Common use of Response Time Areas Clause in Contracts

Response Time Areas. A. Response Time Areas may be modified by the MVEMSA based upon updated population or census data in collaboration with the EMSC. If Response Time Areas are modified and Contractor demonstrates an associated financial impact, the MVEMSA agrees to meet and confer with Contractor over that impact to cost or revenue. B. There are four (4) types of Response Time Areas depicted graphically in Exhibit 4 by square grids; 1. Urban– Brown numbered square grids; 2. Suburban– Light blue numbered square grids; 3. Rural– Green numbered square grids; 4. Wilderness– White numbered square grids. C. The Stanislaus County EMS System is a tiered first responder system consisting of EMR volunteer fire departments, EMT fire departments and ALS fire departments. The chart below demonstrates response time requirements for each type of fire first response agency. Response times shall be in whole minutes with seconds. D. Emergency ambulance Response Time Standards include the opportunity for Contractor and fire first responder agencies, responding in Contractors authorized response zone’s, to work collaboratively responding to 9-1-1 medical emergencies. The Contractor shall negotiate to enter into a First Responder Agreement with fire agencies within its authorized response zones unless a fire agency declines to enter into an agreement. E. The Contractor shall negotiate in good faith with the fire agencies located within its authorized response zones to develop a reimbursement rate structure based on the savings Contractor realizes through the extended response standard. Compensation may be financial, services or similar and must be approved by MVEMSA. A qualified response is a request for a fire response asset in accordance with SR911 Policy 801, dated 10-25-17 (Exhibit 9) or a request for a fire response by VRECC. Any change in SR911 Policy 801 that changes the triage protocol shall not be considered a qualified response unless authorized by the MVEMSA Medical Director. 1. Contractor agrees to provide the following services to the fire stations/apparatus located within the Contractors authorized response area for Stanislaus Consolidated Fire Department, Oakdale City Fire Department and Oakdale Rural Fire Department in exchange for its participation in the fire first responder program: a. Contractor shall supply tablets/laptops for all first-out apparatus consistent with those utilized by the First Responder Agency within the AMR EOA. Cost per unit not to exceed $2500/unit. Contractor not responsible for maintenance or replacement units. Any cost associated with necessary upgrades to operating software to continue utilizing MEDS shall be paid by the Contractor. b. Provide annual MEDS software/licensing support for above laptop/tablets. Cost not to exceed 200% of Contractor’s ePCR annual licensing (EMSOutfielder currently $389) c. Contractor shall provide an agreed-upon cache of disposable medical supplies, excluding pharmaceuticals. d. Contractor shall resupply all disposable medical supplies, excluding pharmaceuticals and oxygen at the scene of an EMS incident unless impractical due to patient condition. e. Contractor shall resupply EMS portable oxygen to first responder fire agencies above through Contractor’s Respiratory department according ot established District Policy and Procedures. F. A qualified response is a request for a fire response asset in accordance with SR911 Policy 801, dated 10-25-17 or a request for a fire response by VRECC. Any change in SR911 Policy 801 that changes the triage protocol shall not be considered a qualified response unless authorized by the MVEMSA Medical Director. Reimbursement is paid per incident, regardless of the number of fire assets dispatched to the call. G. In the absence of fire first responder agreements, Contractor must meet all response time requirements at 90% compliance, in all areas accordance to the chart below. Call Type Fire First Responder Agreement Ambulance with Fire First Responder Agreement Ambulance without Fire Agreement Code 3 7:00 11:59 (ALS) 7:59 9:59 (EMT) 8:59 (EMR) Code 2 N/A 15:59 15:59 Code 3 11:00 15:59 (ALS) 11:59 13:59 (EMT) 12:49 (EMR) Code 2 N/A 19:59 19:59 Code 3 19:00 23:59 (ALS) 19:59 21:59 (EMT) 20:59 (EMR) Code 2 N/A 25:59 25:59

Response Time Areas. A. Response Time Areas may be modified by the MVEMSA based upon updated population or census data in collaboration with the EMSC. If Response Time Areas are modified and Contractor demonstrates an associated financial impact, the MVEMSA agrees to meet and confer with Contractor over that impact to cost or revenue. B. There are four (4) types of Response Time Areas depicted graphically in Exhibit 4 by square grids; 1. UrbanUrban – Brown numbered square grids; 2. SuburbanSuburban – Light blue numbered square grids; 3. RuralRural – Green numbered square grids; 4. WildernessWilderness – White numbered square grids. C. The Stanislaus County EMS System is a tiered first responder system consisting of EMR volunteer fire departments, EMT fire departments and