Volunteer & rural EMS

Stronger people. Stronger systems. Organizations that last.

Redesigning Volunteer EMS helps volunteer and rural EMS organizations build stronger people, stronger systems, and sustainable organizations, so they're still answering the call for generations to come.

Explore the 360 Framework

Why this work matters

What differs is not the mission. It is the environment.

Across the country, volunteer and rural EMS agencies face unprecedented challenges: recruitment and retention struggles, leadership transitions, workforce shortages, financial pressures and increasing regulatory requirements. The agencies that thrive in the future will not be the ones that cling to yesterday's solutions. They will be the ones willing to adapt.

Quality emergency care shouldn't be determined by geography, call volume, staffing model or ZIP code. Volunteer and rural providers answer the same calls and carry the same responsibility as everyone else.

The 360 Framework

Three connected pillars. One stronger organization.

Education, Operations, and Leadership aren't separate problems. Nancy's 360 Framework works on all three together, because a gap in one shows up in the other two.

How the framework works

Education

Competent, confident providers

EMS education that builds clinical competence and confidence, so providers are ready when the call finally comes, regardless of call volume, staffing model, or geography.

  • Clinical competence and confidence
  • Conference education
  • Workshops and agency training
  • Teaching new EMS providers

Operations

Systems and organizations that last

Recruitment, retention, agency systems, and organizational sustainability for volunteer and rural EMS: the day-to-day work that decides whether an agency is still answering calls in ten years.

  • Recruitment and retention
  • Workforce sustainability
  • Organizational assessment and strategic planning
  • Community engagement

Leadership

People ready to lead through change

Leadership development, consulting, and presentations that prepare the people who lead EMS organizations: officers, boards, and the emerging leaders who will follow them.

  • Governance and board relationships
  • Officer and emerging-leader development
  • Accountability and financial stewardship
  • Culture and organizational change
  • Leadership succession

Agency Solutions

Where the conversation usually starts

“Volunteer EMS represents far more than a staffing model. It is a commitment to community, a responsibility to one another, and a belief that ordinary people can accomplish extraordinary things when they choose to serve.”

Nancy Magee
  1. Recruitment & Retention
  2. Organizational Assessment & Strategic Planning
  3. Leadership Development
  4. Governance & Sustainability
  5. Culture & Organizational Change
Portrait of Nancy Magee

Meet Nancy Magee

Educator, Consultant & Speaker

Nancy Magee has spent her career challenging the assumption that excellence in EMS is determined by geography, call volume, or staffing model.

Her work has focused extensively on volunteer and rural EMS, not because those agencies deserve different standards, but because they are often expected to meet the same standards while facing very different challenges.

Live community conversation

Pull up a chair. Let's talk volunteer EMS.

Redesigning Volunteer EMS PodChat is an informal live conversation for EMS volunteers. Volunteer EMS providers and leaders talk recruitment, retention, operations, leadership, management, sustainability, and whatever else is on everyone's mind that week.

See PodChat details

Weekly schedule

Wednesdays
8:00 PM Eastern

Check the PodChat page for cancellations, special topics, or guest hosts that week.

From the Field

Latest insights

All insights

Nancy's first insights are on the way

Visit Insights for updates.

Where Nancy will be

Upcoming events

All events

No upcoming events are listed right now

Planning a conference? Invite Nancy to speak.

Ready to start the conversation?

Whether your agency is struggling with recruitment, planning for leadership succession, evaluating sustainability, or looking for a conference speaker, Nancy is ready to help.