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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 />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 />