Northern Dutchess Paramedic remains in service amid changes at Sharon Hospital

FALLS VILLAGE — Paramedic coverage in the Northwest Corner is continuing despite concerns raised last month after Sharon Hospital announced it would not renew its long-standing sponsorship agreement with Northern Dutchess Paramedic.

Northern Dutchess Paramedic (NDP), which has provided advanced life support services in the region for decades, is still responding to calls and will now operate alongside a hospital-based paramedic service being developed by Sharon Hospital, officials said at a public meeting Monday, Jan. 5, at the Falls Village Emergency Services Center.

“We haven’t missed a beat; we’re still taking calls,” said Andrea Downs, president of the Falls Village Volunteer Fire Department and an employee of NDP, speaking at the meeting, which was attended by ambulance squad members, first selectmen and representatives of Sharon Hospital.

Sharon Hospital announced Dec. 11 that it would not renew its annual agreement with NDP, ending a 28-year relationship and initially stating that service would cease Jan. 1. Hospital President and CEO Christina McCulloch said the decision was based on compliance concerns tied to the hospital’s role as sponsor.

“Being a sponsor is a big deal,” McCulloch said. “Our concerns were big enough that we couldn’t sign. It was a difficult decision.”

She said the hospital had discussed the issues with NDP representatives and cited unmet state requirements.

Without a sponsoring hospital, NDP could not operate in Connecticut. That issue was resolved when NDP finalized an agreement with Stamford Hospital, allowing it to continue providing services in the Northwest Corner.

At the same time, Sharon Hospital is establishing a hospital-based paramedic service through Nuvance/Northwell, owner of the hospital. Under the current model, the service consists of a single paramedic, who begins the day at New Milford Hospital before traveling to Sharon, prompting concerns from some volunteer ambulance crews about response times while that paramedic is in transit.

Addressing those concerns, hospital officials said while the new paramedic service covers a wide area, so too does NDP, which is based out of Rhinebeck. Some volunteer ambulance crews also said their concerns relate to the transition to two providers, with Sharon Hospital’s service still being built out and not yet fully stationed in Sharon.

Falls Village First Selectman David Barger asked whether more than one paramedic service could operate in the region.

“There could be more than one,” McCulloch said.

Matt Cassavechia, director of emergency services for Sharon Hospital, said Litchfield County Dispatch, which handles all ambulance and fire dispatching for the region, will call whichever paramedic service is available at the time of an emergency.

He acknowledged that the current arrangement could be improved and said the hospital hopes to expand on-site paramedic coverage in Sharon. Doing so would require state approval through a need-for-service application, which Cassavechia said would benefit from letters of support from the community and area first selectmen.

Several volunteer ambulance representatives expressed concern about how changes could affect basic life support services and volunteer operations. Cassavechia said the hospital does not intend to replace volunteer squads.

“We’re not snapping up patients,” he said. “That’s not what we do. We are deliberate and purposeful. We have zero intent of putting volunteers out of business.”

Questions were also raised about possible delays in transferring patients from Sharon Hospital to other facilities. McCulloch said the hospital has been experiencing high emergency room and inpatient volumes but has not seen unusual wait times.

Michelle Hansen of the Falls Village ambulance squad cited a recent case involving a cancer patient who needed to be transported to Yale New Haven Hospital and was reportedly told by Nuvance that there would be an upfront cost of $2,000. NDP ultimately completed the transport.

“That is certainly not our practice,” said Thomas Horkan, Sharon Hospital’s EMS coordinator. “As soon as we were made aware, we took corrective action. It was human error. I listened to the tape. It was unfortunate.”

State Rep. Maria Horn, D-64, attended the meeting to assess how the changes might affect patient care and costs. Cassavechia said billing practices vary among ambulance providers and that clearer rules of engagement would need to be established with local squads.

After the discussion, Sharon First Selectman Casey Flanagan said the outcome appeared reassuring.

“It seems we’re going to have bonus coverage,” he said. “So, I’m OK with this.”

Nuvance/Northwell employees host a Jan. 5 meeting on emergency service providers. From left: Matt Cassavechia, Sharon Hospital director of emergency services; Christina McCulloch, Sharon Hospital president and CEO; Thomas Horkan, Sharon Hospital EMS coordinator; and Dr. Ron Santos, Sharon Hospital emergency room director.By Ruth Epstein