The REMSCO and REMAC are volunteer bodies comprised of EMS clinicians, agency leaders, educators, and physicians with a charge “to coordinate, plan, and improve regional emergency medical services, including assessing public need for new services, approving training, overseeing mutual aid plans, and ensuring quality care” as defined by Article 30 of Public Health Law.

Support for the REMSCO and REMAC is provided by the Monroe-Livingston Program Agency which is delivered through contract between the University of Rochester Division of Prehospital Medicine and the New York State Department of Health, Division of EMS. This contract supports out-of-hospital clinical care through policy development, quality improvement activities, protocol advancement, and variance reviews. The physicians and staff of the Program Agency, the REMSCO, and REMAC interface with EMS clinicians and other stakeholders including hospitals, urgent care facilities, fire departments, and dispatch centers to enhance patient safety and advance clinical care across our region.