top of page
EMS, Chief, Administration, consolidation, regionalization, third service, evaluation, system design, tactical EMS, ambulance

Jesse Yarbrough

Jesse oversees a department of 300 employees and 90,000 calls for service each year.  He has experience in working with  labor unions, attorneys, human resources and multiple government agencies and political structures.  Starting in 2005 as an EMT with the department, he has continued to move through the ranks, becoming the Chief of EMS in 2021.

Jesse and I became acquainted through a third service EMS group.  His passion for quality and excellence was evident to me from our first meeting.  

​

Areas of Expertise

  • ESO Data

  • Disciplinary and complaint investigations 

  • Professional writing

  • Collaboration in multi-agency counties

  • Collaboration with external agencies (LE, fire, federal partners)

  • Tactical medicine

  • Active shooter response

  • SOP/SOG creation/revision 

​

​

Experience and Accomplishments

Chief of EMS
Louisville Metro EMS
02/2021 - Present


Achievements/Tasks
Responsible for overall clinical, operational, support, and administrative functions
Works collaboratively with labor unions, attorneys, human resources, employees, internal and external stakeholders to prevent and
resolve issues
Tasked with revitalizing and restructuring agency to increase effectiveness and maximize efficiencies
Part of multi-agency, cross-functional team responsible for ~$25m computer aided dispatch upgrade impacting every public safety
agency in Jefferson County

Responsible for development of alternative EMS programs to decrease overtime, increase recruitment and retention, and decrease low-
acuity EMS calls for service

​

Lieutenant Colonel - Assistant Director of Operations
Louisville Metro EMS
09/2015 - 02/2021


Achievements/Tasks
Responsible for developing and monitoring key performance indicators for operational metrics
Responsible for interviewing lateral and promotional applicants and making hiring recommendations
Provided trainings to community groups, churches, professional organizations on the opiate crisis to include safety issues, recognition of
overdose, naloxone administration
Provided training to newly assigned tactical medicals and physicians as well as police officers on topics such as officer rescue, self-care,
and tactical medical considerations in environmental extremes


Paramedic-II/Major
Louisville Metro EMS
10/2011 - 09/2015


Achievements/Tasks
Supervised day-to-day operations for the busiest portion of Jefferson county with the highest concentrated run volume
Mentored new and existing employees to improve job performance and critical thinking abilities
Successfully resolved many complaints, personnel issues, and protocol/policy violations through mediation, remedial training, and
education, which kept employees on-the-job and prevented unnecessary discipline and overtime costs
Participated in several focus groups that analyzed and revised ways in which job tasks were performed to further improve availability,
efficiency, and effectiveness of Operations Officers

​

Paramedic-I
Louisville Metro EMS
11/2005 - 10/2011


Achievements/Tasks
Provided prehospital emergency medical care to the citizens and visitors of Louisville Metro
Served as a field training officer for new employees and students
Served an extended period assigned to Louisville Metro EMS Headquarters as a Quality Assurance Officer participating in a number of
projects including revision of the field training program, analyzing and improving metrics focused on clinical performance, improving and
maintaining electronic patient care report (ePCR) interface
Served as instructor for both in-house and private paramedic and EMT training programs

 

Emergency Medical Technician
Louisville Metro EMS
03/2005 - 11/2005


Achievements/Tasks
Provided prehospital emergency care to the citizens and visitors of Louisville Metro

 

HONORS AND AWARDS
2008 Paul C. Harris Fellow
Rotary Club International
2006 Rookie of the Year
Louisville Metro EMS

 

PROFESSIONAL DEVELOPMENT
Ignite Louisville (10/2016 - 04/2017)
Leadership Louisville

2007 Crew of the Year
Louisville Metro EMS

​

CERTIFICATES
National Registry Paramedic Kentucky Board of EMS - Paramedic
Kentucky Board of EMS - EMS Instructor Kentucky Board of EMS - Evaluator
Advanced Cardiac Life Support Provider Pediatric Advanced Life Support Provider
Basic Life Support Provider Tactical Emergency Casualty Care Provider
Tactical Medical Practitioner FAA Part 107 sUAS Pilot

​

PUBLICATIONS


Textbook Chapter
Paramedic Practice Today
2006
Mosby/Elsevier
Chapter 31 - Infectious and Communicable Diseases

​

Textbook Chapter
Avoiding Common Prehospital Errors
2012
Lippincott, Williams & Wilkins
Chapter 29, "Use morphine with caution in the treatment of
acute cardiogenic pulmonary edema" and Chapter 30, "To PE or
not to PE? Don't forget embolism in the patient with shortness
of breath"

​

EDUCATION
Masters of Arts: Homeland Security and Defense
Naval Postgraduate School
03/2024 – 09/2025 (expected matriculation)


Bachelor of Science: Workforce Development
University of Louisville


09/2010 - 12/2014
Paramedic


Know-How, Inc
08/2004 - 04/2005

bottom of page