Regional EMS Transport Feasibility and Delivery Study

Location:	New Hampshire
Posted:	Nov 12, 2026
Due:	Dec 4, 2026
Agency:	Town of Goffstown
Type of Government:	State & Local
Category:	V - Transportation, Travel and Relocation Services
Publication URL:	To access bid details, please log in.

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Regional EMS Transport Feasibility and

Delivery Study Request for Proposals

REQUEST FOR PROPOSALS

Regional EMS Transport Feasibility and Delivery Study

The municipalities of Dunbarton, Goffstown, New Boston, and Weare seek proposals from

qualified, independent consultants to conduct a comprehensive Regional EMS Transport

Feasibility and Delivery Study. The study will evaluate current EMS transport capabilities

across participating communities and assess the potential advantages, challenges, and

long‑term viability of a regionalized EMS transport model.

The goal is to obtain an objective, data‑driven analysis that identifies sustainable strategies

for improving service reliability, operational efficiency, staffing stability, and financial

resilience across the region.

RFP Release: November 10, 2026

Questions Due: December 1, 2026, 1500hrs.

Proposals Due: December 4, 2026, 1500hrs.

Consultant Selection: December 14,2026 (Select Board Meeting)

Project Start: January 4th, 2027

Final Report Due: August 6th, 2027, 1500hrs

Select Board Presentations Completed prior to: October 1st, 2027

CONTACT, QUESTIONS AND CORRESPONDENCE

All contact, questions, and correspondence regarding the project and proposal shall be

directed to the following:

Fire Chief Benjamin Selleck

18 Church Street

Goffstown, NH 03045

603-384-3017

Benjamin.Selleck@GoffstownNH.gov

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Regional EMS Transport Feasibility and

Delivery Study Request for Proposals

Introduction

The municipalities of the Dunbarton, Goffstown, New Boston, and Weare seek proposals

from qualified, independent consultants to conduct a comprehensive Regional EMS

Transport Feasibility and Delivery Study. The study will evaluate current EMS transport

capabilities across participating communities and assess the potential advantages,

challenges, and long‑term viability of a regionalized EMS transport model.

The goal is to obtain an objective, data‑driven analysis that identifies sustainable strategies

for improving service reliability, operational efficiency, staffing stability, and financial

resilience across the region.

Background & Problem Statement

Communities across the region are experiencing increasing strain on EMS transport

systems due to rising costs, limited revenue recovery, recruitment and retention

challenges, and growing service demand. Local departments face challenges maintaining

sufficient staffing, funding capital replacements, meeting training requirements, and

ensuring reliable response capability.

Given these pressures, regionalization may offer opportunities for shared resources,

improved response efficiency, reduced duplication, and greater workforce stability. A

formal feasibility study is needed to determine whether regional coordination can meet

current and future EMS needs while maintaining service quality, accountability, and fiscal

responsibility.

Purpose of the Study

The study must deliver:

• A full assessment of current EMS transport operations.

• A comparative analysis of regional EMS delivery models used in NH, New England,

and across the U.S.

• Evaluation of feasibility, effectiveness, risks, and transition requirements for each

model.

• Scenario modeling with data-driven recommendations.

• An implementation plan with timelines, governance options, financial models, and

stakeholder engagement strategies.

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Regional EMS Transport Feasibility and

Delivery Study Request for Proposals

Scope of Work

The consultant shall provide a comprehensive evaluation that includes, at minimum, the

following components.

A. Current Situation Assessment

• Infrastructure

• Stations

a. Location

b. Apparatus

c. Workplace capacity

• Apparatus

a. Equipment

b. Licensure Level

c. Capability – Transport, Non-transport, ALS/BLS, fire equipment

• Logistics

a. Fuel Facilities

b. Maintenance Facilities

c. Training Rooms

d. Dispatch capabilities, costs, infrastructure, and interoperability

• Staffing

a. Number

b. Positions

c. Types – fulltime, part-time, per-diem

d. Recruitment

e. Retention

f. Roles

g. Efficiency

h. Schedules

• Call Volume

a. Total calls

b. Non-transport

c. Transport

d. ALS/BLS

e. Mutual Aid/Auto Aid

f. Response and transport trend analysis

• Financials

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Regional EMS Transport Feasibility and

Delivery Study Request for Proposals

a. Expenses, revenues, reimbursement, cost recovery, capacity

• Governance

• Strengths and weaknesses of existing systems

B. Resource Mapping

• Current stations – Assets and capabilities

• Fuel access (diesel/unleaded)

• Maintenance facilities and capabilities

• Emergency department locations and turnaround times

C. Operational Modeling & Response Analysis

• Geographic response-time mapping

• Drop‑T gap analysis NFPA 1710 & 1720

• Deployment modeling for peak periods, severe weather, MCIs

• Run card impact evaluation

• Evaluation of first response, tiered response, BLS/ALS transport capability

• Options for Mobile Integrated Health and community paramedicine

D. EMS Delivery Models Evaluation

• Examples of EMS regionalization models nationwide

• Strengths, weaknesses, sustainability analysis

• Governance and legal frameworks (districts, intermunicipal agreements,

authorities)

• Case studies with point of contact information and benchmarking of

comparable regional systems

• Applicability

E. Workforce Impact and Labor Considerations

• Staffing projections for each model

• Staffing impacts to current model

• Job preservation plans and career pathways

• Collective bargaining impacts

• Management structure needs (supervisors, medical director, CQI, fleet, HR)

• Performance review processes, discipline, and personnel administration

• Recruitment and retention strategies

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Regional EMS Transport Feasibility and

Delivery Study Request for Proposals

F. Financial Modeling & Cost Analysis for Viable Options

• Full cost projections (startup, transition, operational, capital)

• Comparison to current costs

• Revenue recovery modeling

• Reimbursement forecasting

• Funding options: grants, shared-cost models, multi-town cost allocation

formulas

• Long-term financial sustainability estimates

G. Technology, IT, and Interoperability

• CAD, ePCR, RMS interoperability

• Regional radio system analysis and coverage study

• Tablet and mobile device needs

• Data exchange, wireless connectivity, cybersecurity

• Standardization of medical equipment programming (Knox, medication vaults,

pumps)

H. Clinical Quality & Medical Oversight

• Review of current QI/CQI processes

• Medical director structure and scalability

• Clinical benchmarks and performance indicators

I. Legal, Governance & Oversight

• Evaluation of statutory requirements for regional EMS in NH

• Governance model options with pros/cons

• Liability, insurance, and risk-sharing

• Administrative oversight and accountability structures

• Required contracts, MOUs, joint powers agreements

J. Community Impact & Stakeholder Engagement

• Community expectations and service level priorities

• Public perception and communication strategies

• Stakeholder mapping: municipal leaders, personnel, healthcare partners

• Strategies to dispel myths and misinformation

• Political risk assessment and mitigation strategies

K. Implementation Plan

• For the three top recommended models, the consultant shall produce a

complete implementation roadmap including:

a. Transition milestones and realistic timelines

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This is the opportunity summary page. It provides an overview of this opportunity and a preview of the attached documentation.

Bid Title:	Regional EMS Transport Feasibility and Delivery Study
Category:	Fire
Status:	Open

Regional EMS Transport Feasibility and Delivery Study

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