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3.3.2.4 Patient updates, including updates to MPDS determinants, shall be given to all County contracted ambulance providers responding to the scene. 3.3.2.5 FRALS units responding via ACRECC dispatch shall receive patient updates on the designated FRALS channel(s). FRALS units not responding via ACRECC dispatch may receive updates on the ACRECC designated channel. 3.3.3. ACFD shall operate and maintain 9-1-1 telephony equipment in accordance with all State, Federal, and industry standard guidelines. 3.3.3.1 Emergency Medical 9-1-1 calls shall be answered in 10 seconds or less 90% of the time. Calls placed on hold and not re-answered within the initial 10 second limit shall not be considered compliant. Exception: Should the workload of the dispatch center require it, the EMD shall apply the "emergency rule" and temporarily suspend the provision of PAIs. 3.3.3.2 Emergency medical 9-1-1calls shall be processed from time the location is verified until the recommended units are notified in 60 seconds or less 90% of the time. Exception One: A call requiring the use of translation services. Exception Two: Should the workload of the dispatch center require it, the EMD shall apply the "emergency rule" and temporarily suspend the provision of PAIs. SECTION 4—QUALITY IMPROVEMENT 4.1 ACFD shall use ProQA® AQUATM software, or other software mutually agreed upon by the Parties, to perform regular Quality Assurance / Quality Improvement review in accordance with NAED® standards. SECTION 5—REQUIRED REPORTS AND ANCILLARY SERVICES 5.1. ACFD shall submit monthly reports to CITY on the following: 5.1.2 Total number of medical calls 5.1.3 Total number of dispatched utilizing EMD/ProQA system 5.1.4 Total number not dispatched utilizing the EMD/ProQA system 5.1.5 Determination Drift Report (see Appendix B). 5.1.6 Communication Center Protocol Compliance Report (see Appendix C) 5.1.7 QI Summary Report (see Appendix D) 5.1.7.1 Number of dropped calls by jurisdiction by time elapsed before the call was dropped. 5.1.7.2 Number of calls placed on hold, including the amount of time the caller was kept on hold. 5.1.7.3 Number of calls sent to an incorrect address by jurisdiction, including calls resulting in a late in response time for the County contracted