The Local EMS Agency.

(a)

Develop and adopt a local APOT standard pursuant to Section 1797.120.5(b) of the Health and Safety Code. The APOT standard shall not exceed thirty (30) minutes, ninety percent (90%) of the time. In developing the APOT standard, the LEMSA shall consider local system performance data and may engage stakeholders consistent with Section 1797.120.5(b). If a LEMSA has not adopted a local APOT standard, the standard shall be deemed to be thirty (30) minutes for ninety percent (90%) of ambulance patient offloads for the purposes of APOT reporting and compliance under this Chapter;

(b)

Submit a copy of the APOT standard to EMSA to the email address: [email protected] with the subject line: “LEMSA APOT Standard Submission -- [LEMSA Name]” in an electronic format as either a PDF or Microsoft Word document, thirty (30) calendar days prior to the effective date of establishing or revising an APOT standard;

(c)

Include the APOT standard and any related APOT policies, protocols, or procedures in the Response and Transportation section of its annual EMS plan submission to EMSA;

(d)

Submit any updates or revisions to the APOT standard occurring independent of the annual EMS plan submission to EMSA as an amendment to the local EMS plan within thirty (30) calendar days of the effective date of the update or revision;

(e)

When EMSA identifies that a GACH with an emergency department has exceeded the applicable APOT standard pursuant to Section 100007.02, participate in EMSA-hosted bi-weekly APOT coordination calls, as referenced in Article 7 of this Chapter;

(f)

In coordination with the relevant GACH(s) with an emergency department, the relevant EMS transport provider agency or agencies, and any other relevant LEMSA(s), review APOD data submitted to CEMSIS by EMS transport provider agencies to identify and address discrepancies in the APOD data no later than the 15th calendar day of each month for data submitted in the preceding calendar month.

(g)

The LEMSA shall, within sixty (60) calendar days of the effective date of the APOT standard, develop and implement medical control policies that implement the requirements of this Chapter.