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EMERGENCY MEDICAL SERVICES FIRST RESPONDER ADVANCED LIFE SUPPORT AGREEMENT (7/1/2019) <br /> 12.2 Other reports may be required less frequently than monthly, as determined by the EMS <br /> Director. <br /> 12.3. County shall provide notice to City at least two (2) months in advance of any change to <br /> required reports, frequency, or due dates. <br /> 12.4 Response Time Performance: <br /> a. Response Time data, including reports received from the dispatch center, shall be used <br /> by City and County to evaluate City's performance. <br /> b. If Response Time performance is below 90% for any calendar month, or longer period if <br /> required to accumulate 100 responses (see Section 5.1). City shall identify the causes <br /> and shall document efforts to eliminate problems on an ongoing basis. <br /> c. City shall submit a performance improvement plan with the Response Time <br /> performance report. The performance improvement plan shall identify each problem <br /> that contributed to a failure to meet Response Times and steps being taken to correct <br /> the problem. <br /> d. Response Time reporting and times shall be documented as set forth in this Agreement. <br /> 12.5 Compliance with Protocols <br /> a. City shall report monthly on the overall compliance with EMS Policies and performance <br /> on all calls in a format by the Quality Council and provided by EMS. <br /> b. Data for compliance shall be submitted in aggregate and stratified by categories <br /> identified in the Quality Improvement Plan and approved by the EMS Director. <br /> 12.6 Quality Improvement <br /> a. City shall develop a clear and concise set of processes and practices designed to identify <br /> and address opportunities for improvement.The description of these processes shall <br /> include the approach for achieving and maintaining measurable outcomes. <br /> b. City shall provide reports that update progress on quality improvement projects as <br /> agreed upon by the City and the EMS Director. <br /> c. City shall participate with the County's quality plan and follow all EMS policies regarding <br /> quality improvement and provide appropriate data. <br /> SECTION 13 - PERFORMANCE PROVISIONS <br /> 13.1 Response Time - <br /> a. City shall be notified any time Response Time performance drops below 90% for any <br /> calendar month. Response Times for fire departments with low call volume (less than <br /> Page 10 of 24 <br />