Overview

The Emergency Medical Services System Director provides executive leadership,
strategic direction, and operational oversight of Houston’s EMS System. This role
is responsible for ensuring clinical excellence, regulatory compliance, fiscal
stewardship, workforce readiness, and system-wide integration with public safety
and healthcare partners.

Key responsibilities include:
• Directing all clinical EMS operations, clinical services, and administrative
functions, with command oversight of high-acuity responses, mass-casualty
incidents, and tactical medical deployments
• Establishing system-wide clinical and operational policies, protocols, and
performance standards aligned with disaster medicine, trauma care, and
law-enforcement/first-responder integration
• Leading emergency preparedness, large-scale disaster response, and
special event medical operations, including incident command participation,
surge capacity planning, and inter-agency coordination
• Overseeing quality assurance, clinical outcomes, and continuous
improvement initiatives, with a focus on trauma system performance, disaster
response readiness, and after-action review implementation
• Participates in management of EMS budgets, contracts, grants, and vendor
relationships, including funding streams that support disaster preparedness,
tactical equipment, training, and resilience initiatives
• Oversees Associate and Assistant Medical Directors as well as support staff
to include CQI and education personnel
• Serving as a senior medical advisor to City leadership on EMS operations,
disaster and public health preparedness, tactical medicine, and system-wide
emergency response performance

About City of Houston

The City of Houston Emergency Medical Services (EMS) System is a critical component of the City’s public safety
and emergency response infrastructure. Serving one of the largest and most diverse metropolitan populations in
the United States, Houston EMS as part of the Houston Fire Department delivers basic and advanced life support,
emergency medical response, patient transport, disaster response, and special event medical services.

The EMS System works collaboratively with Houston Fire Department, regional hospitals, public health agencies,
emergency management partners, and law enforcement to ensure rapid, coordinated, and high-quality
prehospital care. The system plays a vital role in large-scale emergency preparedness, public health
emergencies, and citywide resilience initiatives.