The DOH is pursuing a competitive RFP to provide emergency aeromedical ambulance transport for the County of Maui. The DOH is seeking responses to the following questions: 1. What recommendations can you make to the DOH about how best to provide emergency aeromedical ambulance services for the County of Maui? Consider national best practice for EMS aeromedical services, FAA regulations, and Maui’s needs. 2. What recommendations do you have regarding appropriate staffing, equipment and supplies, infrastructure, or organizational recommendations to meet the demand for service? Consider peak periods and unexpected periods of high call volume. 3. What are your organization’s operational strategies or configurations that ensure the most efficient and appropriate use of resources such as personnel, supplies, and partners involved in patient care?What quality measures do your organization feel are important to include or emphasize? 4. Provide information on two separate business models where the service provider bills clients versus the state bills for services. 5. Based on your organization’s experience, provide details on how to support bariatric, obstetric, and pediatric transports. 6. Based on your organization’s emergency aeromedical ambulance service operational experiences, please provide the DOH with any other suggestions or recommendations that may assist the DOH in developing a realistic and reasonable RFP. Some considerations can be things like implementation timeline, service enhancements and repairs, and scalability.