San Francisco's Chief Tong highlights 85% EMS market share and community paramedicine progress

The San Francisco City Council meeting on July 4, 2025, focused on the progress and challenges of the community paramedicine division, highlighting significant improvements in service delivery and community engagement. Chief Tong presented a detailed report showcasing the division's efforts to assist individuals in need, noting a reduction in the number of incidents where individuals could not be located—from 36% to 15%. The street teams engaged over 1,100 individuals, surpassing the previous six-month average of 754.

Chief Tong emphasized the importance of respecting individuals' choices when they are approached for assistance. He explained that while the community paramedics assess and offer help, they cannot force individuals to accept services unless they meet specific criteria for acute crisis intervention. Notably, 29% of encounters resulted in individuals being transported to appropriate care, indicating a proactive approach to community health.

The meeting also featured commendations for the detailed nature of the report, with Vice President Nakagio expressing appreciation for the clarity and depth of information provided. He highlighted the significance of ongoing training for paramedics and the introduction of customized ambulances, which are currently out for bid. This development marks a notable advancement in the department's operational capabilities.

Commissioners discussed the complexities of addressing mental health issues, particularly in cases of hoarding, and the potential for collaboration with other services to provide comprehensive support. Chief Tong acknowledged the challenges faced by paramedics in these situations, emphasizing the need for a coordinated approach to mental health and community safety.

Overall, the meeting underscored the vital role of community paramedicine in San Francisco, showcasing its impact on public health and safety while addressing the ongoing challenges of engaging individuals in need of assistance. The commitment to regular reporting on these efforts was welcomed by the commissioners, who look forward to continued updates on the division's progress.