round Consultant-EMS System Stakeholder Interviews
    Jun 19 2013 EMS System Project Plan Overview Update #1 to Emergency Medical Care Committee (EMCC)
    Jul 29 to Aug 2 2013 Second Round Consultant-EMS Stakeholder Interviews
    Aug 11 2013 EMS System Project Status Report to Public Protection Committee
    Sep 11 2013 EMS System Project Status Update #2 to EMCC
    Sep 20 2013 Stakeholder Update Letter
    Oct 9-10 2013 Emergency Medical Care Committee Facilitated Workshops
    Oct 9 2013 1st EMS System Project Status Report to LAFCO
    Oct 22 2013 Fire Board EMS System Study update (see link)
    Oct 24 2013 Fitch EMS Modernization Study final stakeholder meetings and data collection completed. Data analysis process begins.
    Dec 3 2013 Fitch Contra Costa Fire Service Study Preliminary Report to Contra Costa Fire District (see link)
    Dec 10 2013 BOS approves extension of Fitch contract to April 30th 2014 to accommodate completion of EMS System Modernization Study.
    Dec 18, 2013 EMS System Project Status Update #3 to EMCC
    Dec 2013/Jan 2014 Consultant Preparation of DRAFT EMS Modernization.
    Feb 21, 2014 DRAFT EMS System Modernization Study Delayed.
    Mar 24, 2014 Draft EMS System Study Posted on Contra Costa EMS Study website (Public Comment Period Begins)
    Apr 9, 2014
    5:30-7 p.m.
    Special EMCC Briefing on Draft Report - Location: Board of Supervisors Chambers, 651 Pine St, Martinez (also broadcast live on Contra Costa Television).
    Watch the video »
    May 6, 2014 Draft report presentation to Contra Costa Board of Supervisors with Public comment period closing at 5pm.
    May 6-May 23, 2014 Consultant preparation of final report including written responses to public comments.
    June 3, 2014 Final report presentation to Contra Costa Board of Supervisors with Public hearing and acceptance.

    Additional work will occur pending Board direction

  • Study Reports

    Oct 09, 2013 • Project Status Update (LAFCO)
    Sep 09, 2013 • Project Status Update (Public Protection/Board)
    • EMS Study Update
    Aug 12, 2013 • Project Status Update (Public Protection/Board)
    • Fire Station Closure Report: EMS System Impact and Mitigation
    Apr 23, 2013 Contra Costa County Launches Initiative to Undertake an Emergency Medical Services (EMS) Modernization Project
    Mar 12, 2013 Project Status Report (Public Protection/Board)
    Oct 2013 Contra Costa Fire Service Delivery Study
    Feb 2014 Final Fitch Study on Contra Costa Fire Services
    Mar 24, 2014 DRAFT EMS System Modernization Study for Public Comment
    Apr 2014 EMS System Modernization Study Briefing

  • EMS System Design Documents

  • Public Comment

    The public comment period on the draft EMS Modernization Study will be open through 5pm on May 6, 2014. Interested parties may submit public comment in the following ways: