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In New York City
New York, often called New York City or NYC, is the List of United States cities by population, most populous city in the United States. With a 2020 population of 8,804,190 distributed over , New York City is also the L ...
, a voluntary ambulance is an ambulance
An ambulance is a medically equipped vehicle which transports patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport.
Ambulances are used to respond to med ...
operated by a hospital
A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergen ...
that serves New York City's 911 system. Staffed by personnel employed by the hospital, these ambulances respond to 911
911 or 9/11 may refer to:
Dates
* AD 911
* 911 BC
* September 11
** 9/11, the September 11 attacks of 2001
** 11 de Septiembre, Chilean coup d'état in 1973 that outed the democratically elected Salvador Allende
* November 9
Numbers
* 911 ...
calls at the direction of the New York City Fire Department Bureau of EMS (FDNY EMS) dispatch. The 25 hospitals that participate in the system, also known as ''voluntary hospitals'', provide 37% of ambulance tours in the city. These include the Northwell
Northwell Health is a nonprofit integrated healthcare network that is New York State's largest healthcare provider and private employer, with more than 81,000 employees.
The flagship hospitals of Northwell are North Shore University Hosp ...
, NewYork-Presbyterian The NewYork-Presbyterian Hospital is a nonprofit academic medical center in New York City affiliated with two Ivy League medical schools, Cornell University and Columbia University. The hospital comprises seven distinct campuses located in the New Y ...
, NYU Langone Health, and Mount Sinai
Mount Sinai ( he , הר סיני ''Har Sinai''; Aramaic: ܛܘܪܐ ܕܣܝܢܝ ''Ṭūrāʾ Dsyny''), traditionally known as Jabal Musa ( ar, جَبَل مُوسَىٰ, translation: Mount Moses), is a mountain on the Sinai Peninsula of Egypt. It ...
health networks, as well as Jamaica Hospital Medical Center
Jamaica Hospital Medical Center is a private, non-profit teaching hospital and emergency facility in the Jamaica neighborhood of Queens, New York City, on the service road of the Van Wyck Expressway at Jamaica Avenue. The hospital is a clinical c ...
Voluntary ambulance personnel operate with the same medical guideline
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practic ...
s and equipment
Equipment most commonly refers to a set of tools or other objects commonly used to achieve a particular objective. Different job
Work or labor (or labour in British English) is intentional activity people perform to support the needs and ...
as FDNY EMS ambulances.http://www.nycremsco.org/ Regional Emergency Medical Services Council of New York City They have distinct ambulance markings and uniforms, but display FDNY EMS member insignias on their ambulance doors.
Voluntary ambulances coordinate care with all emergency receiving hospitals in the city, and are required to be neutral with respect to transport destination. Under the Emergency Medical Treatment and Active Labor Act The Emergency Medical Treatment and Active Labor Act (EMTALA) is an act of the United States Congress, passed in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). It requires hospital emergency departments that accept paym ...
, they are prohibited from preferentially "steering" patients to their own hospitals.
History
In the late 1980s, the EMS division of the New York City Health and Hospitals Corporation (HHC) was unable to handle the full load of 911 calls and asked hospitals to provide ambulances to the 911 system. In 1996, the HHC's EMS division was absorbed by theNew York City Fire Department
The New York City Fire Department, officially the Fire Department of the City of New York (FDNY), is an American department of the government of New York City that provides fire protection services, technical rescue/special operations services, ...
(FDNY) to bring in revenue to avoid closing firehouses.
In December 2010 the Mayor of New York City
The mayor of New York City, officially Mayor of the City of New York, is head of the executive branch of the government of New York City and the chief executive of New York City. The mayor's office administers all city services, public property ...
and the FDNY announced a plan to charge hospitals to participate in New York City's 911 system. The city aimed to collect $8.7 million from the hospitals to help cover the cost of telemetry
Telemetry is the in situ collection of measurements or other data at remote points and their automatic transmission to receiving equipment (telecommunication) for monitoring. The word is derived from the Greek roots ''tele'', "remote", an ...
and emergency medical dispatch. Critics argued that this would have disincentivised voluntary hospitals from contributing in the 911 system and thereby put additional work on the FDNY.
Popular Culture
The 1999 supernatural drama film ''Bringing Out the Dead
''Bringing Out the Dead'' is a 1999 American psychological drama film directed by Martin Scorsese and written by Paul Schrader, based on the novel of the same name by Joe Connelly. It stars Nicolas Cage, Patricia Arquette, John Goodman, V ...
'' involves voluntary hospital paramedics in New York City.
References