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Santa Rosa City Council
May 13, 2025

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Presentation
Meeting
May 13, 2025
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Santa Rosa City Council
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Emergency Ambulance Services
Performance Update

SCFD-EMS
Rafael Matsunaga /

Presenters:
•Ron Busch, Fire Chief,
Sonoma County Fire District

SCFD-EMS
•James Pierson, President/COO,
Medic Ambulance Service

SCFD-EMS

About
SCFD
• "All Risk” Fire District
• SCFD responds will respond to over 40,000 incidents,
such as fire, medical and other emergencies.
• Provides EMS care across more than 425 square miles
of Sonoma County
• SCFD was established in April 2019 after the
consolidation of several fire districts (Windsor Fire
Protection District, Rincon Valley Fire District, Bennett Valley Fire District, and Mountain Volunteer Fire
Department.
• July 2020, three other fire districts joined SCFD
(Russian River Fire Protection District, Forestville Fire Protection District, and Bodega Bay Fire Protection
District).

About
Medic
•Family Owned and operated since 1979
•CAAS Accredited since 2007, First CAAS
accredited ambulance Service in Northern
CA
•Operate in 7 Counties Solano (9-1-1),
Sacramento, (9-1-1) Sonoma (9-1-1), Yolo,
Placer, El Dorado, Napa
•675 Employees
•150,000 Annual Calls for Service

What is

SCFD-EMS
∙ In 2023, SCFD, with Medic as its subcontractor,
bid and was awarded the EOA contract that
started on Jan 15, 2024.
∙ SCFD is the contract holder with Sonoma
County; Medic is the subcontractor to SCFD.
∙ We are Partners in Care; and have integrated
leadership teams to administer and operate the
ambulance System in EOA-1 as SCFD-EMS

Sonoma County
EMS System
(Change MAP)
• EOA-1 is the largest volume ambulance zone in
Sonoma County which includes, Santa Rosa,
Rohnert Park, Cotati, Sebastopol, Gold Ridge,
Occidental and a large portion of unincorporated
Sonoma County.
• Ambulance services is a vital piece to the chain
of survival. Ensuring our citizens receive a
professional, reliable and present healthcare
provider is of paramount importance.
• In Collaboration and partnership with our First
Responder Agencies we proposed and
implemented a system with a community first
focus
SCFD and EOA-1 Service Area Map
System
Compliance
∙ SCFD and Sonoma County Health and Human
services entered into an agreement for services,
that enforces standards and compliance for the
ambulance services agreement.
∙ REDCOM is the dispatch center for all
SCFD-EMS resources
∙ All compliance related data is tracked and
measured using real-time CAD data directly from
REDCOM, which is connected via a data link
to FirstWatch’s Online Compliance Utility
(OCU).

System
Compliance
Standards

April – Sept 2024 – SCFD-EMS EOA-1 Compliance

(Oct 24 – Feb 25)– SCFD-EMS EOA-1 Compliance

∙ Deploying a weekly Peak of 21 Ambulances at the highest historical demands
∙ AMBUBUS – That can transport up to 24 patients at once, with ALS/BLS treatment capability
∙ (4) 4x4 Ambulances
∙ ATV Ambulance
∙ Special Operations
∙ Mobile Command Center
∙ Dedicated Type 3 Bariatric Ambulance, that has patient capabilities of up 1400 lbs, with specialized gurney and winch system.
∙ Onboarded over 140+ employees in 4 months leading up to contact start ∙ 25 New Type III Ambulances with Auto-Loader Stryker Power Gurneys SCFD-EMS System Enhancement and Offerings
Results

SCFD-EMS System Enhancement and Offerings (Cont’d)
• New 15,000 Sq ft Operations Center located at 1269 Corporate Center Parkway, with more Comfort Stations located strategically throughout the County (Santa Rosa Urban Based Locations below:)
∙ 445 Tesconi Cir. Santa Rosa
∙ SCFD Station 4 - 207 Todd Rd, Santa Rosa
∙ SCFD Station 5 – 91 Middle Rincon Rd, Santa Rosa
∙ 6572 Oakmont Dr
• New 4 Year Labor Agreement, making our EMS workforce one of the highest paid in Nation
• Focus on building a sustainable, local EMS workforce dedicated to Sonoma County • Great Success in last 12 months, Fully Staffed with EMTs and Paramedics, with wait list. Over 30 EMTs in Paramedic School, 10 on Scholarship

SCFD-EMS System Enhancement and Offerings (Cont’d)
• First Response ALS Agreement with Santa Rosa, ensuring equitable reimbursement for 12 Engines responding in EMS First Response capacity, while also promoting increased collaboration in the field and administration between SCFD-EMS and SRFD. • First Response BLS Agreements with Gold Ridge Fire Protection and Rancho Adobe Fire Protection District, enhancing the level and responsibility of first response delivery in Sonoma County.

SCFD System Enhancement and Offerings (Cont’d)

• Working with our other Fire and First Response partners to deploy LUCAS 3 Automated CPR Devices to ensure the availability of high-quality CPR. 18 Units to be placed over next 12 months.
• In 2025, SCFD-EMS is upgrading to the Stryker LifePack 35 Monitors. This is one of newest and most modern life-saving equipment to come to the EMS market. We are honored to be one of the first agencies in Northern California to implement.

Training and
Education

Building
Relationships
Beyond
Emergencies

Results

Closing /
Questions
∙ We our guided by our principles:
∙ Honesty
∙ Respect
∙ Integrity
∙ We are committed to providing the highest quality
of care to the residents and visitors of our
community
∙ We thank you for your time today and are open for
any questions

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