ALS fire departments. The chart below demonstrates response time requirements for each type of fire first response agency. Response times shall be in whole minutes with seconds. D. Emergency ambulance Response Time Standards include the opportunity for Contractor and fire first responder agencies, responding in Contractors authorized response zone’s, to work collaboratively responding to 9-1-1 medical emergencies. The Contractor shall negotiate to enter into a First Responder Agreement with fire agencies within its authorized response zones zone unless a fire agency declines to enter into an agreement. E. The Contractor shall negotiate in good faith with the fire agencies located within its authorized response zones zone to develop a reimbursement rate structure based on the savings Contractor realizes through the extended response standard. Compensation may be financial, services or similar and must be approved by MVEMSA. A qualified response is a request for a fire response asset in accordance with SR911 Policy 801, dated 10-25-17 (Exhibit 9) or a request for a fire response by VRECC. Any change in SR911 Policy 801 that changes the triage protocol shall not be considered a qualified response unless authorized by the MVEMSA Medical Director. 1. Contractor agrees to provide Reimbursement, if any is paid per incident, regardless of the following services number of fire assets dispatched to the fire stations/apparatus located within the Contractors authorized response area for Stanislaus Consolidated Fire Department, Oakdale City Fire Department and Oakdale Rural Fire Department in exchange for its participation in the fire first responder program: a. Contractor shall supply tablets/laptops for all first-out apparatus consistent with those utilized by the First Responder Agency within the AMR EOA. Cost per unit not to exceed $2500/unit. Contractor not responsible for maintenance or replacement units. Any cost associated with necessary upgrades to operating software to continue utilizing MEDS shall be paid by the Contractor. b. Provide annual MEDS software/licensing support for above laptop/tablets. Cost not to exceed 200% of Contractor’s ePCR annual licensing (EMSOutfielder currently $389) c. Contractor shall provide an agreed-upon cache of disposable medical supplies, excluding pharmaceuticals. d. Contractor shall resupply all disposable medical supplies, excluding pharmaceuticals and oxygen at the scene of an EMS incident unless impractical due to patient condition. e. Contractor shall resupply EMS portable oxygen to first responder fire agencies above through Contractor’s Respiratory department according ot established District Policy and Procedurescall. F. A qualified response is a request for a fire response asset in accordance with SR911 Policy 801, dated 10-25-17 or a request for a fire response by VRECC. Any change in SR911 Policy 801 that changes the triage protocol shall not be considered a qualified response unless authorized by the MVEMSA Medical Director. Reimbursement is paid per incident, regardless of the number of fire assets dispatched to the call. G. In the absence of fire first responder agreements, Contractor must meet all response time requirements at 90% compliance, in all areas zone’s accordance to the chart below. Call Type Fire First Responder Agreement Ambulance with Fire First Responder Agreement Ambulance without Fire Agreement Code 3 7:00 11:59 (ALS) 7:59 9:59 (EMT) 8:59 (EMR) Code 2 N/A 15:59 15:59 Code 3 11:00 15:59 (ALS) 11:59 13:59 (EMT) 12:49 (EMR) Code 2 N/A 19:59 19:59 Code 3 19:00 23:59 (ALS) 19:59 21:59 (EMT) 20:59 (EMR) Code 2 N/A 25:59 25:59 A. Dispatch CAD data and the FirstWatch On-line Compliance Utility (“OCU”) application shall be used to monitor and calculate response times. Ambulance Response Time standards are designed to provide the appropriate pre-hospital response appropriate to the patient status. Response Time and compliance will be measured and reported on a fractile basis. B. Response Time specifications reflect a performance-based perspective rather than a level of effort undertaking involving defined locations. Contractor shall commit to necessary resources to achieve the Response Time standards for ambulance service requests located within the EOA. Contractor shall deploy ambulance resources in a manner consistent with this goal. C. Each incident is a separate response. D. Each incident will be counted as a single response regardless of the number of units that are utilized. E. The Response Time of the Contractor’s first arriving emergency ambulance will be used to compute Contractor’s Response Time for that incident. This includes ambulance response from an entity requested to provide Mutual Aid for the Contractor. Contractor shall alert dispatch of all paramedic Field Supervisor and/or paramedic QRV responses to the scene of an emergency and all associated times shall be documented. Paramedic Field Supervisor and/or paramedic QRV response times shall be utilized for purposes of computing Response Time compliance for a maximum of four minutes on Code 2 or Code 3 incidents.

