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