EMS Strategic Plan

Mission Statement

Montgomery County Emergency Medical Service Strives to provide the highest standard of emergency medical, transport and rescue services to Montgomery County's citizens.

Recent Improvements

  • Response Times to All Areas of the County - With the addition of station 31, located at the intersection of Hwy 12 and Pace Rd, response times to the southeastern portion of Montgomery County have been greatly reduced. Ongoing assessments of response times continue to all areas of the county.
  • Scheduled Fleet Replacements - Ambulances and support vehicles are routinely maintained and replaced per a fleet replacement schedule.
  • Reduction of OJI injuries by purchasing newer & more technologically advanced equipment - Ambulances are being equipped with automatic patient load systems to promote safety of our patients and reduce the risk of injuries to EMS staff.
  • Develop a new administrative office building - A new Administration and Logistics facility was opened in October 2018.  This facility houses Administrative and billing staff, Logistics, and a large training room with two separate training labs.  This facility also houses the county morgue.


  • State of Tennessee's Office of EMS regulates specific training, equipment, and personnel in sufficient quantity to maintain our department's "A" or "Advanced Life Support" rating.
  • The Federal government's Department of Transportation is constantly reviewing and improving ambulance design and safety feature to improve safety and utility for both our patients and EMS Staff.
  • The State of Tennessee's Office of EMS collects statistical data and specific response information to create a database of information used for benchmarking best practices as well as performance improvement initiatives.


  • The best EMS Systems are based on collaborations among the diverse organizations that comprise the EMS and Emergency Services System. Collaboration allows for diverse organizational strengths to be combined and emphasized through system-wide integration and promotes a culture of trust. In doing so, the EMS System can more effectively capitalize on new opportunities and mitigate threats to the system. This Strategic Plan calls for the maximum use of collaboration to achieve the desired EMS delivery system.

Outcome Driven

  • The best EMS Systems hold themselves accountable to meet performance standards and superior outcomes resulting from the EMS System's optimal performance. This EMS System Strategic Plan targets the development of clear, measurable, and literature-driven patient and customer outcomes consistent with a superior Advanced Life Support EMS delivery system.

Cost Effective, Financially Sustainable, and Value Driven

  • Successful EMS Systems of the future will be based on the ability to provide emergency and other services that add value, centered on a documented, evidence and outcomes-based evaluation. This will include tested innovations for cost effectiveness and sustainability. In the future, EMS Systems that cannot produce services that improve outcomes, financial worthiness or document the addition of "value" will have reduced compensation or penalty resulting in a non-sustainable financial status.

Innovation and Excellence

  • Successful EMS Systems of the future must innovate and reinvent themselves as clinical, operational, and economic environments evolve. Innovation and excellence must be integrated into all aspects of the EMS delivery system.

Prevention and Education

  • Healthcare reform emphasizes prevention in all aspects of medical care and community life. Prevention reduces the incident of illness and critical injuries and contributes to a community's overall health.