MCHD Daily EMS Deployment model

Daily Deployment consists of:

  • One Deputy Chief
  • Four Tahoes for District Chiefs
  • Twenty-three 24-hour ambulances 
  • Five to seven 12-hour peak ambulances

These units combined cover the approximate 1,100 square mile geography of Montgomery County, Texas. The system is designed to balance the competing demands of population-based call volume and geographic coverage. This requires a mixed deployment that places ambulances in outlying areas to cover the geography, regardless of call volume, and a concentration of units in the more populated areas of the county, especially along the I-45 corridor. The county is divided into four districts. Collectively, these units respond to 80,000+ calls per year.

First responders in ambulance
First responders in ambulance

MCHD Station Locations

27 stations are strategically located throughout the county.

Station locations are determined by using data and our deployment model to best locate areas that increase our ability to provide EMS coverage. Every station consists of living space, office space, kitchen, and bedrooms. EMS supplies are delivered to individual stations as needed.

Ems field operational structure

  • Deputy Chief – Single resource responsible for daily operations
  • District Chief – Four on-duty daily; clinically and operationally          manage 5-7 ambulances in their respective districts
  • Captain – Assigned to an ambulance, Field Training Officers, higher clinical authorization, and special projects as needed
  • In-Charge – Assigned to an ambulance, lead paramedic, higher clinical authorization than an Attendant, develops Attendants to be future ICs
  • Attendant – Assigned to an ambulance, the majority are paramedics, support and work in-conjunction with the ICs, training to become future ICs

This team works together to ensure our patients are receiving the highest level of care possible. Mentorship and professional development are a part of our culture and there are ample opportunities to promote through the ranks each year. 

First responders in ambulance
First responders in ambulance

employee-centric initiatives

MCHD is passionate about caring for our team.

  • Fatigue Risk Management & Downtime System
  • Critical Incident Stress Management response team 
  • Peer Support, Wellness, & Employee Recognition
  • Scheduling options that promote work-life balance 

These are just a few examples of MCHD programs that are focused on caring for our team. As an organization, we want your time at MCHD to be meaningful and fulfilling, like so many others who have spent their career here.

mchd core values

Our core values are a part of our culture. 

  • Accountability 
  • Compassion
  • Excellence 
  • Integrity 
  • Innovation 
  • Unity 

Our patients and our core values guide our decisions. Which one stands out to you? 

First responders in ambulance