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EMERGENCY MEDICAL SERVICES -I:ST RESPONDER ADVANCED LIFE SUPPORT AGREEMENT (REV 2/17/11) Used in this Agreement to refer to Alameda County Emergency Medical Services, a Division County EMS of the Public Health Department as part of the Health Care Services Agency, and designated as the Local EMS Agency for Alameda County. County EMS Director The director of the Alameda County Emergency Medical Services, a Division of the Public Health Department, as part of the Health Care Services Agency. County EMS Medical The physician in the position of Medical Director for Alameda County Emergency Medical Services, a Division of the Public Health Department, as part of the Health Care Services Director Agency. Policies and procedures issued by the Alameda County Emergency Medical Services that are County EMS Policies contained in the Alameda County Emergency Medical Services Field Manual and/or Administration Manual, which may be revised from time to time. Data Collection System The software and hardware used to collect, store and report on information from the provision of Services,which includes the Patient Care Reports. Delta Call A 911 call designated by County Dispatch Center as a Delta call based on use of the Medical Priority Dispatch System. An occurrence of a natural catastrophe,technological accident, or human caused event that Disaster has resulted in severe property damage, deaths, and/or multiple injuries." Echo Call A 911 call designated by Medical Dispatch Center as an Echo call(non-breathing and/or ineffective breathing) based on use of the Medical Priority Dispatch System. EMSA Emergency Medical Services Authority of the State of California. EMT Emergency Medical Technician. ERZ Emergency Response Zone,as depicted in EXHIBIT A- DEPICTION AND DEFINITION OF CONTRACTOR'S PRIMARY RESPONSE AREA. Federal Refers to United States Federal Government, its departments and/or agencies. Contractor's paramedics and EMTs responsible for responding to 911 requests for Field Personnel emergency first responder services pursuant to this Agreement. A method of measuring data in which all applicable data are stacked in ascending order and the total number is calculated as a percentage of the total number of calls. (e.g.:a 90th Percentile (Fractile) percentile standard is one where 90%of the applicable calls are answered within the response standard,while 10%take longer than the standard.) Entities with an agreement with the County to provide first responder service to the scene First Responder (Agency) of a medical emergency. First Responder Service(s) Contractor's provision of 911 emergency medical response and obligations as required by this Agreement and in accordance with EMS Policy. First Responder Advanced Fire response vehicle staffed and equipped with a minimum of one California State licensed and Alameda County accredited paramedic, as defined in EMS policies, capable of providing Life Support Unit (FRALS) ALS care at scenes of medical emergencies. High-Risk PCR A Patient Care Record for a High-Risk patient. See EXHIBIT H-HIGH RISK PATIENT DESCRIPTION. Incident Location The destination address or location of the patient to which the FRALS is dispatched. LEMSA Local Emergency Medical Services Agency, as defined in California Health and Safety Code, Division 2.5, §1797.94. Mandatory Data Fields The minimum amount of information that satisfies the requirement for a completed Patient Care Report left at the receiving hospital or psychiatric facility. iii