General Acute Care Hospital (GACH) with an Emergency Department.

(a)

At the time the emergency department medical personnel receives the transfer of care and report from EMS personnel (NEMSIS element eTimes.12), the emergency department medical personnel shall provide an electronic signature, the date and time of which is captured within the ePCR as the NEMSIS element eOther.19;

(b)

Develop and submit an APOT reduction protocol to EMSA. Submission shall be made electronically to the email address: [email protected] with the subject line: “APOT Reduction Protocol -- [Hospital Name]” in an electronic format as either a PDF or Microsoft Word document. The APOT reduction protocol shall be submitted to EMSA annually on or before June 30th and shall include the required components, data elements and action plans defined in Ambulance Patient Offload Time (APOT) Reduction Protocol Checklist for General Acute Care Hospitals (GACH) with an Emergency Department (Rev. 03/2026), which is incorporated by reference;

(c)

Implement the APOT reduction protocol within five (5) business days of receiving email notification and direction from EMSA to do so;

(d)

Notify EMSA no later than twenty-four (24) hours after implementation of the APOT reduction protocol by email at: [email protected], to confirm compliance;

(e)

When EMSA identifies that a GACH with an emergency department has exceeded the applicable APOT standard pursuant to Section 100007.02, the GACH shall participate in EMSA-hosted bi-weekly calls to update and discuss implementation of the APOT reduction protocol and associated outcomes.