Emergency Medical and Integrated Healthcare Services

The “Emergency Medical Services” Section has changed its name to the “Emergency Medical and Integrated Healthcare Services” Section.


Over the course of forty plus years, pre-hospital medicine has evolved. In the late 60’s, the first iteration of a standardized Emergency Medical Technician (EMT) curriculum came into existence, one which addressed specific skills and qualifications. Later, in the early 70’s, an Emergency Medical Technician – Paramedic curriculum also came into existence. These provider levels became the staple for what has come to be commonly known as Emergency Medical Services (EMS).

Since that time, EMS has progressed. Scope of practice has greatly expanded, requisite skills, training, and education have increased, and traditional fire departments have gradually accepted the reality that aside from law enforcement, EMS has (and remains) the primary reason why our residents call for emergent help. In many respects, we have evolved into an “EMS-based fire department.” Expanding upon on “all-hazards” approach to emergency response, the MCFRS has taken another step with the introduction of Mobile Integrated Healthcare (MIH).

MIH addresses the growing disparity between the volume of emergency 911 calls we respond and the limited availability of our EMS resources. We recognized a growth in 911 calls is often attributable to low-priority calls from frequent 911 users. Through partnerships with local hospitals, the health department, and various community groups, MIH targets these individuals and works to pair them with a variety of existing community-based medical and social programs. The net result is these users are better served because they ultimately receive more appropriate types and levels of healthcare which meet their specific needs. And, emergency response capabilities remain available to serve our residents who are experiencing high priority emergency medical events.

Since MIH works in tandem with EMS, it makes sense to rename our section to something which is more appropriate and fitting of our current mission: Emergency Medical and Integrated Healthcare Services.


EMIHS Leadership Team

Assistant Chief Alan Butsch


Operations Captain Ben Kaufman


Dr. Roger Stone, MD - Medical Director


Avital Graves, MBA, MHA, NRP - MIH Program Manager



EMIHS Administrative Support:

  • Laura Murdock, Captain (Quality Assurance)
  • Ty Dement, Captain (Quality Assurance)
  • Tim Burns, Captain (Quality Improvement)
  • Dean Elliott, Lieutenant (Executive Officer)
  • Ms. Shanice Tsui, Records Management Coordinator
  • Ms. Pilley Doe, RN, MIH Community Health Nurse
  • Mr. Michael Djan, MIH Data Analyst


Emergency Medical Services (EMS)
Duty Officers and Response Areas



EMS703 (Station 32)

Captain William Phelps (A-Shift)

Captain Dwayne Dutrow (B-Shift)

Captain Peter Dugan (C-Shift)

Covers Battalion 2 (Stations 20, 26, 10, 30), Battalion 3, and Battalion 5

Liaises with Shady Grove Adventist Hospital, Suburban Hospital, Germantown Emergency Center, and Holy Cross–Germantown Hospital.

EMS704 (Station 18)

Captain Tyrone Dement (A-Shift)

Captain Jason Giza (B-Shift)

Captain Jamie Baltrotsky (C-Shift)

Covers Battalion 1, Battalion 2 (Stations 6, 7, 11, Rescue 1), and Battalion 4

Liaises with Holy Cross Hospital-Silver Spring, Washington Adventist Hospital, and Medstar Montgomery Medical Center.

EMS Duty Officer - Relief Shift

Captain Stacey Jones

Emergency Medical and Integrated Healthcare Services (EMIHS) is organizationally situated under the MCFRS Division of Operations. Working closely with the Maryland Institute for Emergency Medical Services Systems (MIEMSS), our local fire and rescue corporations, career and volunteer labor representatives, the Fire and Emergency Services Commission (FESC), Montgomery County’s Health and Human Services (HHS), the County Medical Society, and other stakeholder agencies within county government, EMIHS is responsible for:

  • Overseeing the delivery of Basic Life Support (BLS) and Advanced Life Support (ALS) treatment and transportation services;
  • administering in-county Mobile Integrated Healthcare (MIH) initiatives;
  • spearheading the development of internal policies applicable to EMS deliverables;
  • providing Quality Improvement (QI) and Quality Assurance (QA) oversight for in-county EMS care;
  • participating in the development and administration of EMS training initiatives;
  • assisting with the defining EMS equipment specifications;
  • ensuring effective EMS communications systems coordination;
  • providing operations support (e.g. secondary response, quality assurance, etc.) for all emergency response providers;
  • ensuring MCFRS compliance with the Health Insurance Portability and Accountability Act (HIPAA) and federal and state regulations; and
  • administering the majority of MCFRS’ legal obligations relating to the retention and disclosure of patient care and other operational reports and records.

Public Access Automated External Defibrillators (AED)

For Public AED Information, please click HERE

Mobile Integrated Health Program

MCFRS’ Mobile Integrated Health program identifies frequent callers to 911 and strives to avert unnecessary ambulance transports, emergency department visits, and hospital admissions/readmissions, while ultimately improving patient outcomes. Experience has shown that when a citizen accesses 911 several times within a short time frame, there are often larger unmet needs that must be addressed. The focus of this program is to identify specific healthcare resources our frequent callers of 911 need and, through direct engagement, leverage those resources through an interagency partnership with the Montgomery County Department of Health and Human Services, our six local hospitals, and a variety of public and private care providers. Clients enter our program through a referral-based system. Referrals typically come from our EMS providers and hospital partners.

Program Manager:  Avital Graves, MBA, MHA, NRP, 240-773-4798,