1. Initial Data Collection and Review o Review of existing EMS operations, protocols, and service delivery metrics. o Collection of data related to response times, patient outcomes, resource allocation, staffing levels, and other performance indicators. o Stakeholder interviews (management, EMS staff, first responders, and community representatives) to understand current challenges and strengths. 2. Site Visits and Operational Review o Conduct on-site visits to EMS agencies, Lewis County Emergency Management and Dispatch Center, or other relevant facilities to observe operations, equipment, and infrastructure. o Evaluate current systems for dispatch, communication, and response coordination. 3. Conduct Gap Analysis o Assess current EMS operations against established industry standards (e.g., National EMS Standards, state/local EMS regulations, and accreditation bodies like CAAS or NAEMT). o Identify areas of non-compliance, inefficiencies, or weaknesses in service delivery and identify improvement opportunities. 4. Prepare Recommendations for Optimization and Alternative Models o Based on the gap analysis, the consultant will develop a set of tailored recommendations, including: ▪ Enhancements to training and education for EMS personnel. ▪ Upgrades to equipment or infrastructure. ▪ Policy or procedural changes. ▪ Strategies for improving response times and service delivery. ▪ Recommendations for community engagement or public health partnerships. ▪ Evaluation of alternative EMS delivery models, including regionalization, public-private partnerships, tiered response, and other innovative strategies