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This study was launched in January 2020 to examine the state of Emergency Medical Services (EMS) in Jefferson County and possible options to enhance regional collaboration and service levels. The study was commissioned by Jefferson County as a follow-up to a similar research project in 2019 that explored the potential for service sharing among all of the major municipal functions in the county, based on functional areas identified by county and municipal administrators. That project resulted in the release of Greater Than the Sum in February 2020, a report that found particular opportunities in the area of fire and rescue services and that further supported the deeper dive into EMS that is undertaken in this report.
Consideration of shared or consolidated local government services has become commonplace in recent years across the state of Wisconsin. In light of strict property tax levy limits facing Wisconsin municipalities and