Response Time Areas. A. Response Time Areas may be modified by the MVEMSA based upon updated population or census data in collaboration with the EMSC. If Response Time Areas are modified and Contractor demonstrates an associated financial impact, the MVEMSA agrees to meet and confer with Contractor over that impact to cost or revenue. B. There are four (4) types of Response Time Areas depicted graphically in Exhibit 4 by square grids; 1. Urban– Brown numbered square grids; 2. Suburban– Light blue numbered square grids; 3. Rural– Green numbered square grids; 4. Wilderness– White numbered square grids. C. The Stanislaus County EMS System is a tiered first responder system consisting of EMR volunteer fire departments, EMT fire departments and ALS fire departments. The chart below demonstrates response time requirements for each type of fire first response agency. Response times shall be in whole minutes with seconds. D. Emergency ambulance Response Time Standards include the opportunity for Contractor and fire first responder agencies, responding in Contractors authorized response zone’s, to work collaboratively responding to 9-1-1 medical emergencies. The Contractor shall negotiate to enter into a First Responder Agreement with fire agencies within its authorized response zones zone unless a fire agency declines to enter into an agreement. E. The Contractor shall negotiate in good faith with the fire agencies located within its authorized response zones to develop a reimbursement rate structure based on the savings Contractor realizes through the extended response standard. Compensation may be financial, services or similar and must be approved by MVEMSA. A qualified response is a request for a fire response asset in accordance with SR911 Policy 801, dated 10-25-17 (Exhibit 9) or a request for a fire response by VRECC. Any change in SR911 Policy 801 that changes the triage protocol shall not be considered a qualified response unless authorized by the MVEMSA Medical Director. Reimbursement, if any is paid per incident, regardless of the number of fire assets dispatched to the call. 1. Contractor agrees to provide the following services to the fire stations/apparatus located within the Contractors authorized response area for Stanislaus Consolidated Fire Department, Oakdale City Fire Department and Oakdale Rural Xxxxxx Fire Department in exchange for its participation in the fire first responder program: a. Contractor shall supply tablets/laptops for Resupply of all first-out apparatus consistent with those utilized by the First Responder Agency within the AMR EOA. Cost per unit not to exceed $2500/unit. Contractor not responsible for maintenance or replacement units. Any cost associated with necessary upgrades to operating software to continue utilizing MEDS shall be paid by the Contractor.disposable supplies used on an EMS incident b. Provide annual MEDS software/licensing support for above laptop/tablets. Cost not to exceed 200% of Contractor’s ePCR annual licensing (EMSOutfielder currently $389)Collaborate on one EMT course per year c. Contractor shall provide an agreed-upon cache of disposable medical supplies, excluding pharmaceuticals. d. Contractor shall resupply all disposable medical supplies, excluding pharmaceuticals Collaborate on joint training and oxygen at the scene of an EMS incident unless impractical due to patient condition. e. Contractor shall resupply EMS portable oxygen to first responder fire agencies above through Contractor’s Respiratory department according ot established District Policy and Procedures.continuing education F. A qualified response is a request for a fire response asset in accordance with SR911 Policy 801, dated 10-25-17 or a request for a fire response by VRECC. Any change in SR911 Policy 801 that changes the triage protocol shall not be considered a qualified response unless authorized by the MVEMSA Medical Director. Reimbursement is paid per incident, regardless of the number of fire assets dispatched to the call. G. In the absence of fire first responder agreements, Contractor must meet all response time requirements at 90% compliance, in all areas accordance to the chart below. Call Type Fire First Responder Agreement Ambulance with Fire First Responder Agreement Ambulance without Fire Agreement Code 3 7:00 11:59 (ALS) 7:59 9:59 (EMT) 8:59 (EMR) Code 2 N/A 15:59 15:59 Code 3 11:00 15:59 (ALS) 11:59 13:59 (EMT) 12:49 (EMR) Code 2 N/A 19:59 19:59 Code 3 19:00 23:59 (ALS) 19:59 21:59 (EMT) 20:59 (EMR) Code 2 N/A 25:59 25:59