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EMERGENCY MEDICAL SERVICES FIRST RESPONDER ADVANCED LIFE SUPPORT AGREEMENT (7/1/2019) 5.2 Response Time Measurement a. Response Time shall be measured in minutes and integer (whole) seconds from the time the call is received by City from the dispatch center until arrival at the Incident Location by the FRALS, or until the call is cancelled by a public safety agency or dispatch center. b. City's FRALS shall report on-scene time or staging location time to its dispatch center immediately upon arrival at the scene/staging location. 5.3 Calculating Changes in Call Priority a. Upgrades- If an assignment is upgraded prior to the Arrival at Incident of the FRALS (e.g. from a Priority 4 to Priority 2), City's performance shall be calculated based on the shorter of: • Time elapsed from dispatch to time of upgrade plus the higher priority Response Time standard, or, • The lower priority Response Time standard. • In all such cases, the electronic PCR shall indicate the reason why the priority status was upgraded to provide the ability for quality assurance/quality improvement review. b. Downgrades - If a call is downgraded by dispatch, prior to arrival on scene of the FRALS (e.g. from a Priority 2 to a Priority 4), City's performance shall be determined by: • If the time of the downgrade occurs after the FRALS has exceeded the higher priority Response Time standard, the higher priority Response Time standard shall apply; or, • If the time of the downgrade occurs before the FRALS has exceeded the higher priority Response Time standard,the lower priority Response Time standard shall apply. • In all such cases,the electronic PCR shall indicate the reason why the priority status was downgraded to provide the ability for quality assurance/quality improvement review. • c. Canceled Calls If a call is canceled prior to the FRALS Arrival at Incident, the performance shall be calculated based on the elapsed time from dispatch to the time the call was canceled. Page 4 of 24