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Q&A

Ariola asks about hospital liaison unit pilot ending

New York City Council · Oct 20, 2026 · starts 2:06:55 · 2 min 25 sec

Ariola asks about the pilot program placing EMTs at hospitals to speed handoffs. Miano says the hospital liaison unit was ceased at the end of May after showing only a small reduction in hospital turnaround time, and those members were returned to ambulances.

Joann Ariola

We spoke earlier, Chair Narcisse was talking about once the ambulance gets to the hospital, and I know that there was a pilot program for

Joann Ariola

EMTs to be at the hospital, so this way the ambulance didn't have to remain, they could hand off to a medical professional.

Joann Ariola

I don't know if that...

Joann Ariola

That pilot program is still in existence and has it been replaced by something?

Paul Miano

So we ceased that pilot program back at the end of May.

Paul Miano

That was called the hospital liaison unit, and what that did was it had an officer and an EMT in 13 hospitals throughout the city.

Paul Miano

And when a low-acuity call was transported to the hospital, if they met that criteria of being low-acuity, then they would take over the patient's

Paul Miano

care report and provide triage to the nurse, allowing that ambulance to return back to service.

Paul Miano

While we did see a small decrease in hospital turnaround time, the greater impact on the system was not seen.

Paul Miano

And we felt that it would be more valuable to reduce response times by having those members back on ambulances to respond to calls.

Paul Miano

So we did cease that program.

Paul Miano

However, in times of...

Paul Miano

mass casualty incidents or large volumes of patients being transported to a hospital, we will activate an officer to respond to the hospital as a liaison to be able to better assist through that triage process with the hospital.

Joann Ariola

And since you are in contact with the hospitals, have you had productive conversation with them regarding handoff,

Joann Ariola

EMTs getting back on the street, whether or not they would not accept a patient for a certain mental illness?

Joann Ariola

And have you had conversations with the hospitals within the H&H system?

Paul Miano

Yeah, and it's not just specific to H&H.

Paul Miano

It's with all hospitals, right?

Paul Miano

We have borough commanders, and within the boroughs we have divisions.

Paul Miano

Those chiefs routinely with the designated Office of Medical Affairs physician that oversees that borough or that division routinely meets with hospitals to discuss

Paul Miano

statistics, metrics, and work on improving, setting goals and improving on any areas that we can.

Joann Ariola

Okay.