EMS Reports

Welcome to the repository for key reports related to Emergency Medical Services in New York State. These documents reflect our commitment to transparency, innovation, and the ongoing development of the EMS system in New York State. Below, you will find foundational papers that address critical issues, provide detailed analysis, evaluate county systems and highlight efforts to enhance EMS services statewide. The first section of the page are papers that have been written by a different state bodies including but not limited to, the State Emergency Medical Services Council, the Division of State EMS and the New York State Comptroller’s Office.

Reports Produced by New York State:

  • 2019: Where Are the Emergency Responders? (PDF) This report explores the challenges faced by EMS agencies in recruiting and retaining emergency responders. The study provides data-driven insights into the growing gaps in coverage and offers recommendations to mitigate these challenges. This report was developed by a technical advisory group of the State EMS Council.
  • 2023: EMS Sustainability White Paper (PDF) This groundbreaking comprehensive white paper addresses the financial and operational sustainability of EMS agencies in New York State. It examines funding models, workforce issues, and system efficiency, offering strategies to ensure long-term viability. This report was developed by a technical advisory group of the State EMS Council in collaboration with the NYS Division of State EMS.
  • 2023: SEMSCO EMS Salary Survey (PDF) This report presents a detailed analysis of EMS compensation trends in New York State. The survey captures variations in salaries across regions, roles, and agency types to inform workforce planning and policy decisions. This report was developed by a technical advisory group of the State EMS Council in collaboration with the Division of State EMS data team.
  • 2024: EMS Comptroller Report (PDF) This comprehensive report produced by the New York State Comptroller's Office, explores the increasing involvement of counties in New York State’s EMS systems, focusing on the counties evolving roles in service coordination and planning of EMS systems. It addresses key challenges such as staffing shortages, funding disparities, and the lack of consistent data. The report also provides case studies and recommendations to enhance local government coordination and ensure sustainable EMS delivery.
  • 2024: Where Are the Emergency Responders? (PDF) Building on the 2019 report, this update presents recent survey data and findings about the EMS workforce shortage. It evaluates the impact of past recommendations and offers new strategies to address ongoing challenges in recruitment, retention, and agency operations.

Stay Informed

We encourage stakeholders, policymakers, and the general public to explore these resources. Each report represents a significant step toward a stronger, more resilient EMS system. For questions or additional information, please contact the New York State Division of EMS.