Emergency Medical Services Authority

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The Emergency Medical Services Authority (EMSA) is Oklahoma's largest provider of pre-hospital emergency medical care. EMSA provides ambulance service to more than 1.6 million residents in central and northeast Oklahoma.

EMSA was established in Tulsa in 1977 and later expanded to include Bixby, Jenks and Sand Springs in Oklahoma. EMSA began providing service to Oklahoma City in 1990. Each year, EMSA responds to over 200,000 calls for help. EMSA transports more than 70,000 patients by ambulance each year.


EMSA is a public trust authority of the City of Tulsa and City of Oklahoma City governments. It is the Authority's charged duty to ensure that the cities served receive the highest quality of emergency medical service at the best possible price. There are several entities that work together in the EMSA system, including:

The Authority: EMSA, the Authority, provides independent business oversight and ensures compliance of a private ambulance service chosen to operate in the service area. The Authority does not provide ambulance service, but rather acts as an informed and impartial buyer of service for the cities it represents. The Authority also owns ambulances and other capital equipment used by the private contractor to provide service. EMSA also manages agreements, maintains patient records, bills and collects, purchases goods and services and manages the TotalCare ambulance subscription program and makes policy recommendations.

Employees of the Authority report to and follow the direction of the 11-member EMSA Board of Trustees. The mayors of Tulsa and Oklahoma City appoint eight of the 11 trustees.

The City of Oklahoma City and The City of Tulsa: In addition to appointing individuals to serve on the EMSA Board of Trustees, the Cities must approve any changes to EMSA Trust Agreement, which governs EMSA operations.

The Medical Director: An independent medical director provides medical oversight of the private ambulance company selected by the Authority and first responders (firefighters assisting in patient assessment and stabilization). The medical director conducts routine audits and testing of all medics practicing in the system, writes seamless protocols to ensure the continuity of care between first responders and transport medics, researches new treatment modalities and evaluates complaints. The medical director reports to the Medical Control Board, an organization composed of nine community physicians (eight of whom work in metropolitan hospital emergency departments) who serve voluntarily.

The Contracted Provider: From 1998 - 2013, Paramedics Plus LLC provided ambulance service for the Authority. In November 2013, American Medical Response replaced Paramedics Plus as EMSA's contracted provider.[1]