The City of Troy chooses a proven alternative method of providing EMS. Unlike many fire departments, the Troy Fire Department does not provide emergency medical service. Instead, a private provider, Alliance Mobile Health, is contracted to provide EMS via paramedic first responder and advance life support ambulance service. The PFR units are dedicated to Troy and respond in conjunction with ALS ambulances as part of a performance-driven contract that requires a paramedic first responder to be on scene of medical emergencies within 5 minutes or less for 90% of priority calls, and an ambulance to be on scene within 8 minutes or less for 90% of priority calls.
The City of Troy experiences nearly 9,000 requests for EMS annually, and approximately 1,200 requests for fire service. It would be difficult to retain volunteers and maintain efficient fire responses with this additional EMS workload. The fire department does, however, budget and oversee EMS, and provides assistance with extrication and physical rescue functions at incident scenes when necessary. Firefighters are also trained to provide first-aid, CPR, and mass casualty procedures which include triage, tourniquet application, wound packing, and patient handling in order to assist EMS at a large scale medical incident with multiple casualties should one occur.
The annual cost for private provider EMS in Troy is approximately $500,000. PFR units and ALS ambulances work closely with the fire and police departments as a "third" emergency service provider.