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Frequently Asked Questions




1. What is an emergency services district?

Emergency services districts are political subdivisions formed under the Texas Constitution and governed by Chapter 775, Texas Health and Safety Code. These districts have the constitutional and statutory authority to provide emergency medical services to residents of their area. Emergency services districts use tax revenue to provide emergency services to residents directly or through a third-party emergency services provider, like a private ambulance company. Providing services directly has become increasingly popular with emergency services districts, since it cuts out the middleman, which reduces costs, streamlines communications, and allows for greater transparency concerning the use of tax revenue.

2. How often does ESD 11’s Board of Commissioners meet?

ESD 11 regular board meetings are held on the third Thursday of each month at 9 a.m. unless otherwise noted. Meetings are held at ESD 11’s new campus at 18334 Stuebner Airline Road in Spring, Texas, and agendas for such meetings can be accessed here.

3.What is the purpose of executive session?

Texas law requires that all ESD 11 Board meetings are open to the public. When the Commissioners go into executive session, however, the public is asked to leave the Board meetings so that Commissioners can speak with ESD 11’s attorneys about confidential topics or confer with ESD 11 staff on other confidential matters. Just like other governmental entities, Texas law allows the ESD 11 Board to speak confidentially with its attorneys about certain issues, such as any attorney/client privileged matters or pending or threatened litigation. The Board can also review personnel issues, real estate transactions, and security matters in executive session.

4.Why is executive session so long?

By law, the ESD 11 Board can only discuss ESD 11 business at public meetings that have been properly noticed via a posted agenda. Because executive sessions can only be held at Board meetings, the Commissioners have limited opportunities (sometimes only once a month) for these discussions.

5. How can I learn more about decisions made by ESD 11?

ESD 11 Board meetings are open to the public, and the agenda is posted online at least 72 hours prior to all scheduled meetings. Additionally, A live stream of the meeting is available on the ESD 11 website here. A video recording of each meeting can be found here. Minutes of each meeting are also posted on the website once approved by the Board and can be found here.

About ESD 11’s New Ambulance Service

1. What will ESD 11’s new ambulance service be called?

The official name of ESD 11’s new ambulance service is Harris County ESD 11 Mobile Healthcare.

2. What are the benefits of starting a new ambulance service?

When Harris County ESD 11 Mobile Healthcare launches Sept. 1, 2021, residents should expect the quality of service to increase significantly because ESD 11 is hiring an incredible team and plans to provide nine additional ambulances at less cost to taxpayers.

3. Will it cost ESD 11 more to run Harris County ESD 11 Mobile Healthcare?

No, ESD 11 expects to pay less for more. Harris County ESD 11 Mobile Healthcare’s Chief Executive Officer Doug Hooten estimates taxpayer funding of approximately $10 million will be required to put 28 ambulances on the street in 2022. For comparison, ESD 11 has historically provided CCEMS with taxpayer funding of approximately $16 million per year for only 19 ambulances. By providing its own emergency medical services, ESD 11 will save about $6 million per year for nine additional ambulances in service.

4. What does the creation of Harris County ESD 11 Mobile Healthcare mean for the standard of care for residents?

The standard of emergency medical care will improve. By centralizing operations, increasing efficiency, and implementing new, cutting-edge technology and services, ESD 11 residents will enjoy the benefits of a higher quality emergency medicine/mobile health service.

5. Will the creation of ESD 11’s ambulance service leave local EMS employees out of jobs?

CCEMS has told its staff they are free to seek work with ESD 11, and ESD 11 Mobile Healthcare welcomes all qualified candidates. ESD 11 expects that residents will see a lot of the same faces on the streets come September. ESD 11 Mobile Healthcare is excited to offer industry-competitive compensation and an incredible suite of health and retirement benefits.

6. Who is the new Executive Director of Harris County ESD 11 Mobile Healthcare?

In December 2020, ESD 11 hired Doug Hooten as its first Chief Executive Officer. With more than 35 years in the EMS field, Mr. Hooten directly oversees and manages the emergency medical services operations. He reports to the ESD 11 Board of Commissioners and provides expert guidance as ESD 11 starts a new chapter in providing emergency medical services. To learn more about Mr. Hooten click here.

7. Who are the other leaders in charge of running ESD 11 Mobile Healthcare?

The ESD 11 Mobile Healthcare executive team includes:

8. What infrastructure does ESD 11 have to support ESD 11 Mobile Healthcare?

ESD 11 purchased 43 acres at 18334 Stuebner Airline Road in Spring, Texas. Here, ESD 11 is building its state-of-the-art headquarters where ESD 11 Mobile Healthcare and its employees can train, work, and grow. The campus will contain six buildings, including the ESD 11 main administration building, its ambulance deployment center, a fleet maintenance facility, and an ambulance car wash. ESD 11 will also build a 164-foot tower for its new communications system.